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Pathology 37

A 24-year-old woman presents to her primary care physician for evaluation of a three-week history of fatigue, headache, and abdominal pain. She also endorses feeling “foggy” and more clumsy than usual. Her medications include a daily vitamin D supplement and a combined oral contraceptive pill. Physical examination is significant for subconjunctival pallor, and labs indicate anemia. Peripheral blood smear shows erythrocytes with basophilic stippling.

Which of the following additional features is most likely to be present in this patient’s history?

  • A) Abetalipoproteinemia
  • B) History of splenectomy
  • C) Recent travel to Africa
  • D) Works at a battery recycling plant
  • E) Vegan diet

Authors

Alexandra Conway

Editor

Dr. Ted O'Connell

Last updated

Oct 18, 2023

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