Anaemias

A 27-year-old woman of Greek background attends for pre-pregnancy advice. She feels well. A full blood count taken by her previous doctor shows: haemoglobin 108…

Clinical rotations · middle twist

A 2-year-old boy whose parents were born in Vietnam has a blood test before starting childcare. He drinks about 700 mL of cow milk a day and refuses meat. He is…

Clinical rotations · middle twist

A 2-year-old girl is brought to a general practice because she is pale and always tired. Her weight has drifted from the 50th to the 10th centile over the past…

Clinical rotations · common

A 20-month-old boy of Greek-Australian parents is investigated for pallor and irritability. He drinks about 1.2 litres of full-cream milk a day from a bottle, i…

Clinical rotations · middle twist

A 9-week-old boy has a full blood count taken when an intravenous cannula is inserted before an inguinal hernia repair. He was born at 39 weeks weighing 3300 g,…

Clinical rotations · middle twist

A 34-year-old woman born in Vietnam is investigated for tiredness. Her periods are normal, she eats meat, takes no medicines, and was told she was slightly anae…

Clinical rotations · common

A 46-year-old man develops jaundice, dark urine and exertional dyspnoea over several weeks. He has splenomegaly, a haemoglobin concentration of 78 g/L (130–170)…

Mechanisms of disease · common

A 58-year-old woman presents with tiredness, a sore tongue and difficulty judging the position of her feet in the dark. She has a macrocytic anaemia, a low seru…

Clinical rotations · common

A 67-year-old woman with long-standing rheumatoid arthritis reports increasing fatigue and reduced exercise tolerance. Her haemoglobin is 92 g/L (115–155), mean…

Clinical rotations · middle twist

A 30-hour-old boy develops jaundice and pallor. He is feeding reasonably well and has mild splenomegaly. His mother is blood group O positive and he is group B…

Mechanisms of disease · middle twist

A 69-year-old man has had three episodes of melaena over two months and requires repeated iron infusions. He takes no non-steroidal anti-inflammatory drugs and…

Clinical rotations · common

A 46-year-old woman presents with fatigue, jaundice and dark urine that began after a respiratory infection. She has mild splenomegaly but no renal or neurologi…

Clinical rotations · common

A 74-year-old man reports several months of fatigue and burning of his feet. He has a smooth, sore tongue and impaired vibration sense at both ankles. His haemo…

Clinical rotations · common

A 24-year-old woman of Greek background is found to have abnormal results on a pre-employment blood count. She feels well, her periods are not heavy, and she re…

Clinical rotations · common

A 68-year-old man presents with three months of increasing tiredness and breathlessness climbing stairs. He eats a mixed diet, takes no regular medications, and…

Clinical rotations · common

A 72-year-old male with history of stage 4 chronic kidney disease presents to the clinic after suffering from increasing fatigability and pallor. · Hemoglobin:…

Clinical rotations · middle twist

A 45-year-old woman presents with progressive tingling in her feet, difficulty walking, and imbalance for the past three months. She also reports generalized fa…

Clinical rotations · common

Which of the following iron study findings is most consistent with thalassemia?

Clinical rotations · middle twist