MRCP revision for free - Home

Question category: Haematology

A 26 year old female presents to her GP after noticing her urine has been a dark brown colour. She admits to feeling increasingly tired over the last few months and has noticed herself bruising easily. Bloods reveal a low haemoglobin at 6.6 g/dL which is macrocytic. She also has low platelets and evidence of increased LDH, low haptoglobin and increased reticulocyte count. A dipstick reveals haematuria however microscopy does not reveal in red blood cells. How would you manage this patients anaemia?

Please log in to record your progress.