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Medicine Blood f461a989

A 60-year-old industrial worker presents with shortness of breath for the past week. Blood withdrawn shows thick brownish red Color. Diagnosis?

A
Sickle cell anemia
B
Hemolytic anemia
C
Meth-hemoglobinemia
D
G-6-P-deficiency
High-Yield Explanation
Ans. C. Meth-hemoglobinemia* 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 the answer is meth-hemoglobinuria.

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