BOF 93

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BOF: 93

A 60 year old female presents with a history of breathlessness on exertion and malaise. She has Parkinsonism and was on treatment for this but was unable to name the drugs she was on. On clinical examination she was noted to be pale and had features of Parkinsonism detected on examination of her nervous system.

Investigations

Hb 8.5 g/dL

WBC 7. 5 x10⁹/L

Platelets 450 x10⁹/L

MCV 109 fl

Reticulocyte count 8%

In this patient which one of the following tests would you arrange in order to substantiate the diagnosis?

a)      Bone marrow examination

b)      Urine for haemosiderin

c)      Coomb’s test

d)     Vitamin B₁₂and folate levels

e)      Iron studies

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