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"Case 3"
  • Case 3
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žCase 3
  • History:
  • 15 year old male.
  • Flu-like symptoms with a severe sore throat for two weeks prior to admission.
  • Physical Exam:
  • Cervical and axillary adenopathy.
    No other organomegaly.
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CBC
  • RBC 3.15 x 10[12]/L
  • HGB 9.9 g/dL
  • HCT 28.5 %
  • MCV 90.5 fL
  • MCH 31.4 pg
  • MCHC 34.7 g/dL
  • RDW 15.2
  • WBC 42.6 x 10[9]/L
  • L 12 % abnormal cells 88 (shown)
  • PLT 22 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?
8
What is the most likely diagnosis?