Aashi
Forum Moderator
Topics: 113
Posts: 1,061
|
A 57-year-old Greek man presents to your office for an initial visit. He has no symptoms and feels generally well. He has no past medical history and denies taking any medications. On physical examination, there is no jaundice, and his abdomen is soft and nontender. Blood pressure is 110/70 mm Hg; and pulse is 76/min. Rectal examination shows guaiac-negative, brown-appearing stool, and there is no evidence of hemorrhoids. Laboratory studies reveal the following:
Hemoglobin: 10.6 g/dL
Hematocrit: 32%
Platelets: 350,000/mm3
MCV: 65 FL
RBC: 6.8 million/mm3 (normal 4.2-5.9 million/mm3)
Reticulocyte index: 2.8
RDW: 14% (normal 13-15%)
What is the most accurate test to confirm your diagnosis?
(A) Complete iron studies
(B) Bone marrow biopsy
(C) Peripheral smear
(D) Hemoglobin electrophoresis
(E) Colonoscopy
___________________
"Obstacles are those frightful things you see when you take your EYES off your goal."
|
| CocaCola
Forum Guru
Topics: 35
Posts: 907
|
inicially thought Iron deficiency
but then i saw the high RBC ct
Thallasemia - therefore hemoglobin electrophoresis
___________________
There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
|
| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
|
yes,i agree with the person above,its thalassemia,we have to do electrophoresis.
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
D
One more important hint is his living place: Mediteranean area.
___________________
The Key to Succeed is Patience.
|
| MDcooper
Forum Guru
Topics: 211
Posts: 470
|
can thalasemia present in such an advanced age with no prior history of anything happening to him?microcytic hypochromic anemia plus high RBC mass and high reticulocyte...I really dont know what this is,but i will go with bone marrow biopsy
___________________
live and let live.
|
| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,298
|
I think it 's Thalassemia Trait because he is anemic with no symptoms and very low MCV . The RDW is also normal , all go for Thalasemia Trait .
I ' d pick D too
___________________
The elevator to succes is broke ,you must take the stairs
|
| Aashi
Forum Moderator
Topics: 113
Posts: 1,061
|
ANS is ----->D) Hemoglobin electrophoresis
___________________
"Obstacles are those frightful things you see when you take your EYES off your goal."
|
|
| |
| | | | | | | |
