Question

On physical examination at second admission time for this 27-year-old female, her gross
appearance was chronic ill looking state Pale face and anemic conjunctiva were also
noted. T-loop colostomy state of previous colostomy was remained. On the laboratory
examination peripheral blood smears disclosed macrocytic anemia with moderate
poikilocytosis. Bone marrow aspirate shows erythroid hyperplasia with megaloblastic
maturation. Large polychromatic and orthochromatic megaloblasts show nuclear
karyorrhexis and other dyserythropoietic changes. Multiple Howell Jolly bodies are seen
in both megaloblasts and oval macrocytes. Neutrophils show premature nuclear
segmentation, with giant metamyelocytes and band forms. Red blood cell folate gives
126 ug/L and B12 122 ug/L. As a medical scientist, evaluate your investigation.

Answer 1

is pale on Color that She looks like blood loss blood variable state ale mic not examination Snear by lab to be as looks like RBC anenia anenic RBC. with such is 1) Basically Constant face and Conjunctiva suggesting and sadly her leads is additionally evalubed and her blood typically Clanied macrocytic report showed long but dininished hemoglobin like additional stake and its poikilo cytosis because of to abnormal morphology of the Condition workable actually that is vitamin folate Supplementation and consuming food high Fe 2 (iron) The biopsy of her along with other diagnostic tests showed erythroid by perplasia as well production erythropoietin that is a marker of persistent disease (cardic disease lugg) but in bit of situation its because of to kindler kidney cancers although such possibilities are actually resnole. items in as exchibits a or pulmonary

PLEASE UPVOTE IF SATISFY...!