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"Case 2"
  • Case 2
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žCase 2
  • History:
  • 51 year old male.
  • Seen by local physician for routine preoperative exam prior to dental surgery. Found to have low hemoglobin and a large left upper quadrant mass.
  • Physical Exam:
  • Marked splenomegaly (subsequently confirmed by CT scan) extending from the left costal margin to just above the iliac crest. No other organomegaly
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CBC
  • RBC 3.36 x 10[12]/L
  • HGB 10.9 g/dL
  • HCT 31.2 %
  • MCV 92.8 fL
  • MCH 32.4 pg
  • MCHC 34.9 g/dL
  • WBC 9.3 x 10[9]/L
  • N 14 %
  • L 15 abnormal cells 71 (shown)
  • PLT 59 x 10[9]/L
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"Question"


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