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A 22 year old female college student of Greek Descent is evaluated b/c she tires very easily and has had palpitations when playing tennis for the past 3 months. She reports no night sweats or wt loss, and her Fhx is negative. She has 2 siblings. PE is unremarkable. CBC shows a Hbg of 9 and Hct of 28%. And an erthrocyte count of 3.7 million. Erythrocyte distribution width is elevated at 17%
(normal range is 10.5-14.5%). The Europhile, lymphocyte and PLT count are NML.
Which of the following is the most appropriate intial step in the management of this patient?
a. Hbg electrophoresis for Hbg A2 and F
b. Do CBC fro siblings
c. Do serum ferritin
d. Do US of spleen
e. Do Southern blot analysis |
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