A normal differential and platelet count

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Reference no: EM13797739

LABORATORY RESULTS:

WBC = normal with a normal differential and platelet count

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

ADDITIONAL LABORATORY RESULTS:

Serum iron, total iron binding capacity, saturation, and ferritin all reduced

Bone marrow biopsy with megaloblastic changes and low iron stores

Ø Serum folate and red blood cell folate low; B₁₂ normal

Discussion questions part three:

Based on these findings, what are the diagnoses for this patient?

How should this patient be managed?

This needs to be in APA Format with 3-5 scholarly articles to back up each part (1, 2, 3). Also information in answer needs to be referenced with APA in text citations.

Reference no: EM13797739

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