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18th July 2023
A 34-year-old man presents to A&E with an episode of syncope on a background of 3 months of progressive exertional dyspnoea
A 34-year-old man presents to A&E with an episode of syncope on a background of 3 months of progressive exertional dyspnoea. He has not noticed any haematemesis or melaena. He tells you that anaemia runs in his family. On examination, his abdomen is soft and nontender with no palpable organomegaly. Examination of the cardiovascular and respiratory systems are unremarkable with no evidence of cardiac failure. You examine his mouth.
His blood results are as follows:
| Haemoglobin | 42 | 130 – 180 g/L | Urea | 9.3 | 2.5 – 7.8 mmol/L |
| White cell count | 13.7 | 4.5 to 11.0 × 10⁹/L | Creatinine | 80 | 59–104 μmol/L |
| Platelets | 570 | 140 – 400 x10⁹/L | |||
| MCV | 70 | 80 – 100 fL | CRP | 8 | < 5mg/L |
Given the most likely diagnosis, which of the following lesions will likely be found on endoscopy?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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