LABORATORY RESULTS: • WBC = normal with a normal differential; platelets normal
ID: 56692 • Letter: L
Question
LABORATORY RESULTS: • WBC = normal with a normal differential; platelets normal • HCT = 29%; MCV = normal; MCHC = slightly decreased; RDW = markedly increased; reticulocyte count <2% • Smear with mixed microcytic/hypochromic and macrocytic/normochromic red blood cells; WBC and platelets appear normal • PT/PTT, liver function tests, electrolytes, and amylase normal • Upper endoscopy with 2 cm duodenal ulcer with evidence of recent but no acute hemorrhage, H.pylori positive
Question 6. What might the hematologic findings indicate and what should be done to further evaluate them?
Explanation / Answer
The hematologic findings indicate anemia.
Further evaluation should be done to determine if anemia is caused due to excessive hemolysis or due to deficient RBC production.