Polycythemia Case
May 23, 2019

Thanks to our presenter Dr.Hanan

CASE:

32 y/o male patient , k/c of HTN ( on Amlor ), heavy smoker , Referred to you in the ER as patient is complaining of Chronic Headache, with Acute dizziness and blurry vision

Examinations : was normal overall ( no CNS , Cardiac findings )

Labs: normal WBC, Hb 19 , HCT 48, PLT 300, normal RFT , and No stroke found on imaging


QUESTIONS:

  • How would you Approach Dizziness
  • What more History / focused Examination / and Labs would you order
  • What is Polycythemia, what are DDx and what is the treatment ?

DIZZINESS APPROACH


POLYCYTHEMIA


IMPORTANT POINTS:

  • Polycythemia: Hb > 16 ( 16.5 in male ) , OR HCT > 48 ( 49 in males )
  • Polycythemia increasing the risk of : Thrombosis , Leukemia, Myelofibrosis
  • Gold Stander Treatment is Phlebotomy