
(National Board Of Medical Examination) NBME Form 18
Peter 3 years
2152
Block 1
A 63-year-old man is brought to the physician because of a 2-week history of a sensation of fullness in the left upper quadrant of the abdomen He also has had lethargy and occasional shortness of breath during this period, He has a 9-kg (20-1b) weight loss during the past 3 months. Physical examination shows pallor. The spleen tip is palpated, Laboratory studies show:
Hemoglobin 9g/dL
Hematocrit 27%
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