
Jonathan Jackson
50 year old architect
PC: weight loss and jaundice
HPC: lost about 12 kg over last 6 months despite energy drinks
jaundice noticed by wife 10 days ago
loss of appetite
pale stool and dark urine
feeling weak and nauseated
reports frequent gum bleeding, bruising easily
no pain
PMH: suspected sarcoid 10 years ago
G6PD deficiency
Grave's disease
right facial palsy 5 years back, now resolved
DHx: fish oil extracts
benzodiazepine for night sedation
didn’t tolerate chloroquine malaria prophylaxis (G6PD deficiency)
FHx: mother: died of pulmonary embolism
father: rheumatic fever
brother: ankylosing spondylitis
SHx: lives with wife (married for 32 years) and 2 children
smokes 5-10 cigarettes per day
occasional alcohol