A woman visited her physician for a routine pregnancy exam. …
A woman visited her physician for a routine pregnancy exam. The patient has no history of anemia or hematologic disorders. The physician ordered a hemoglobin variant screen to ensure there would be no hematologic complications during the pregnancy. The alkaline pH hemoglobin electrophoresis revealed a band in the S location and in the A location. The sickle solubility test is negative. What is the most likely diagnosis for this patient? Why?
Read DetailsA 29-year-old woman presented to her primary care physician…
A 29-year-old woman presented to her primary care physician for a routine medical exam. She brought along her 3-year-old daughter as her husband had to work. The patient’s family history is unremarkable. Her personal history includes the one pregnancy and natural birth that had no complications. Patient Results Reference Interval WBC 5.9 4.5-11.0 x 10^9/L RBC 4.64 4.3-5. x 10^12/L HGB 11.9 g/dL HCT 36.4 39-55% MCV 78.0 80-11 fL MCH 25.6 25.4-34.6 pg MCHC 32.7 31-37 g/dL RDW 14.3 11.5-14.5 % PLT 1362 150-400 x 10^9/L What is the differential diagnosis?
Read DetailsA 63-year-old female presented to the emergency department w…
A 63-year-old female presented to the emergency department with blurred vision in her right eye and weakness in her right hand. The patient has a history of deep vein thrombosis so a CT scan and an MRI were ordered. Both came back negative. Patient Results Reference Interval WBC 12.3 4.5-11.0 x 10^9/L RBC 7.90 4.3-5. x 10^12/L HGB 15.3 g/dL HCT 56.2 39-55% MCV 65.3 80-11 fL MCH 19.5 25.4-34.6 pg MCHC 29.8 31-37 g/dL RDW 10.1 11.5-14.5 % PLT 549 150-400 x 10^9/L What is the differential diagnosis?
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