SAQ 1981 – Pancytopenia in a homeless patient with drug and alcohol use

A 46-year-old homeless man self-presents with profound lethargy, dyspnoea and abdominal pain. He is known to your service for previous drug and alcohol intoxication presentations.

A junior doctor performed blood tests and the laboratory has phoned you with abnormal results: Hb 110, WCC 2.0, platelets 62, neutrophils 0.9, lymphocytes 0.29, monocytes 0.57, eosinophils 0.26 and basophils 0.02.

What further history would help determine the cause of these abnormal results?

(Marked out of 6.0)

/ 6

Identify four additional investigations and your rationale.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Rationale</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 8

List four likely causes in this patient.

(Marked out of 4.0)

/ 4

Total Score: 0 / 18

Percentage: 0%