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may progress to hemorrhagic shock Tachypnea — compensatory respiratory response Decreased urine output — in hypovolemic states from acute blood loss Koilonychia (spoon nails) and glossitis — classic signs of chronic iron deficiency anemia Pica — craving for non-food items (ice, clay, dirt) seen in severe iron deficiency Polycythemia Pruritus after bathing (aquagenic pruritus) — characteristic of polycythemia vera
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