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Teaching Cases

Childhood Acute Leukemia – James Harper, MD
Department of Pediatrics, University of Nebraska Medical Center, Omaha, NE

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.


I. HistoryII. Physical ExamIII. Laboratory DataIV. Pathophysiology
V. Differential DiagnosisVI. Prognosis/Clinical CourseVII. Teaching PointsVIII. Bibliography

III. LABORATORY DATA

The results from the CBC on admission are as follows:

Test Patient Result Normal Range
Hemoglobin 8.9 g/dL 10.3-14.9g/dL
Hematocrit 26.9% 33-44%
MCV 86.8 fL 73-91 fL
MCH 29.7 pg 29.5-36 pg
MCHC 33.1g/dL 29-36
RDW 15.8% 12-14
WBC 5.2 x 103/µL 4.8-10.8
Platelets 12,000 150-400,000

Based on the red blood cell indices, how would you classify the boy’s anemia?

Macrocytic
Microcytic hypochromic
Normocytic normochromic


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