A28yearoldfemalepresentsforaroutinephysical.Shehasnocomplaints.Herpersonalmedical historyrevealsasthmathatiswellcontrolledwithanalbuterolinhalerprnandAdvair250/501puff BID.Socialhistoryrevealssheisanursingstudentwhoisanonsmokerrarelyusesalcoholandis mostlyvegetarian.HerphysicalexamisnegativeandsheissentforaCBC/differentialandlipid profile.Laboratoryresultsrevealthefollowing:Hemoglobin10Hematocrit30.1MCVincreased.
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