55-year-old white male college professor had been experiencing fatigue and shortness of breath when walking over the past several months. Getting more sleep at night did not help. He reported eating a balanced diet of fruits, vegetables, meat, and dairy products. Physical examination, he appeared slightly pale but had no other abnormalities. His laboratory results was a following: Hemoglobin 12.5 g/dL Hematocrit 32% RBC 4.2 X 1012/L WBC count within normal limits MCV 42 fL MCH 29.7 pg Urinalysis is normal Fecal occult blood found to be positive What is the most likely cause of this patient’s anemia? 2- What type of red cell morphology would be expected on a peripheral blood smear? What follow-up tests should be conducted?
55-year-old white male college professor had been experiencing fatigue and shortness of breath when walking over the past several months. Getting more sleep at night did not help. He reported eating a balanced diet of fruits, vegetables, meat, and dairy products.
Physical examination, he appeared slightly pale but had no other abnormalities.
His laboratory results was a following:
Hemoglobin 12.5 g/dL
Hematocrit 32%
RBC 4.2 X 1012/L
WBC count within normal limits
MCV 42 fL
MCH 29.7 pg
Urinalysis is normal
Fecal occult blood found to be positive
- What is the most likely cause of this patient’s anemia?
2- What type of red cell morphology would be expected on
a peripheral blood smear?
- What follow-up tests should be conducted?
- What do you expected the treatment for this patient would be?
5- What would you expected about the reticulocyte count to be for this patient? (Increase/ decrease/ normal)? Why?
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