This Case Wears Me Out: An Athlete With An Unusual Cause Of Exercise Intolerance

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This Case Wears Me Out: An Athlete With An Unusual Cause Of Exercise Intolerance - Page #3

Lab Studies: WBC: 4.9 Hgb: 6.7 Hct: 19.4 Platelets: 11,000 MCV: 104 DIFF: neutrophils 80%, lymphocytes 7%, otherwise normal RBC morphology: slight teardrop cells, polychromasia, schistocytes CMP normal except total bilirubin: 4.1 Reticulocyte count: 17.0% Absolute reticulocyte count: 320 D-dimer: 0.23 CK: 94 LDH: 495 ESR: 37 ANA, anti-DNA Ab, viral hepatitis panel, HIV, Monospot all negative Direct Coombs test: positive Other Studies: CT chest/abdomen/pelvis showed mild splenomegaly, no lytic or sclerotic bone lesions; no enlarged lymph nodes were seen. Bone marrow biopsy demonstrated mixed marrow elements with no evidence of increased blasts or abnormal lymphoid populations. Consultations: Hematology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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