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A 70-year-old male was referred to our hospital for marked thrombocytosis without anemia. The patient simultaneously presented with an MPL W515L mutation, one of the major driver mutations in essential thrombocythemia (ET), and deletion of 5q, a characteristic cytogenetic abnormality in myelodysplastic syndrome (MDS). Bone marrow examination showed a combination of both mature hyperlobulated megakaryocytes, as found in ET, and small hypolobulated megakaryocytes, typically found in MDS with del(5q). The present case is consistent with the

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ADHD Symptoms Test - How to Get a Diagnosis Screening tools can help identify potential ADHD symptoms but the only way to get a diagnosis is to consult a health care professional. They usually use an array of physical exams and behavioral testing. They may also wish to talk with family members and school officials. may also want to speak with family members and school officials. Signs and symptoms Symptoms of ADHD can create problems in a variety of aspects of life such as at school and at work. The first st