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Medicine Hemolytic Anemia 874f1167

60 year old person presents with history of angina and shortness of breath for the past week. Blood withdrawn shows thick brownish red color. Diagnosis?

A
Sickle cell anemia,
B
Hemolytic anemia
C
Meth-hemoglobinaemia
D
G-6-P-deficiency
High-Yield Explanation
Ans. (c) Meth-hemoglobinaemiaRef.: Harrison 19th ed. / 636* Sickle cell anemia has a pediatric presentation.* Hemolytic anemia will cause pallor and not brown discoloration of blood.* In G6PD in event of intravascular hemolysis the hemoglobinuria will cause a black urine. Therefore by exclusion also the answer is meth-hemoglobinaemia.

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