| Case 11 |
| 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. |
| Physical Exam: | |
| Lethargic, pallor with jaundiced skin and scleral icterus. | |
| No splenomegaly and hepatomegaly. | |
| Temperature of 102°F. |
| 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 |
| Questions |
What morphologic alterations are seen in this blood smear field?