A 5-year-old boy is evaluated for slight jaundise and a tender abdomer Manual df

Question

A 5-year-old boy is evaluated for slight jaundise and a tender abdomer Manual dfferential counts: WBC: 6,8 x 10L RBC: 3.27x 10L Hgb: 12.3 gd Hct: 30.0% MCV: 91.7 MCH: 37.6pg MCHC: 41.0 gdl RDW: 29.0 gdl PLT: 289.7x10/L 1. What is the significance of the cell counts, indices, and peripheral blood smear image shown The results ef additiceal sests were as follows: The area on the curve represented by B is noemal; this case is labeled C DAT: negative Patient's blood stained with new methy lene blue The relatively high number or reticulocytes as comparod with the mumher of RBCs without reticulam in the previous image suggests a high rate of erythropoiesis.This information supports the diagnosis of a hemolytic condition. 2. Based en all the data provided. wha coedition is most likcly 3 How woald the bone marow respond? 5. What other data would suppert the di & How is the reticulocyte count belpul 7. Why isn't the patient anemic? chromic, normocytie anemias

Explanation / Answer

The images are not very clear.

Still from the values we can come to a conclusion:-

1)The peripheral smear shows spherical cells which points towards

Heridatery spherocytosis (also supported by lab values which shows low haeomotocrit and raised MCHC)

2)heridetary spherocytosis

3)in all hemolytic anemia the bone marrow is hypercellular to compensate the loss of cells.

4)MCHC value high(as it is seen only in heridatery spherocytosis)

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