Read the following instructions carefully: To access the t…

Read the following instructions carefully: To access the test, click the link below. You will be directed to MBC, where you’ll need to enter the password provided below to begin the test. Link to access test on MBC:  Click here Password: CMA25 Please do not close or submit this page until you have completed the exam on MBC. Once you are done, return to this page and upload pictures of your pre-written notes sheet (both front and back).

  Your next patient is a 56-year-old, returning to clinic fo…

  Your next patient is a 56-year-old, returning to clinic for follow-up from a recent hospitalization.  Her PMHx includes type II diabetes mellitus, hypertension, hypothyroidism and rheumatoid arthritis.  Eight days ago she was diagnosed with a myocardial infarction and under percutaneous coronary intervention (PCI) and drug eluding stent (DES) placement.   Lab results today include: CBC:  WBC 5,000, Hgb 8 g/dL, HCT 24%, Platelet count 280,000 Labs results drawn her her pre-procedure visit (8 days ago):  WBC 11,000, Hbg 13 g/dL, HCT 39%, Platelet count 150,000 On physical exam she appears to be in mild distress. BP 110/54 mmHg and HR 100 bpm.  Abdominal exam reveals tenderness in the RLQ and LLQ, but not rigidity or guarding noted.  The rest of her PE was within normal limits.   What is the most likely cause of this patient’s anemia?