02.06.2013 Views

Internal Medicine Board Review - DiscWrite CD Promotions

Internal Medicine Board Review - DiscWrite CD Promotions

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A <strong>Board</strong> Question<br />

• A 50-year-old woman presents with RUQ dull<br />

aching pain and ffullness llness and ccytopenias. topenias The<br />

spleen is palpable 5 cm below the left costal<br />

margin margin. Labs: HB 88.6 6 g/dL g/dL, leukocytes 44.2,000/L, 2 000/L<br />

and platelets 150,000 /L. A peripheral blood smear<br />

shows 4.5% myelocytes, y y and 1% blasts. A red<br />

blood cells appear as “teardrop”

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