Close
24th July 2024
A 24-year-old gentleman originally from Sweden is referred for review by the medical team
A 24-year-old gentleman originally from Sweden is referred for review by the medical team during an admission under the surgeons for recurrent episodes of biliary colic and cholecystitis. He was anaemic on admission and has evidence of mild splenomegaly. He has no known past medical history, and whilst his mother has no medical problems, he is lacking details about his father as they are not in contact, but knows that he does have some sort of blood condition and has needed blood transfusions in the past. Blood tests show:
| Hb (130 – 180 g/L) | 102 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 10.5 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 350 x10⁹/L |
| Bilirubin (<21 μmol/L) | 29 µmol/L |
| ALT (<41 U/L) | 24 U/L |
| ALP (30–130 U/L) | 64 U/L |
What is the most likely underlying diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
