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Polycythemia

  • Ddx

    • polycythemia vera (headache, dizziness, pruritus after showering, EPO decreased)
    • chronic hypoxia (O2 sat < 90)
      • COPD (PFTs)
      • lung cancer
      • congenital heart dz
      • obesity
    • chronic hypoperfusion
      • methemoglobinemia
      • smoker
      • chronic CO exposure
    • EPO secretion
      • renal tumor (flank mass)
      • PCKD (flank pain, mass, hematuria)
      • EPO secreting tumor

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