"Case
3"
žCase 3
|
|
|
History: |
|
15
year old male. |
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Flu-like symptoms
with a severe sore throat for two weeks prior to admission. |
|
Physical Exam: |
|
Cervical and
axillary adenopathy.
No other organomegaly. |
Slide 3
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 |
"Question"
What
morphologic alterations are seen in this blood smear field?
What
further laboratory studies, if any, are indicated?
What is the
most likely diagnosis?