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BOF: 53

A 40-year-old female presents with a history of a swollen left leg. She had been unwell about 3 weeks prior to presentation with an upper respiratory tract infection.

The only other history of note was that she said she noticed that her urine was dark in colour on some mornings.

She was not on any medication.

On examination you note that her left calf is swollen, erythematous, warm to touch and tense.

Investigations

Hb 8.6 g/dL

WBC 2.4 x10⁹ /L

Platelets 46 x10⁹ /L

Iron studies reveal that the patient has iron deficiency

In this patient you would:

a)      Arrange a colonoscopy to investigate iron deficiency

b)      Arrange gastroscopy to investigate iron deficiency

c)      Ask for a gynaecological opinion in view of iron deficiency

d)      Arrange for haemoglobin electrophoresis

e)      Not take any action regarding iron deficiency

 

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