ABSTRACT

You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by her general practitioner with the following letter. Please read the letter and then review the patient.

Dear Doctor,

Re: Mrs Catherine Travis

Age: 62 years

Please advise on the management of this nice lady who is known to suffer with arthritis. She has been complaining of lethargy and recent blood tests have found her to be anaemic. I wonder whether she requires investigation of her GI tract.

Yours sincerely