{"ops":[{"insert":"A 51 year old man presents with spontaneous bleeding from his mouth for 2 days, along with passage of tarry black stools for a week.\n\nThere is no history of epistaxis, hemoptysis, hematemesis, hematuria, or recent infection. He denies experiencing joint pain or tenderness.\n\nHis medical and surgical histories are unremarkable and he is not on any drugs currently.\n\nThere is no history of transfusion of blood or blood products. Nor is there a family history of bleeding disorders. He does not smoke, and is a life-long teetotaler.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-110_en.png"}},{"insert":"\n"}]}
2
Investigate
FBC and Peripheral Smear
{"ops":[{"insert":"RBC: 4.45x10^6\/mm3 (4.32-5.72x10^6)\nHb: 13.9 g\/dL (13.5-16.5)\nHct: 42% (41.0-50.0)\nMCV: 94 f\/L (80-100)\nMCHC: 33% (31-37)\nWBC: 6,800\/mm3 (5,000-10,500)\nPlt: 18,000\/mm3 (150,000-400,000)\n\nThe peripheral smear reveals normocytic normochromic red blood cells with normal white blood cells. There is an inadequate number of platelets. immature forms are present.\n"}]}
