Fatigued

Blood & Lymphoreticular System


Step 1: View Clinicals

{"ops":[{"insert":"A 63 year old woman presents with melena for 3 weeks, and fatigue and malaise for 2 weeks. No other symptoms were present.\n\nHer medical, surgical and drug histories are unremarkable, and there is no family history of bleeding disorders or gastrointestinal malignancies.\n\nShe does not smoke, and only drinks socially.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-120_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Complete Blood Count + Peripheral Smear
2. Liver Profile + Ultrasound Abdomen
3. Bone Marrow Aspiration + Biopsy
4. Upper GI Endoscopy

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