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Outline
1
"Case 7"
  • Case 7
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Case 7
  • History:
  • 30 year old male who stated he had always been in good health. Several years ago at a routine check-up, he was told that he had a mild form of "anemia." He was recently denied insurance coverage after indicating this condition on an application form.
  • Now seeking clarification of his anemia and its impact on his insurability.
  • Physical Exam:
  • Within normal limits: no significant findings.
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CBC
  • RBC 6.22 x 10[12]/L
  • HGB 12.1 g/dL
  • HCT 38.3 %
  • MCV 61.6 fL
  • MCH 19.5 pg
  • MCHC 31.6 g/dL
  • RDW 15.4
  • WBC 7.1 x 10[9]/L)N 55 % L 33 M 10 E 1 B1(
  • PLT 204 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?