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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Blood count issues lead to thinking there's some kind of bone marrow issue. Imaging for that reveals bladder problem. Pretty simple from there.
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I'd probably kick you out of the ER given that answer.
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If you managed to get into med school, I'd send you to a block I know you'd failed so you get kicked out.
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