Question

13. Ann, She has the following CBC values: Hct a. What is her MCV value? a 21-year-old female patient, presents with nausea, fatigue, and edema of the feet and ankles. 34.7%, RBCs-4,29 x10 x101, and HgB 12.2 g/dl. b. What is her MCHC value? c. Describe her RBC morphology d. Is she anemic (YN)? e. What's your basis of the assessment of anemia f. List ONE possible cause for her condition and g. What test would you administer to narrow Show your calculations (Low HgB/Low Hct/Both low/Both normal)? describe your reason. down the cause for her condition? 14. Jack, a 43-year-old male patient, is recovering from surgical removal of an aggressive but benign intestinal tumor 6 days ago. He has recently complained of light-headedness and extreme fatigue. His current CBC values are: Hct-37.7%, RBCs-3.81 x 1012, HgB a. What is his MCV value? b. What is his MCHC value? c. Describe his RBC morphology d. Is he anemic (YN)? 12.4 g/dl. e. What's your basis of the assessment of anemia (Low HgB/Low Hct/Both low/Both normal)? f List ONE possible cause for his condition Show your calculations:

Answer 1

Solution:

13. a. MCV value = Hct / RBC X 10¹² X 1000

MCV value = 34.7 / 4.29 X 10¹² X 1000

= 80.88

Her MCV value is 80.88

b. Calculation of MCHC value:

MCHC value = Hb X 100 / Hct

= 12.2 X 100 / 34.7

= 35.1

Her MCHC value is 35.1

c. RBC are smaller and looks pale.

d. Yes. she is anemic.

e. Both the low hematocrit level and low hemoglobin level considered for the diagnosis of anemia. Low hematocrit level leads to a low level of hemoglobin and results in anemia. Normal hematocrit level is between 34.9 to 44.5 and normal hemoglobin level is between 12.5 to 15.5g/dL.

f. Pregnancy is one of the possible cause for this patient. In addition, poor intake of iron also leads to anemic condition.

g. Serum ferritin level and serum iron level helps to rule out the cause for her condition.