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27yo male presents with... "- unremitting nose bleeding now and prior episode a year ago" "- ruby colored papules on lips that blanch partially with pressure" "- digital clubbing" "- high hematocrit" "Disease? Cause of hematocrit?"

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1. 27yo male presents with... "- unremitting nose bleeding now and prior episode a year ago" "- ruby colored papules on lips that blanch partially with pressure" "- digital clubbing" "- high hematocrit" "Disease? Cause of hematocrit?"





 
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