|
1
|
|
|
2
|
- History:
- 14 years old male
brought to emergency room.
- In good health until 24 hours prior to
admission, when parents noted fever, progressive lethargy, and dark red
urine.
- No known family history of anemia, jaundice,
gallstones, or splenectomy.
|
|
3
|
- Physical Exam:
- Lethargic, pallor with jaundiced skin and
scleral icterus.
- No splenomegaly and hepatomegaly.
- Temperature of 102°F.
|
|
4
|
|
|
5
|
- RBC 1.28 x 10[12]/L
- HGB 4.5 g/dL
- HCT 11.4 %
- MCV 89.1 fL
- MCH 35.2 pg
- MCHC 39.4 g/dL
- WBC 27.8 x 10[9]/L(N seg 65 % N myelo 1 L 31
M 3 E 0 B 0 NRBC/100 WBC 2)
- PLT 425 x 10[9]/L
|
|
6
|
|
|
7
|
|
|
8
|
|
|
9
|
|
Notes
