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Let's do an actual think like a doctor post. Realistically shouldn't be to difficult.

Patient presents with severe anemia pulse Ox 89%, neutropenia and possible pancytopenia upon blood work. Final diagnosis was stage 4 bladder cancer so how did we end up at that diagnosis?

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urine test is quite common isn't it? so maybe something in that! don't know if there is blood in it when there's cancer. and probably no inflammation markers which would hint towards an infection?

in the end you ended up with the diagnosis by medical imaging. don't know if you used us/pet/spect/mri/ct. or you cut him up

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We used ‘please piss in this cup' and sent that urine of to cytology after complaints of urine expulsion hurting. He had other bladder issues which is why he was referred to internal medicine and just ended up being cancer.

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