We have a gentleman presenting with intermittent angina-like chest pains who is polycythaemic.
From our contributions we have ascertained the following about our patient:
- He is a smoker – 20-30 per day lifelong
- He probably drinks too much alcohol and frequently binge drinks
- He is usually a bit short of breath and puts this down to his smoking
- He does not have any other cardiovascular risk factors but has not visited his GP in years and did have an episode of transient sudden onset left arm weakness six months previous
- He has not had any venous thromboembolism and there has been no weight loss
- There is no family history of any blood-related problems
- There is no splenomegaly
- How do you classify polycythaemia?
- Can you name a potential cause in this case and what are the differential diagnoses?
- What may you see in the blood film?
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