QuestionSBA
QuestionChoice
Iron-deficiency anaemia would also present with fatigue and a microcytic anaemia, but not with scleral icterus. They would also have other signs and symptoms such as conjunctival pallor, brittle nails and aphthous ulcers.
10003702
b
Iron-deficiency anaemia
QuestionChoice
Anaemia of chronic disease can cause either a microcytic or normocytic anaemia and would explain some of this patient's symptoms such as fatigue. However, this patient does not have any chronic medical conditions.
10003703
c
Anaemia of chronic disease
QuestionChoice
The patient has recently immigrated from Senegal where there is increased exposure to lead-contaminated soil and dust. The symptoms and signs he is experiencing, alongside his microcytic anaemia, correlate with a diagnosis of lead poisoning.
10003701
a
Lead poisoning
QuestionChoice
This is an inherited condition which commonly affects those of Mediterranean, South Asian, Southeast Asian and Middle Eastern origin. The patient in this question has no significant family history and is not exhibiting any of the other features of thalassaemia like facial bone deformities or abdominal swelling/enlargement.
10003705
e
Beta thalassaemia
QuestionChoice
Chronic alcohol abuse would result in a macrocytic anaemia. The anaemia in this case is microcytic.
10003704
d
Chronic alcohol abuse
Concept
Chapter
2693
4191
Sideroblastic anaemia
Topic
157
Haematology
13287
A 35-year-old man who has recently immigrated from Senegal presents to the GP with abdominal pain, constipation, muscle pain and fatigue.


Examination shows icteric sclera and a blood pressure reading of 150/90. He does not have any significant past medical or family history.


Investigations show:

||||
|--------------|:-------:|---------------|
|Haemoglobin|111  g/L|(M) 130 - 170, (F) 115 - 155|
|White Cell Count|5.0x10<sup>9</sup>/L|3.0 - 10.0|
|Mean Cell Volume (MCV)|70 fL|80 - 96|


What is the most likely diagnosis?
a