Clinical Case 022: Feeling faint and fatigued

This case is a spot diagnosis.  50 yo woman presents to the GP complaining of feeling chronically tired, and recently “faint” – pre-syncopal on standing.

Check out the 2 pictures below and let me know the diagnosis in the comments section below.  The prize for the best answer =  the love and respect of your peers!

I will post the answer and a review next week.






















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