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MRCP Q 2263

A 36-year old man was referred with a twomonth history of generalised weakness, fever, and weight loss. There was no other relevant past medical history. Physical examination revealed a moderately wasted young man with severe pallor and pyrexia of 39?C. The spleen was palpable 6 cm below the left costal margin. Blood results showed: Hb was 9 g/dl haematocrit was 18% white cell count 5.3 x 109/l platelet count was 89 x 109 /l His reticulocyte count was

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