DrVirgo
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29. A 47 y/o man has had a headache and blurred vision for the past 2 weeks. He also notes generalized itching, especially after bathing. Physical exam is remarkable for plethoric facies, adn splenomegaly. A CBC shows:
Leukocyte count: 3200/mm3
Hemoglogin: 22 g/dL
Hematocrit: 66%
Platelets: 420,000/mm3
Which of the above lab values are abnormal and help with the diagnosis?
WHat is the diagnosis:
What is the most likely complication of this condition?
A. Hematologic malignancy
B. Increased bleeding tendancy
C. Renal Insufficiency
D. Sepsis
E. Vascular Sludging
Explain and discuss please! 
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| Aashi
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A.......Polycythemia............AML is the complication..and the death is MC due to thrombosis or hemorrhage
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| yasmeen
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POLYCYTHEMIA RUBRA VERA VASCULAR SLUDGING
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| DrVirgo
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Answer is E...
Please provide an explanation... Between A and E it was confusing.
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| mazinger
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guys what does vascular sludging mean?
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| alpha12
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I think you will see vascular slugding more frequentlyl than AML; that's why E is better answer.
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