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Review Question - QID 211053

Aplastic Anemia Differential Diagnosis Myelodysplastic syndrome QID: 211053 (M2.OMB.18.4868)
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QID 211053 (Type "211053" in App Search)
A 65-year-old man presents to his primary care physician with fatigue that has gradually been worsening over the past month. The patient rarely sees his physician and came in today as he is unable to go to his exercise classes anymore. He also endorses joint pain in his right knee and hip that has been gradually worsening. The patient's vitals are notable only for hypertension. Physical exam reveals a fatigued appearing man. Laboratory values are ordered as seen below:

Hemoglobin: 8 g/dL
Hematocrit: 25%
Leukocyte count: 1,500/mm^3 with normal differential
Platelet count: 47,000/mm^3

A peripheral smear is performed as seen in Figure A. Which of the following is the most likely diagnosis?
  • A
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  • A