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"Case 5"
  • Case 5
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Case 5
  • History:
  • 39 year old female.
  • History of fibrocystic breast disease. Seen for routine work-up prior to breast biopsy.
  • Physical Exam:
  • Moderate splenomegaly.
    No other organomegaly
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CBC
  • RBC 4.28 x 10[12]/L
  • HGB 13.4 g/dL
  • HCT 41.2 %
  • MCV 96.3 fL
  • MCH 31.3 pg
  • MCHC 32.5 g/dL
  • WBC 133.6 x 10[9]/L N seg 56 % N band 15 N meta 13 N myelo 4 N pro 3 L 3 M 4 E 1 B 1
  • PLT 417 x 10[9]/L
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"Question"


  • Questions
6
What morphologic alterations are seen in this blood smear field?
7
What further laboratory studies, if any, are indicated?
8
What is the most likely diagnosis?