Transcribed Image Text from this Question
A 12-year-old girl has been complaining to her father of feeling very tired lately. Her father noticed that her skin did look pale to him. He decides to take her to the pediatrician for an evaluation. The young girl shares her complaints with her pediatrician and includes that she has been a vegetarian for the past year. The pediatrician orders a complete blood panel (CBC): Hb: 6.25 g/dL Het: 20% WBC count: 10 x 10°/L WBC differential: 3% Neutrophils Bands 56% Segmented Eosinophils 2.7% Basophils 0.3% Lymphocytes 34% Monocytes 4% RBC count: 3.3 x10/L RDW: 20% Platelet count: 150,000 Reticulocyte count: 0.5% Serum iron: decreased Calculate the following RBC indices: MCV, MCH, and MCHC. For each result, list whether the value is elevated, normal, or decreased. Be sure to include the correct units. Based on the results of the calculated RBC indices, what would you expect the RBCs on the peripheral smear to look like (i.e. – normal? Microcytic?) Based on the case history, the calculated RBC values, and the possible smear findings what is your diagnosis for this patient? List 3 possible causes and 3 risk factors associated with this diagnosis.
(Visited 4 times, 1 visits today)
