Seen Outpatient Department Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to seen outpatient department and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves seen outpatient department. A strong answer should include explanation, application, and examples.

Original Question

1. A 14yo boy was seen in the outpatient department for pre-admission surgical lab work. CBC and peripheral smear image follows: WBC (x 103/uL) 6.5 RBC ( x 106/uL) 4.25 HGB (g/dL) 12.8 HCT (%) 38.5 MCV (fL) 90.4 MCHC (g/dL) 33.2 RDW (%) 18.5 PLT (x 103/uL) 250 RETIC (%) 4.0 a. The MLS noted the abnormal RBC morphology on the peripheral smear. What are the cells called? b. What is the most likely type of anemia? c. What type of red cell protein(s) are defective in the anemia? d. How is the hemoglobin 12.8g/dL? d. What haptoglobin would be expected? 2. An 8-month-old girl was admitted for evaluation of ongoing anemia. CBC and a peripheral smear image follows: WBC (x 103/uL) 6.5 RBC ( x 106/uL) 2.50 HGB (g/dL) 6.7 HCT (%) 18.0 MCV (fL) 72.0 MCHC (g/dL) 37.2 RDW (%) 21.3 PLT (x 103/uL) 400 RETIC (%) 19.5 a. What abnormal RBC morphology is present? b. What other RBC morphologies are likely to be seen? b. What disease is indicated? c. Give the expected result for: Haptoglobin DAT Bilirubin Unconjugated bilirubin d. What red blood cell protein is defective in this disease? e. What additional test would aid in diagnosing this anemia? What result is expected? f. If you had an increased MCHC, and all other values were normal, what could be causing the increase? 3. A 23yo black male made a follow up visit to his physician after having been diagnosed and treated for infectious mononucleosis. His doctor was concerned because of a noticeable amount of hemoglobinuria in the urinalysis repor

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