MB 1
BULLETS
Free CME
Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 214885

Polycythemia Vera Differential Diagnosis Secondary polycythemia QID: 214885 (M1.OMB.1)
In scope icon M 2 A
QID 214885 (Type "214885" in App Search)
An 81-year-old woman is brought to the emergency department after she was found down by her family. On presentation, she is confused and unable to provide a clear history or cooperate with a physical exam. Chart review reveals that her past medical history is significant for hypertension, dementia, and hypothyroidism. She is currently on hydrochlorothiazide and thyroid hormone replacement therapy. Labs obtained reveal the following:

Serum:
Na+: 130 mEq/L
Cl-: 95 mEq/L
K+: 3.0 mEq/L
HCO3-: 27 mEq/L
BUN: 58 mg/dL
Glucose: 154 mg/dL
Creatinine: 1.8 mg/dL

Leukocyte count: 11,000 /mm^3
Hemoglobin: 17.8 g/dL
Platelet count: 320,000 /mm^3

Which of the following is the most likely cause of this patient's abnormal hemoglobin level?
Type in at least one full word to see suggestions list