Question

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. 1.) What would this history suggest as a causative disease? (2 points)

2. 2.) What test should be the first test ordered? (1 point)

3. 3.) His initial laboratory test results were:

RBC: 3.77 X 1012/L

Hgb: 5.4 g/dL

HCT: .224

WBC: Normal

Platelets: 385 x 109/L

RDW: 21

Why is his RDW increased? (1 point)

4. 4.) What other tests would you order? (1 point)

5. 5.) From his lab results and indices, what would you expect the peripheral blood smear to look like? List and describe the cells seen. (6 points) Use the following word bank – you may not need all of these words:

Hypochromic
Normochromic
Hyperchromic
Mild (1+)
Moderate (2+)
Marked (3+)
Poikylocytosis – list typical shapes seen Microcytic

Normocytic Macrocytic

Answer 1

Please go through the image below.

GOOD LUCK ? HOPE MY ANSWER IS HELPFUL TO YOU ? DON'T FORGET TO GIVE ME A THUMBS UP ? ALL THE BEST ? IF YOU HAVE ANY DOUBTS PLEASE LET ME KNOW IN THE COMMENTS SECTION ? THANK YOU ?