Notes
Slide Show
Outline
1
Hematological Case Studies
  • Dr Mohammad Reza Mortazavizadeh
  • Hemato-oncologis April 2006
2
"Case 1"
  • Case 1
3
žCase 1
  • History:
  • 70 year old female.
  • Symptoms of dyspnea on exertion, easy fatigability, and lassitude for past 2 to 3 months. Denied hemoptysis, GI, or vaginal bleeding. Claimed diet was good, but appetite varied.
  • Physical Exam:
  • Other than pallor, no significant physical findings were noted. Occult blood was negative.
4
 
5
CBC
  • RBC: 3.71 x 10[12]/L                      HGB 5.9 g/dL
  • HCT: 20.9 %                                   MCV 56.2 fL
  • MCH: 15.9 pg                                 MCHC 28.3 g/dL
  • WBC: 5.9 x 10[9]                          : RDW 20.2
  • L N: 82 %                                       PLT 383 x 10[9]/L
  • L: 13
  • M: 1
  • E: 4
  • B: 0
6
"Question"


  • Questions
7
What morphologic alterations are seen in this blood smear field?
8
What further laboratory studies, if any, are indicated?
9
What is the most likely diagnosis?