{"ops":[{"insert":"A 58 year old man presents with pain and blackish discoloration of his right little toe for 1 week, in a background of exertional dyspnea, fatiguability and intermittent headaches for 4 months. No other symptoms are present.\n\nHe has no known medical conditions and has never smoked. At a recent checkup, a fasting blood sugar, lipid profile, liver and renal profile, ECG, chest x-ray and echocardiogram were found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-006_en.png"}},{"insert":"\n"}]}
2
Investigate
Full Blood Count
{"ops":[{"insert":"WBC: 14,500\/mm3 (N:73%)\nHb: 18.5 g\/dl \nHct: 60%\nPlatelet: 846,000\/mm3\nBlood film: Normocytic-normochromic erythrocytosis, neutrophilia with a left shift and thrombocytosis with normal morphology. No abnormal cells.\n"}]}
Ultrasound Abdomen
{"ops":[{"insert":"The ultrasound scan of the abdomen shows minimal splenomegaly. No other abnormalities are present.\n"}]}