Question

(2) Just over 2 weeks ago (15 days ago), a 35 yr. old male subject presented with complaints tiredness" and that he "fatigues easily" with any simple exertion. At that time a blood sample was taken his CBC values were: (15 pts) RBCs = 3.99 x 1012 cells/L, Het = 42.8 %, HigB = 10.1 g/dL. Answer Based on these values, was he anemic? ( Yes / No) Based on: Low Hct/ Low HgB/ Both Low / Both Normal ( If you answered yes, what was the severity? Using the values listed above, calculate the following: es Low He Moderath (choose one) Answer (with units) Calculation 23.6 gldu MCHC1CHCİ%.tt:2(ton)三23. 5q81 | | Describe his current RBC Morphology (circle ALL that apply): macrocytic normocytic Microcytic hyperchromic normochromic hypochromic +Use MCHC when determining morphology

Answer 1

In reviewing his health history of smoking habits, all of the following indices should be affected. Hct, HgB, MCV, MCH, MCHC all could be elevated due to hypoxia as a result of smoking.

Based on the above information, his current folate and B12 status show he is in folate depletion.

Considerations:

1. Serum folate level is under 18 nmol/L.
2. The negative balance of red cell folate due to dietary changes.
3. The red blood cells are macrocytic.