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BOF: 4

A 68 year old male complains of breathlessness. He has had an aortic valve replacement 5 years prior to presentation and is on long term warfarin.

Investigations:
Hb 10.2 g/dL
MCV 68 fl
Platelets 375x 10⁹/l
WBC 6.4 x10⁹/l
INR 3.0
Gastroscopy was reported as normal.

Which of the following would you request next?

a)      Transthoracic echocardiogram

b)      Blood cultures

c)      Transoesophageal echocardiogram

d)     Colonoscopy

e)      Bone marrow examination

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