The Intern At Work: Internal Medicine

230. The Bleed of Sleep - An Approach to Paroxysmal Nocturnal Hemoglobinuria

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This week we go through the ultimate in rare diagnoses - PNH. We talk about when to suspect it, how patients may present, and an approach to treatment and management. Bonus points if you can correctly guess how many attempts it took to pronounce "phosphatidylinositol!" 

Written by: Dr. Angela Dong (Internal Medicine Resident) 
Reviewed by: Dr. Helena Dhamko (Hematologist) & Dr. Rupal Shah (General Internist)

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