Question: CONTENT QUESTION 1 History: 37 Year Old Male. Lifelong History Of A Selure Disorder, Treated Since Ape Two. At Routine Check With His Neurologist, He Complained Of Fatigue Exertional Dyspnea, And Lightheadedness Over The Past 2-3 Months. He Appeared Pale, But Otherwise His Physical Exam Was Within Normal Limits. He Was Found To Ha A Decreased Hemoglobin …
CONTENT QUESTION 1 History: 37 year old male. Lifelong history of a selure disorder, treated since ape two. At routine check with his neurologist, he complained of fatigue exertional dyspnea, and lightheadedness over the past 2-3 months. He appeared pale, but otherwise his physical exam was within normal limits. He was found to ha a decreased hemoglobin and was referred to Hematology Clinic, CBC Results: RBC 1.26 x 10/12/1: Hgb 5.7 odl: Het 16.3%; MCV 130 ; MCH 46.2 pa; MCHC 34. gde: RDW 18.1, WBC 6.2 x 1091, Nourtophils 73%, Lymphs 21%; Monocytes 1%; Eos 1%; Baso 1%, Platelets 219 x 1019: What are the Morphologic alterations? O Sight macrocytosis, valocyten, slight aniocytonis hypersegmented neutrophils. Normal platelets OB.24 macro, 3 aniso: 2 ovalocytes: 3+ polychromatophila, o tewdrop coln. Hypersegmented neutrophil. Normal platelets OC, microcytos, polychromatophile, hypersegmented neutrophila, tear drop cells. Normal platelets OD. Normocytic/Normotomie OE. None of the answers are correct QUESTION 2 What other tests would be helpful in the diagnosis? O A Bon Pow aspirate B.Serum folate C. Serum B12 ODRBC folate E. Al of the above QUESTIONS What is the most likely diagnosis? A Leukemia B. Normodyti/hypochromic wema C. ACD CODA E. Megaloblastic anemia olan
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