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[1] History/Physical Findings: 60-year-old man with a history of total gastrectomy due to gastric cancer was admitted with a one-month history of fatigue and dizziness. The physical exam was unremarkable and there was no evidence of tumor recurrence. Laboratory Data: CBC : WBC 4.1 x109/L, Hgb 3.4 g/dL, PLT 130 x 109/L, RDW 23.2%, Reti 3.2% Serum vitamin B12 : 66 pg/mL, Serum folate : 6.0 ng/mL Peripheral Blood and Bone Marrow(aspiration and biopsy): | |
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| Diagnosis : Megaloblastic Anemia | |