Case 135 – The beginning

You are the medical SHO on call and get asked to review an 81 year old lady with symptomatic anaemia on a Friday evening. She has had no bloods taken for the preceding two years and her Hb has been confirmed to be 72g/l. The GP referral letter also tells you she has a normal B12/folate and ferritin. This is her blood film.

What history would you take?

What features should you examine her for? 

What other tests should be performed ?

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