Teaching Cases - American Society of Hematology


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Teaching Cases

Anemia and Renal Insufficiency – Robert A. Kyle, MD, and Michael Tomasson, MD
Dr. Kyle: Washington University School of Medicine, St. Louis, MO; Dr. Tomasson: Mayo Clinic College of Medicine

I. History	II. Physical Exam	III. Laboratory Data	IV. Pathophysiology
V. Differential Diagnosis	VI. Prognosis/Clinical Course	VII. Teaching Points	VIII. Bibliography

III. LABORATORY DATA

CBC
Test	Patient	Normal
Hemoglobin	8.4 g/dL	11.5-15.5 g/dL
Erythrocytes	2.6 x 10¹²/L	3.8-5.0 x 10¹²/L
Hematocrit	24.3%	36-45%
MCV	91 fL	81-92 fL
Leukocytes	5.6 x 10³/mm³	4.3-10 x 10³/mm³
Platelets	282 x 10³/mm³	150-400 x 10³/mm³
Reticulocyte Count	0.8%	0.6% - 1.8%

Based on the lab values above, does she have anemia? If so what type?

	No, she does not have anemia.
	Yes – microcytic anemia
	Yes – macrocytic anemia
	Yes – normocytic, hypoproliferative anemia
	Yes – normocytic, hyperproliferative anemia

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