The patient was admitted to the surgical ward (rather than intensive care unit) and later transferred to the hematology service during which an extensive workup found no evidence of primary polycythemia or a conventional cause for secondary polycythemia. He underwent therapeutic phlebotomy, remained asymptomatic, and was discharged the following day with conservative management.
Among cases of secondary polycythemia there were 4 cases of renal cysts, 3 case of congenital heart disease, 2 of adrenal tumour and 1 case of renal cell carcinoma.
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