A 50 year old female phoned her physician and complained of fatigue, shortness of breath on exertion, and general malaise. She requested B12 shots to make her feel better. The physician asked her to schedule an appointment so that se could determine the cause of the symptoms before offering treatment. A point of care hemogiobin determination performed in the office was 9.0 g/dl. The physician then requested additional laboratory tests, including a CBC with a peripheral blood film examination and a reticulocytes count. Why did the physician want the patient to come to clinic before prescribed therapy?? How do the MCV and reticulocytes count help determining the diagnosis and treatment Why the examination of the peripheral blood is important in the investigation of the anemia??

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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CASE #1
A 50 year old female phoned her physician and complained of
fatigue, shortness of breath on exertion, and general malaise. She
requested B12 shots to make her feel better. The physician asked her
to schedule an appointment so that se could determine the cause
of the symptoms before offering treatment. A point of care
hemoglobin determination performed in the office was 9.0 g/dl. The
physician then requested additional laboratory tests, including a
CBC with a peripheral blood film examination and a reticulocytes
count.
Why did the physician want the patient to come to clinic before prescribed
therapy??
• How do the MCV and reticulocytes count help determining the diagnosis
and treatment
Why the examination of the peripheral blood is important in the investigation
of the anemia??
Lectures of Dr. Mohanad Nada/ Medical Hematology
Transcribed Image Text:CASE #1 A 50 year old female phoned her physician and complained of fatigue, shortness of breath on exertion, and general malaise. She requested B12 shots to make her feel better. The physician asked her to schedule an appointment so that se could determine the cause of the symptoms before offering treatment. A point of care hemoglobin determination performed in the office was 9.0 g/dl. The physician then requested additional laboratory tests, including a CBC with a peripheral blood film examination and a reticulocytes count. Why did the physician want the patient to come to clinic before prescribed therapy?? • How do the MCV and reticulocytes count help determining the diagnosis and treatment Why the examination of the peripheral blood is important in the investigation of the anemia?? Lectures of Dr. Mohanad Nada/ Medical Hematology
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