robin082006
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5- A 52 y/o man receives a preoperative evaluation before an alective surgery. He is asymptomatic with a normal P/E, but he is noted to have a Hgb= 10.8, Hct= 33, MCV= 70, RBC= 6.1x1000/ microlit. What’s the most likely Dx?
A- Sickle cell dis.
B- Iron def. Anemia
C- Alpha thalassemia major
D- Beta thalassemia minor
E- Anemia of chronic dis.
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| hypochondriac
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B
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| nadiabarati
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E
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| robin082006
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try again, both of u
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| nadiabarati
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no other idea!
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| muna
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May Be D.
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| robin082006
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Answer is D
microcytic anemia: iron deficiency, thalassemia, sideroblastic, lead poisoning, chronic disease
RBC= 6.1x1000/ microlit--->rule out iron deficiency and chronic disease
Anemia with high RBC seen in Thalassemia, major thalassemia has obvious signs of anemia when minor type has no symptoms
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