can you answer this hematology question ? An 18 y.o. woman came to her physician
ID: 132372 • Letter: C
Question
can you answer this hematology question ?
An 18 y.o. woman came to her physician for a routine physical examination before entering college. Family history was unremarkable. Her personal history revealed that she had begun menstruation at the age of 13 and had experienced no complaints other than cramping. Other than an occasional cold, she stated that she was perfectly healthy. On physical examination, she appeared to be well nourished and looked her state age. Her overall muscle tone was poor but she explained that she "wasn't very athletic." Her pulse was 80 beat per minute, and her blood pressure was within normal limits. Results of laboratory testing included: WBC 11.4 x 10° /L Microcytes, some hypochromic cells, and polychromatophilic RBCs were seen on the peripheral blood smear. Hgb 8.0 g/dl MCV 79 1fl RDW 14.8 PLT 400 x 10°/L The reticulocyte count was 2.0% What is the most likely explanation of this presentation?Explanation / Answer
From above blood test findings, it appears that ,the lady is suffering from microcytic anaemia.Her haemoglobin level is very low than normal and blood shows presence of microcytes.Polychromatophilic RBCs are seen when there is high demand on bone marrow to produce RBCs.Also MCV is less than 80 fl. All indicate possibility of microcytic anaemia.Because of anaemia ,she may be feeling tired to do any athletic activity.
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