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 FOLLOWINGCONDITION

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.INCREASEIN 1 NUMBER DOESNT AFFECT.

IT CAN BE BETA THALLESIMIA BUT CANT DIAGNOSE THE PATIENT WITHTHIS SMALL INVESTIGATION.

REFER DAVIDSON "PRINCIPLE AND PRACTICE OF MEDICINEPG.797."DIAGNOSTIC FEATURE OF B THALLESIMIA.

ACC TO WHICH MILD ANAEMIA,MICROCYTIC HYPOCHROMIC ERYTHROCYTE[NON IRON DEFICIENT ARE MINORDIAGNOSTIC FEATURES OF B THALLESIMIA

MAJOR DIAGNOSTIC FEATURESARE-

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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