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Outline
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"Case 8"
  • Case 8
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Case 8
  • History
  • 54 year old female.
  • One year history of fatigue, weight loss, and increasingly severe back pain.
  • Physical Exam
  • She appeared pale, but otherwise her physical exam was within normal limits.
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CBC
  • RBC 2.85 x 10[12]/L
  • HGB 7.6 g/dL
  • HCT 23.9 %
  • MCV 83.8 fL
  • MCH 26.7 pg
  • MCHC 31.8 g/dL
  • RDW 16.8
  • WBC 8.4 x 10[9]/L)N 60 % L 26 M 12 E 1 B1(
  • PLT 418 x 10[9]/L
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"Question"


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