Recently I came across a case where the patient was evaluated for anaemia with Hb of 5.1 & the haematologist rightfully admitted him to the hospital for management. Briefly, he arranged for several units of PRBC with premedication to avoid any transfusion reactions. He also started on IV iron injection & oral iron to expedite the recovery process. The patient also complained of low back pain & increased ESR (which could be also from anaemia) was ordered a Lumbosacral spine X-ray, a serum protein electrophoresis to rule out Multiple myelomas.
Reports were normal. His serum ferritin was low 11 mg, stool occult blood being positive to rule out other causes of iron deficiency anaemia both UGI & LGI endoscopies were ordered. It revealed altered blood in ileum so the gastroenterologist advised for a double balloon endoscopy. In the interim one day, he complained of right eye pain & the…
