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A 10-month-old Central American child was referred to the laboratory f esting after being seen by a pediatrician. The phlebotomist noted that th child was very pale and listless. The laboratory tests results: 5.6 g/dl 24% Hct RBC WBC MCV 3.5 X 109/L 10.5 X109/L 68.6fL 16рg 23g/dl МСH МСНC Platelet count Reticulocyte count TIBC 200 X 109/L 0.5% 465 µg/dl 40 µg/dl 0.9 mg/dl Serum iron Total serum bilirubin Saturation of transferrin 8.6% The blood film for this patient was showed like the following

A 10-month-old Central American child was referred to the laboratory f esting after being seen by a pediatrician. The phlebotomist noted that th child was very pale and listless. The laboratory tests results: 5.6 g/dl 24% Hct RBC WBC MCV 3.5 X 109/L 10.5 X109/L 68.6fL 16рg 23g/dl МСH МСНC Platelet count Reticulocyte count TIBC 200 X 109/L 0.5% 465 µg/dl 40 µg/dl 0.9 mg/dl Serum iron Total serum bilirubin Saturation of transferrin 8.6% The blood film for this patient was showed like the following

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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A 10-month-old Central American child was referred to the laboratory for testing after being seen by a pediatrician. The phlebotomist noted that the child was very pale and listless. The laboratory tests results: Hb 5.6 g/dl Hct 24% RBC 3.5 X 109/L WBC 10.5 X109/L MCV 68.6fL МСН 1бpg 23g/dl МСНС Platelet count 200 X 109/L Reticulocyte count 0.5% 465 µg/dl 40 µg/dl 0.9 mg/dl TIBC Serum iron Total serum bilirubin Saturation of transferrin 8.6% The blood film for this patient was showed like the following
Transcribed Image Text:A 10-month-old Central American child was referred to the laboratory for testing after being seen by a pediatrician. The phlebotomist noted that the child was very pale and listless. The laboratory tests results: Hb 5.6 g/dl Hct 24% RBC 3.5 X 109/L WBC 10.5 X109/L MCV 68.6fL МСН 1бpg 23g/dl МСНС Platelet count 200 X 109/L Reticulocyte count 0.5% 465 µg/dl 40 µg/dl 0.9 mg/dl TIBC Serum iron Total serum bilirubin Saturation of transferrin 8.6% The blood film for this patient was showed like the following
1- What category of anemia is suggested by the morphology of the RBCS on the peripheral blood smear? 2- What laboratory assays would be of additional value in establishing the diagnosis? 3- What is the most probable cause of the patient's anemia? 4- How can these conditions affect the hematopoietic system? 5- How would you describe his anemia morphologically? 6- Do this patient laboratory test results and clinical history indicate that a bone marrow examination is necessary? Why? 7- What do you expected the treatment will be for this patient?
Transcribed Image Text:1- What category of anemia is suggested by the morphology of the RBCS on the peripheral blood smear? 2- What laboratory assays would be of additional value in establishing the diagnosis? 3- What is the most probable cause of the patient's anemia? 4- How can these conditions affect the hematopoietic system? 5- How would you describe his anemia morphologically? 6- Do this patient laboratory test results and clinical history indicate that a bone marrow examination is necessary? Why? 7- What do you expected the treatment will be for this patient?
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