Which is most important to consider

Reference no: EM133724377

Problem

A 64 year old man presents with gradual shortness of breath with activity over the past 3 months. Non smoker. Had a normal cardiac workup last year. You notice conjunctiva pallor and a new onset soft, early systolic murmur. You order labs and the CBC shows the following: Hgb 8.0 (12-14); Hct 23 (36-43); RBC 2.4 (4.2-5.4); MCV 77 (81-96); MCHC 29 (31-37); RDW 18.6 (< 15); Reticulocytes 1.8 (1-2). When considering your differential diagnoses, which is most important to consider?

Reference no: EM133724377

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