A person with complicated anaemia
BMJ 2004; 329 doi: https://doi.org/10.1136/sbmj.0410360 (Published 01 October 2004) Cite this as: BMJ 2004;329:0410360
- Ian Bickle, senior house officer1
- 1Dept of medicine, Royal Victoria Hospital, Belfast
General medical doctors admitted a 71 year old man with symptomatic anaemia. He informed the admitting doctor of multiple hospital admissions over the past 20 years and receives regular blood transfusions. His problems began as a young man, with recurrent nosebleeds and, from middle age, recurrent episodes of dark, foul smelling stools. Several of his family members from different generations have similar problems, including two of his daughters.
Questions
Describe the appearance of this person (Figs 1, 2, 3).
Outline the clinical features of symptomatic anaemia.
Comment on the blood results in the box.
You note below an oesophagealgastroduodenoscopy (OGD) finding from a previous admission only three months earlier.
Describe the findings of the OGD (Fig 4).
Describe the findings on examination from the medical notes …
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