Case 146 – the beginning

You are about to see a new patient in the Haematology clinic.

She is a 58-year old lady with a background of hypertension. Ramipril is her only medication. She is otherwise fit and well.

She has been referred to you by a gastroenterology colleague. She presented to them with dyspepsia, and a gastric biopsy via oesophagogastroduodenoscopy (OGD) has been provisionally reported as showing lymphoma.

How would you proceed at this point and what further information would you like?

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