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"Case 9"
  • Case 9
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Case 9
  • History:
  • 18 year old male student from south of iran. Came to the emergency room with symptoms of fever, shaking chills, nausea, and generalized malaise; occurring intermittently over the past five days.
  • Physical Exam:
  • Fever of 103.3°F. Tachycardia with a heart rate of 122.Otherwise within normal limits.
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CBC
  • RBC 5.85 x 10[12]/L
  • HGB 13.3 g/dL
  • HCT 41.8 %
  • MCV 71.5 fL
  • MCH 22.7 pg
  • MCHC 31.8 g/dL
  • RDW 12.1
  • WBC 6.2 x 10[9]/L)N 89 % L 8 M 2 E 1 B 0(
  • PLT 102 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?