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Internal Medicine Board Review - DiscWrite CD Promotions

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

• A45-year-old A 45 year old man presents with one month- month<br />

history of low energy and fatigue. On<br />

examination his vitals are stable afebrile. You<br />

noticed enlarged spleen about 3 cm below the<br />

left costal margin. The rest of the exam is<br />

unremarkable k bl<br />

• Labs showed Hb 13.4; WBCs 34,400/L; platelet<br />

count of 510 510,000/L 000/ L and fluorescence study of<br />

bone marrow biopsy is significant for<br />

Philadelphia chromosome

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