Case 132 – The beginning

You are the haematology registrar and are just about to review a new haematology referral in an outpatient clinic. The brief referral letter states:

‘Please review this 66 year old gentleman who has a background of diabetes mellitus. He has bilateral neck lumps which he first noticed approximately 2 months ago. I’d be grateful for you review with regard to his presumed lymphadenopathy’


  1. What further information would you specifically enquire about in your history?
  2. What would your examination focus upon?

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