If a patient has small red blood cells andhas increased amount of RBC(slighlty)

Question

If a patient has small red blood cells andhas increased amount of RBC(slighlty) - just one numberaway from normal, and everything else looks normally is theresomething to be concerned for? The patient has normal iron, -everything else looksgood. but the small red blood cells agian one number away from beingnormal - whats the diagnosis or is this normal????? B-thalasemia-is one dianosis i was thinking about but wasntsure. PLEASE HELP THIS IS FOR PATHOPHYSIOLOGY CLASS WE ARE DOINGCASE STUDY. If a patient has small red blood cells andhas increased amount of RBC(slighlty) - just one numberaway from normal, and everything else looks normally is theresomething to be concerned for? The patient has normal iron, -everything else looksgood. but the small red blood cells agian one number away from beingnormal - whats the diagnosis or is this normal????? B-thalasemia-is one dianosis i was thinking about but wasntsure. PLEASE HELP THIS IS FOR PATHOPHYSIOLOGY CLASS WE ARE DOINGCASE STUDY.

Explanation / Answer

THE SIZE OF RBC MAY DECREASE IN FOLLOWING CONDITION IRON DEFICIENCY ANAEMIA PROLONGED FORCED BREATHING INCREASED OSMOTIC PRESSURE IN BLOOD RULE OUT ANAEMIA.CAN BE HAEMOLYTIC ANAEMIA INCREASE IN 1 NUMBER MEANS PLEASE GIVE THE EXACT COUNT.INCREASE IN 1 NUMBER DOESNT AFFECT. IT CAN BE BETA THALLESIMIA BUT CANT DIAGNOSE THE PATIENT WITH THIS SMALL INVESTIGATION. REFER DAVIDSON "PRINCIPLE AND PRACTICE OF MEDICINE PG.797."DIAGNOSTIC FEATURE OF B THALLESIMIA. ACC TO WHICH MILD ANAEMIA,MICROCYTIC HYPOCHROMIC ERYTHROCYTE [NON IRON DEFICIENT ARE MINOR DIAGNOSTIC FEATURES OF B THALLESIMIA MAJOR DIAGNOSTIC FEATURES ARE- PROFOUND HYPOCHROMIC ANAEMIA, SEVERE CELL DYSPLASIA, ERYTHROBLASTOSIS, GROSS REDUCTION OR ABSENCE OF HAEMOGLOBIN A SEE HERIDITARY BACKGROUND RULE OUT THAT DEFINATELY IT WOULD HELP IN DIAGNOSIS

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