26th July 2024

You are reviewing a patient in the haematology clinic under follow up for an IgM monoclonal gammopathy

You are reviewing a patient in the haematology clinic under follow up for an IgM monoclonal gammopathy of undetermined significance. They report that since yesterday they have noticed a severe headache associated with vertigo and reduction in vision in both eyes. They also report that they have been having recurrent epistaxis since yesterday. How would you manage this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.