"Case
5"
Case 5
|
|
|
History: |
|
39
year old female. |
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History of
fibrocystic breast disease. Seen for routine work-up prior to breast biopsy. |
|
Physical Exam: |
|
Moderate
splenomegaly.
No other organomegaly |
Slide 3
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 |
"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?