Bruised

Blood & Lymphoreticular System


Step 1: View Clinicals

{"ops":[{"insert":"A 49 year old woman presents with upper abdominal pain, intermittent nausea and vomiting, malaise, and night sweats for 3 weeks, in association with a 6 kg weight loss.\n\nShe also experienced easy bruising during the same period. There was no history of epistaxis, hematemesis, melena, or other bleeding manifestations.\n\nHer medical, surgical, and drug histories are unremarkable. There is no family history of bleeding disorders.\n\nShe does not smoke, drink or use recreational drugs. Her ESR is 31 mm\/1h.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-118_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Complete Blood Count + Peripheral Smear
2. Liver Profile
3. Bone Marrow Aspiration + Biopsy
4. Serum Protein Electrophoresis

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