Internal Medicine Board Review - DiscWrite CD Promotions
Internal Medicine Board Review - DiscWrite CD Promotions
Internal Medicine Board Review - DiscWrite CD Promotions
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Polycythemia vera (PCV)<br />
A62 A 62-year-old ld male l with ith no medical di l hi history t<br />
complaining of pruritus after bathing- Has<br />
splenomegaly and his Hg 19 19.5 5 g/dL g/dL, O2 sat<br />
92% and normal erythropoietin level<br />
↑leukocyte alkaline phosphatase, Fe deficiency, and ↑ B12 level<br />
(due to increased binding protein transcobalamin I)<br />
Treat with ASA to all the patients –phlebotomy (HCT 70 year, h/o thrombosis, platelet > 400,000/µL)<br />
JAK 2 gene g<br />
occurs in almost 80% of PCV patients
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