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NBME 18 Answers

nbme18/Block 3/Question#25 (reveal difficulty score)
63 yo man, 2 weeks of fullness in left upper ...
Myelofibrosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +16  upvote downvote
submitted by โˆ—amirmullick3(76)
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ihsT tpaient hsa a dry tap, hichw is esne ni iyoesfrlomisb and lacastpi a.naemi Teh bamlanor RBC aer omts ykiell rcocaydset d(proetar le)lc.s

MAL lodwu ahev aure rosd nad mayn ncirtlciuag m,ybalsloste tbu onr olrmaban C.RB

M,CL dfindee by teh 2[;92t] lieaihpdlhaP somoehor,cm will veha aymn mtaeur nad urngaimt otlagrycnsue, hwit a lwo PAL cuesaeb shti si ton a oilduemek ineoac.tr

csemoylyioeptiD doyrnesm is het sema sa a eymlsdstolcyiasp on,resydm ichhw era a ugpor fo cesnrac twhi umaetmri BRC in the oben worarm tath do not cebeom a.retum do/py:ya/eshititnimssykdpgepae.Me/rliikw_lincto/swrdo.

ailensEts mboitmhyceohrta ihwhc( si ont salsteein oemy)ltypihac si tjsu a erar crcnea twhi hhig llapts,ete iwchh psrestne wthi aamobnrl lobdo o,tcgitnl ldginae ot hmoisto,rbs ,skoerst adn PE.

ehcailytomPy reav ash yrve relag RCB mass nad wol EPO due to engtiave efbcaekd. tI si ude to a JKA2 nuitmato adn saol ahs high BWC adn ele.tatspl ruO eiatnpt si .cimena

ett.loi/leyomwu/whesm.utusbv:w/pc

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 +1  upvote downvote
submitted by โˆ—dorsal_vein(47)
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Dry atp + emsiavs lyanogeemslp + alrnamob CRBs si asciscl rof oslbsiiromeyf

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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iTsh atneipt ash a ydr ap,t hcwhi si eesn in oiyfmeirbslos dna atlasicp a. heeanmTi nbomlaar CRB rae omst kleyil osacycrted pdoart(re .e)slcl

LAM dwoul vaeh eura sdor nad nmay rucinactgli smltbos,ylea tub nro olmnbraa LC ,M.RCB ienfedd yb hte [2;9t2] ahplheidalPi oorhm,osecm llwi have nmay uraemt dan mgurntia nterosyg,ucla twih a wol PLA abuesce sith si nto a imdukeloe pDinoocyeltecatsr iie.ymo yoedrnms si eth emsa as a todslsimeyalscpy enymrsdo, hchwi rea a rpguo fo recnsca ihtw mmreuait CRB ni eht beno roarmw atth od ton ebeomc t.rmau eksesginepo_daotlswap/wk.ysemhilt/rp.diryo/iMt:eiicndy/i tenlEssa tmheybtimcharoo (hhcwi is not nisalseet mepayitoyh)lc is tjsu a aerr cnaecr twih hihg pt,talseel cwhih erpnstes with nalaborm lobod ,inglotct elniadg to ssboh,rotim e,sosktr adn yaehEo.tlcmi yPP vrea p(g 46)6 has yvre ralge CRB smas adn owl OPE due ot iatgenev acebef.kd It is ude to a AK2J tutamoni nda lsao hsa ihhg WCB adn plas.etlet rOu teinapt si icenm.a

swlyoo/w/ue.pv/:ltmc.suhwttumeebi

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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ihs iptntea ahs a yrd t,pa chiwh is ense ni ibmoofslyires dna tpscalai h.eeamnaTi mlnroaba CBR rea tsmo yillek ecdaryotsc (rrodtpea sc).lle

MLA oludw aevh urea ords dan ymna ccniaritglu lsyom,aetlsb btu rno abnamorl .RCB

CL,M enfdeid by hte t29[]2; Pldihlhaaepi rooem,hscmo wlli ehav aymn uemtra nda nitumrga yulgo,srcaetn htwi a wlo PAL acubese itsh is tno a eumidekol cetraoin.

ymDlsceeooiytpi odrysmne si eht emas sa a seidcmlylstsopay onsd,yerm hhiwc aer a urpgo fo canrsec iwth muraemit BCR ni teh eonb mrawor hatt od tno ecmboe et. rmuahe/o.osiio/aenrkywipri/.tpdgsatewmks:/dcd_ispytelMylni

sntlesEia myrmbahotcohiet chihw( si ont telaensis lamtoc)ihepyy si ustj a earr rcacen twih ghih l,eaptlste ihwch snprtsee thiw bornalma ldboo gcnit,otl lndgiae ot obtmrisos,h trsseko, nda .PE

mhoelayctiPy arev sah vyre argle RBC ssam dan owl PEO ude to egnetvia kecbe.daf tI si ude to a K2AJ tontauim adn sloa sha ihgh WCB dan saelt.etlp rOu napeitt si iacne.m

pwyolo.ulsw:/sev/iueme/chw.ubtmtt

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