"Case
8"
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. |
Slide 3
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 |
"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?