A 54-year-old woman complained of being nauseated and exhausted, and she was hospitalised with symptoms of shortness of breath during activity and perhaps weight loss, but she denied abdominal discomfort, dysphagia, rectal bleeding, change in bowel pattern, or change in stool or urine colour. A blood test reveals a haemoglobin of 5.2g/dL and a mean cell volume (MCV) of 112fL; platelets were on the low side at 131 x 109/L.
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