Q:

A 50 year old man presents with itching after hot shower with dizziness, chest pain after exercise. Exam: splenomegaly. What is the single most likely causative factor?

waelhammad
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2022-11-01
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A 50 year old man presents with itching after hot shower with dizziness, chest pain after exercise. Exam: splenomegaly. What is the single most likely causative factor?

  1. ALL
  2. Lymphoma
  3. Polycythemia
  4. Scabies
  5. Eczema
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waelhammad
2022-11-01
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The key is C. Polycythemia. [Itching after hot shower; dizziness and angina due to hyperviscosity and splenomegaly are well known features of polycythemia]. 

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