Ans 1
The blood smear shows the different size of RBC(anisoctosis), paleness in center(hypocchromic) varied shapes of the red blood cells can be seen which is termed to be poikilocytes
Ans 2
The further laboratory tests needed to confirm are
3.The most likely diagnosis from the smear shows iron deficiency anemia
Please be detailed with your respond CASE STUDY 4 History 37 year old male. Lifelong history...
NURS-60506: Hematology Case Study Mr. Jones is a 68 year old whitemale who presents to your office for a follow up on his blood pressure. Mr. Jones is being treated for HTN and is on Metoprolol 25mg daily and ASA 325mg daily. He has NKDA and has no other history documented. He was in your office a few weeks ago for a yearly exam and you note the following results on his CBC: Test Result /Ref. Range WBC 7.20 (4.3-10.8c/L)...
Case Study: The parents took John, the 4 year old Greek patient to a pediatrician for a checkup. A CBC revealed the following results: CBCDIFFERENTIAL WBC =11.4 x 109/LSegs=55% RBC=1.7 x 1012/LBands=1% Hgb=8.3 g/dLLymph=36% Hct=24%Mono=7% Plt=172 x 109/LEos=1% MCV=69 fLModerate poikilocytosis, polychromasia, MCH=21 pgand many target cells; few teardrop cells observed MCHC=29% 1. Based upon the indices, classify the anemia morphologically. 2. Name 3 disorders that frequently present with the same morphology that dominates this smear. 3. List 2 additional...
Case Study: The parents took John, the 4 year old Greek patient to a pediatrician for a checkup. A CBC revealed the following results: CBC WBC = RBC Hgb Hct Plt MCV = MCH = MCHC 11.4 x 10%/L 1.7 x 1012/1 8.3 g/dL 24% 172 x 10°/L 69 IL DIFFERENTIAL Segs = 55% Bands 1% Lymph 36% Mono- 7% Eos 1% Moderate poikilocytosis, polychromasia, and many target cells; few teardrop cells observed 21 pg 29% 1. Based upon the...
CASE STUDY II: T. J. was 4 years old when he first presented to his family doctor with a 3-week history of fatigue, weakness, and a persistent sore throat. On physical examination he had a palpable spleen but no evidence of lymphadenopathy. He appeared pale and had multiple bruises over his lower extremities. A CBC, platelet count, and differential were carried out, with the following results: CBC WBC 2.40 x 109/L MCV 87.0 fL RBC 2.41 x 109/L MCH 29.0...
CASE STUDY II: T. J. was 4 years old when he first presented to his family doctor with a 3-week history of fatigue, weakness, and a persistent sore throat. On physical examination he had a palpable spleen but no evidence of lymphadenopathy. He appeared pale and had multiple bruises over his lower extremities. A CBC, platelet count, and differential were carried out, with the following results: CBC WBC 2.40 x 109/L MCV 87.0 fL RBC 2.41 x 109/L MCH 29.0...
CASE STUDY 3 When a 50-year-old woman was referred to a hematologist for recurring pancytopenia, her WBC was 2.5 x 109/L; RBC, 2.1 x 1012/L; Hgb, 9.0 g/dL; Hct, 30%; platelet count, 40 x 10°/L: MCV,70 TL; MCH, 26 pg; and MCHC, 30.5%. In addition to pancytopenia, she had been experiencing shortness of breath and fatigue for the past 3 weeks, and lately these symptoms had gotten worse. Her family history was unremarkable, but she explained that she has had...
CASE STUDY 6 A 28-year-old man presents to the emergency department with a complaint of abdominal pain. He appears quite ill with nausea, cold sweats, and tachycardia. He had taken aspirin when he started feeling sick. The patient appears slightly jaundiced and on further questioning admits that his urine had been dark and discolored that day. The preliminary impression was of acute appendicitis. Pertinent Hematology Results (refer to normal values in your text) WBC 6.3 x 10°/L RBC 1.00 x...
Case Study : A 70-yr-old male, who had been getting progressively more tired and lethargic the past few months, sought medical advice. The patient appeared thin with noticeable pallor of the nail beds and mucus membranes. A CBC revealed his hemoglobin to be 9.1 g/dL and his hematocrit was 30.0%. He was placed on iron supplementation and told to return for follow-up blood work in six weeks. Six weeks later his hematocrit had dropped to 25.7% (see CBC below). CBC...
Hematology Anemia Case Study: A 25 year old male in good health until one month prior to admission. He developed symptoms of an upper respiratory tract infection. He took large quantities of aspirin and Dristan. His current complaints include respiratory symptoms, increased fatigue and weakness, and abdominal pain. His physical exam showed pale skin and spoon- shaped nails. 1.) What would this history suggest as a causative disease? (2 points) 2.) What test should be the first test ordered? (1...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness and a lack of stamina in activities he typically performs (work, sports). He recently noticed excessive bleeding from his gums after brushing his teeth. On physical examination, his physician noted lymphadenopathy and multiple petechiae on his torso, arms and legs. A CBC with differential and a coagulation panel were ordered. The results are as follows: CBC WBC (x 109/L) 25.0 RBC (x 1012/L) ...