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Physician office with severe lethargy

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Reference no: EM132561646

Mary is a 25 year old 70kg female who presents to physician's office with severe lethargy. The patient workup suggests differential diagnosis. One of the possibilities is anemia. The patient does not report losing blood externally and normal menstrual cycle. Labs as follows:

Hct: 35%

Hgb: 10gm/do

RBC: 3 million/mm3

WBC: 9,000/mm3

Reticulocyte count = 4% High

Peripheral Smear Analysis

RBC - size 7.5um

color - normochromic

Does patient have pancytopenia?

If yes is it increased destruction or decreased production?

Reference no: EM132561646

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