A 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 Hematocrit 12.5 g/dL 32% 4.2 X 1012/L RBC WBC count within normal limits 42 fL MCV МСН 29.7 pg Urinalysis is normal Fecal occult blood found to be positive 1- 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? 3- What follow-up tests should be conducted? 4- 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?

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
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A 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
Hematocrit
12.5 g/dL
32%
RBC
4.2 X 1012/L
WBC count within normal limits
MCV
42 fL
29.7 pg
МСН
Urinalysis is normal
Fecal occult blood found to be positive
1- 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?
3- What follow-up tests should be conducted?
4- 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?
Transcribed Image Text:A 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 Hematocrit 12.5 g/dL 32% RBC 4.2 X 1012/L WBC count within normal limits MCV 42 fL 29.7 pg МСН Urinalysis is normal Fecal occult blood found to be positive 1- 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? 3- What follow-up tests should be conducted? 4- 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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