| Dr Mohammad Reza Mortazavizadeh | |
| Hemato-oncologis April 2006 |
| Case 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. |
| 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 |
| Questions |
What morphologic alterations are seen in this blood smear field?