]> 2026-07-31T10:04:30+00:00 WBR0965 0 en Obtain liver function tests Obtain bone marrow biopsy ''' Incorrect ''' : Bone marrow biopsy is done to rule out polycythemia vera and other hematological malignancies after initial evaluation of ruling out secondary causes. Obtain a chest X-ray Obtain serum erythropoietin levels ''' Incorrect ''' : A low serum Epo level in the patient with erythrocytosis is relatively specific for the diagnosis of polycythemia vera (PV) and erythrocytosis associated with increased serum Epo is unlikely to represent PV and a working diagnosis of secondary erythrocytosis should be made. Obtain oxygen saturation Primary Care Office A 50 year old woman comes to the office for routine checkup. Her past history is otherwise insignificant and her family history is unremarkable. She is a chronic smoker and smoked two packs of cigarette for the past 25 years. She attained menopause at the age of 50 and is taking estrogen supplements. She denies alcohol use and use of recreational drugs. Her vitals are temperature: 36.7 C, blood pressure: 140/80 mmHg, pulse: 80/min and respirations: 15/min. All other system examinations are normal. Her laboratory values comes as : Hb : 21 g/dl RBC’s : 6 million/cmm WBC’s : 6000/cmm Platelet’s : 300,000/cmm Neutrophils : 58% Eosinophils : 2% Lymphocytes : 33% Monocytes : 7% What is the next best step in the management of this patient ? E Hematology 2020-10-28T02:13:35Z 2459150.5927662 WBR0965