History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Differential Diagnosis
Relevant Next Steps
Test Result
Interim Differential Diagnoses
Relevant Next Steps 2
Test Results 2
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
About the Case
Anemia in a 42-year-old woman
Test Result
Results of appropriate testing return and are shown:
Blood:
Direct antiglobulin test: negative
Reticulocyte count <0.1%
Peripheral smear reported as numerous spherocytes, no reticulocytes, schistocytes, or sickled cells; white cells and platelets normal in appearance and amount.
Blood
Normal
SI Units
CBC
Hemoglobin (g/dL)
7.1
>12.0 gm/dL
71 g/L
Hematocrit (%)
21.2
>37%
21.2%
RBC (million/cm3)
3.4
>4 million/mcL
3.4 X 10
12
cells/L
WBC/ mm
3
7.6
4.5-110X10
3
cell/mcL
7.6 X 10
9
cells/L
Polys
75%
54-62%
Same
Bands
4%
3-5%
Same
Lymphocytes
15%
25-33%
Same
Monocytes
4%
3-7%
Same
Eosinophils
2%
1-3%
Same
MCH (pg/cell)
30
25.4-34.6
Same
MCV (fL)
89
80-100
Same
MCHC %
39
31-36
Same
RDW
13
11.5-14%
Same
Serum
Na
+
(mEq/L)
132
136-145
132 mmol/L
K
+
(mEq/L)
4.2
3.5-5.0
4.2 mmol/L
Cl- (mEq/L)
98
95-105
98 mmol/L
HCO
3
- (mEq/L)
25
22-28
25 mmol/L
Glucose (mg/dL)
130
70-100
7.2 mmol/L
BUN (mg/dL)
12
7-18
4.3 mmol/L
Creatinine (mg/dL)
0.8
0.6-1.2
70.7 micromol/L
Blood
SI Units
Total bilirubin
0.4 mg/dL
6.8 micromol/L
LDH
75 U/L
1.25 mckat/L
ALT
12 U/L
0.20 mckat/L
AST
15 U/L
0.25 mckat/L
Blood
SI Units
Serum iron
80 mcg/dL
14.32 mcmol/L
Total iron-binding capacity
325 mcg/dL
58.17 mcmol/L
Ferritin
125ng/mL
125 mcg/L
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