Black Toe

Blood & Lymphoreticular System

Step 1: View Clinicals

{"ops":[{"insert":"A 58 year old man presents with pain and blackish discoloration of his right little toe for 1 week, in a background of exertional dyspnea, fatiguability and intermittent headaches for 4 months. No other symptoms are present.\n\nHe has no known medical conditions and has never smoked. At a recent checkup, a fasting blood sugar, lipid profile, liver and renal profile, ECG, chest x-ray and echocardiogram were found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-006_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Full Blood Count
2. Ultrasound Abdomen
3. Bone marrow biopsy
4. Erythropoietin level

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