23rd September 2021

A 32 year old man presents to his GP concerned by some lumps in his groin area

A 32 year old man presents to his GP concerned by some lumps in his groin area. He says he has lost around 2 stone in weight in the last 3 months and has been very sweaty at night, despite the cool weather. He has generally been feeling quite fatigued over the last 3-6 months, but he wonders if this is because he has had to look after his niece and nephew a lot recently. On examination he has prominent lymph nodes in his groin region and also some palpable glands in his left axilla. A full blood count shows he is anaemic.

Which is the most appropriate next step in the investigation of this patient’s condition?

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