Welcome to case 59. Today we’re reviewing Mr Q, who was referred to the outpatient clinic with the following letter:
Please see Mr Q (DOB 01/01/1945) who was noted to have splenomegaly (16cm) on a recent ultrasound scan. His PMH and current medications are detailed below.
Dr Jones (GP).
PMH: Stroke 2003; Type 2 Diabetes Mellitus 2008; Hypertension 2008.
DH: Aspirin, lisinopril, Metformin, Novorapid, glargine.’
What would you ask him and why during your initial consultation?
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NB The above CT scan demonstrating splenomegaly is NOT our patient – illustrative only!