A 31 year old female with a history of menorrhagia (heavy me…
A 31 year old female with a history of menorrhagia (heavy menstrual flow) and frequent GI bleeds (both internal and external) is complaining to her primary care physician of extreme fatigue. Physical exam reveals a young woman of average height and weight with skin pallor and an absence of palpable organ enlargement. The physician orders a CBC and the data is below: TEST RESULT REFERENCE RANGE WBC count 8.0 x 10^3/ul 4-10 X 10^3/ul RBC count 3.25 x 10^6/ul 4.5-5.5 x 10^6/ul Hemoglobin 8.2 g/dl 13-15 g/dl Hematocrit 24.4% 35-45% MCV 75 fl 82-96 fl MCH 25 pg 27-31 pg MCHC 31% 32-36% PLT 495,000/ul 150-450 x 10^3/ul Differential Nothing significant found Nothing significant The peripheral blood smear on this patient is below.
Read DetailsA man and woman are expecting a child next month. The soon-…
A man and woman are expecting a child next month. The soon-to-be mom has sickle cell trait and the soon-to-be dad has sickle cell disease (phenotype SS). What is the probability that the child produced will have the sickle cell trait?
Read DetailsA patient waiting for a liver transplant is admitted to the…
A patient waiting for a liver transplant is admitted to the local hospital. Initial admission labs are drawn which show an MCHC of 41%. A manual hematocrit is spun and the supernatant is green. What is the erroneous CBC parameter and what would you do to correct it?
Read DetailsRefer to the chart below. What is the most likely diagnosis…
Refer to the chart below. What is the most likely diagnosis associated with the values in Choice B? (Objective 10) Choice RBC Hgb Hct A 1.50 x 10^6/ul 6.5g/dl 18.3% B 4.50 x 10^6/ul 10.1 g/dl 30.2% C 3.00 x 10^6/ul 9.0 g/dl 27% D 3.25 x 10^6/ul 11.5 g/dl 34.5%
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