"Case 7"

Case 7

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.

Slide 3

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

"Question"

Questions

What morphologic alterations are seen in this blood smear field?

What further laboratory studies, if any, are indicated?

What is the most likely diagnosis?


	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.


	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