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1
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2
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- History:
- 82 year old female.
Brought to Emergency Room with symptoms of severe frontal headache and
associated confusion. Noted to have decreased energy level and a 15
pound weight loss over the previous three months.
- The patient was initially evaluated for a
possible CVA. Neurologic exam and CT scans were negative, but she was
found to be pancytopenic.
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3
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- Physical Exam:
- Pale appearing, but otherwise within normal
limits. No organomegaly.
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4
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5
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- RBC 2.05 x 10[12]/L
- HGB 6.6 g/dL
- HCT 19.9 %
- MCV 97.1 fL
- MCH 32.2 pg
- MCHC 33.2 g/dL
- RDW 16.4
- WBC 3.5 x 10[9]/L)N 48
% L 34 M 15 E 3 B0(
- PLT 55 x 10[9]/L
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6
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7
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8
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9
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