Close
25th July 2024
A 29-year-old gentleman presents with left leg swelling and pain. He reports worsening fatigue
A 29-year-old gentleman presents with left leg swelling and pain. He reports worsening fatigue over the last week or so and appears pale from the end of the bed with icteric sclera. Some mornings, he has noticed dark urine but thought it was because he was dehydrated. He reports that he was diagnosed with a right leg DVT around 6 months ago and has just finished a course of anticoagulation. Other than this, he has no past medical history and is currently not taking any regular medication.
On examination, his left calf is warm, swollen and tender to touch. His observations are in the normal range. Bloods are as follows:
| Hb (130 – 180 g/L) | 75 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 3.7 x10⁹/L |
| Neutrophils (1.8 – 7.5 x 10⁹/L) | 1.4 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 57 x10⁹/L |
| Bilirubin (<21 μmol/L) | 56 µmol/L |
| LDH (240 – 480 U/L) | 1280 U/L |
| Haptoglobin (0.5 – 2.2 g/L) | 0.1 g/L |
| D-dimer (< 500 ng/mL) | 1200 ng/ml |
| Direct antiglobulin test | No agglutination |
What is the definitive treatment for the underlying disease?
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.
