Approach to myelodysplastic syndromes Quiz: Ace Your Exams
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A 61-year-old man presents to the primary care clinic to follow up after a recent urgent care visit where he was diagnosed with bacterial pneumonia. This is the third occurrence of bacterial pneumonia within the past year. Over the past few months, he has also been experiencing easy bruising and significant fatigue. Past medical history is significant for dyslipidemia and hypertension. Current medications include atorvastatin, cefpodoxime, doxycycline, and losartan. Vital signs are within normal limits. On physical examination, the patient is pale with conjunctival pallor and diffuse scattered petechiae and ecchymoses. Bloodwork is obtained, and the results are shown below. Which of the following is the most appropriate next step in management?
| Laboratory Test | Result |
| Sodium | 141 mEq/L |
| Blood urea nitrogen | 16 mg/dL |
| Creatinine | 1.2 mg/dL |
| Calcium | 9.1 mg/dL |
| White blood cells | 3400/mm3 |
| Hemoglobin | 7.9 g/dL |
| Platelets | 59,000/mm3 |
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