1- Is it likely that she has a congenital form of aplastic anemia? Explain your answer.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed

teenage with good nutritional status and in no acute distress.

There is no lymphadenopathy or organomegaly. Many petechial

hemorrhages cover her chest and legs. Several bruises are found

on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following:

 

RBC    2.24 X1012 /l  

Hb           71 g/l

PCV       24%

Plt        8.0 X109/l

WBC     1.2 X109/l

Differential

Segmented Neutrophils      2%

Lymphocytes                      94%

Monocytes                            4%

Reticulocyte count                0.7%

 

She was referred to a hematologist who ordered a bone marrow

examination. Bone marrow biopsy showed a markedly

hypocellular marrow with very few hematopoietic cells and there were no malignant cells present.

 

 

1- Is it likely that she has a congenital form of aplastic anemia? Explain your answer.

 

 

2- Evaluate each of the patient’s laboratory results by comparing

them to reference ranges?

 

3- Classify the morphologic type of anemia?

                                                                                                                                                                                                                                                 4- Predict a treatment for this patient?

 

5- What are other diseases may expected in this patient? What are the tests you could differentiate the aplastic anemia form these diseases?

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