Question

Create and a mock CBC given the patient condition and your knowledge of normal reference values and the condition.

Condition: Patient with severe iron deficiency anemia

CBC PARAMETER	Create a CBC number with a reasonable and expected result for that condition
WBC
RBC
HGB
HCT
MCV
MCHC
RDW
MPV
PLAT
Neutrophils %
Lymphs %
Monos %
Eos %
Baso %
Neu #
Lymph #
Mono #
Eos #
Baso #

Significant findings that could be present on the differential smear:

WBC:

RBC:

PLAT:

Answer 1

In severe iron deficiency anemia, RBC count and hemoglobin will be less. MCV and MCHC are parameters depedent on red cells and hemoglobin, therefore these will also change than normal. If patient is not suffering from any other disorder, immune cells like WBCs, platelets will be normal.

Parameter	Normal	Patient
WBC	7 X 109	6.5 X 109
RBC	5 X 1012	3.97 X 1012
HGB	14 - 16	9.98
HCT	42 - 46	37
MCV	85 - 89	74
MCHC	33 - 34	29
RDW	12-13	16
MPV	8 -9	8.84
PLAT	300 -400	367
Neutrophils %	58 -68	62
Lymphs %	35-42	37.42
Monos %	2-3	2.45
Eos %	0-6	1
Baso %	<1	0.04
Neu #	1.5-8	2
Lymph #	1000-5000	3400
Mono #	0.2 -0.8 X 109	0.245 X 109
Eos #	30-350	34
Baso #	0-3	1