Teaching Cases - American Society of Hematology


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Teaching Cases

Anemia — Paul K. Schick, MD
Professor of Medicine, Emeritus, Thomas Jefferson Medical College, Philadelphia
Research Professor, Drexel University College of Medicine, Philadelphia
Adjunct Clinical Professor, Lankenau Hospital (LIMR), Wynnewood, PA

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

III. LABORATORY DATA

CBC	Patient Result	Normal Range

Hgb	8.0 g/dL	(12-15.6g/dL)
Hct	24%	(35-46%)

RBC	4.0 X 106/mm³	(3.8-5 X 106/mm³)
RDW	16.5	(11.5-14.5)
WBC	8.2 X 103/mm³	(4.8-10.8 X 103/mm³)
Platelets	500,000/mm³	(150-400,000/mm³)
Reticulocyte count	3%	(0.5-1.7%)
Absolute reticulocyte count	40,000/mm³	(25,000-75,000/mm³)
LDH	210 U/L	(0-304 U/L)

Which of the following are indicated by the lab studies? Select all that apply.

A microcytic hypochromic anemia

A myeloproliferative disorder since the platelet count is increased

A megaloblastic anemia

Anisocytosis

Slight hemolysis

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