Haematological

Question 1

65yo patient with known autoimmune gastritis presents with paraesthesias, decreased vibration sense and depression. FBE reveals macrocytic anaemia

Answer 1

Vitamin B12 deficiency

Question 2

30yo woman with untreated coeliac disease presents with headache, loss of appetite, fatigue and dyspnoea. FBE reveals macrocytic anaemia

Answer 2

Folate deficiency

Question 3

23yo woman presents with fatigue and dyspnoea on exertion. On examination, she has pale conjunctivae

Answer 3

Microcytic (iron deficiency) anaemia

Question 4

Young adult patient with history of EBV presents with a 6 month history of multiple palpable lymph nodes that are non-tender and immobile. Associated fever and night sweats

Answer 4

Hodgkin’s lymphoma

Question 5

60yo male patient presents with a 6 month history of multiple palpable lymph nodes that are non-tender and immobile. Associated fever and night sweats

Answer 5

Non-Hodgkin’s lymphoma

Question 6

A 50yo patient presents with a 6 month history of bone pain, constipation and fatigue. Conjunctivae are pale on examination

Answer 6

Multiple myeloma