A person with complicated anaemia
In the second part of our series, Ian Bickle takes you through another clinical exam question
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.