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Case #4

The Case

Eleven months later, this same patient...

• Obtained lab from a hospital fair and found out his hemoglobin was 9.5.
• The MCV was 75, RDW was 18, and the blood count from 11 months prior was normal.
• He also said that he had experienced dyspnea on exertion for the last few weeks and a family member had told him, "You look really pale!"
• On physical exam, he did look pale with conjuctival parlor.
• Stool guiac was negative.

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