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28th May 2023
A 76-year-old woman is admitted with symptomatic anaemia and blood tests reveal
A 76-year-old woman is admitted with symptomatic anaemia and blood tests reveal:
| Today | Reference range | |
|---|---|---|
| Hb | 69 g/L | Female (115-160 g/L) |
| Platelets | 78 x10⁹/L | (150-500 x10⁹/L) |
| Neutrophils | 0.9 x10⁹/L | (1.5-8 x10⁹/L) |
On blood film there are no blasts present but it is suggestive of myelodysplastic syndrome. She is approaching end-stage renal failure. She has already made a decision she does not want dialysis as she is not keen on attending hospitals. She receives 2 units of packed red blood cells over 4 hours. After she has completed the second unit she complains of breathlessness and is hypoxic. What’s her most likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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