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25th July 2024
A 65-year-old lady is referred to A&E following GP blood tests for an increased frequency in bowel opening
A 65-year-old lady is referred to A&E following GP blood tests for an increased frequency in bowel opening over the past few months with associated weight loss. She reports no acute shortness of breath, chest pain or significant fatigue, however appears pale from the end of the bed.
She has a background of COPD (chronic obstructive pulmonary disease), HTN (hypertension), hypercholesterolaemia and she smokes 20 cigarettes a day.
Bloods on admission:
| Hb (115 – 165 g/L) | 65 g/L |
| MCV (80 – 100 fL) | 73 fL |
| WCC (3.6 – 11.0 x 10⁹/L) | 6.5 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 110 x10⁹/L |
| CRP (< 5mg/L) | 7 mg/L |
What would be the most appropriate initial management of this patient?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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