Diagnosis and investigation

• Recognition of typical telangiectases and family history.

• Beware, another cause of bleeding may co-exist in a OWR patient.

• FBC and film may show iron deficient picture, i.e. microcytic, hypochromic anaemia, 5 MCV, raised platelets. 5 serum ferritin.

• Angiography of mesenteric circulation in recurrent bleeding.

• ENT examination.

• CT scan to identify pulmonary AV malformations or desaturation on exercise.

0 0

Post a comment