BLD324 RBC Assignment

BLD324 RBC Assignment - = 121.6 macrocytosis 2.22 Step 3...

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BLD 324 RBC Mini-essay Assignment FS 2011 Due Monday, Oct 17, midnight, to Angel dropbox Calculate the RBC indices to the nearest 0.1. Describe the red blood cells of this patient using the 6 steps described in lecture. There is a practice essay available in Angel Lessons that you may want to review before you do this. Patient Values Reference Values Clinical Information 76 year-old male, pale and jaundiced. RBC 2.22 4.3-5.9X10 6 /µL Hgb 8.5 13.9-16.3 g/dL Hct 27 39-55% MCV 121.6 80-100 fL MCH 38.3 25.4-34.6 pg MCHC 31.5 31-37% RDW 18 11.5-13.5% Relative reticulocyte count 1.8 0.5-1.5% Morphology Hypersegmentation of neutrophils; moderate anisocytosis; moderate poikilocytosis; macrocytes; macroovalocytes; few dacryoctyes Step 1: Decreased hemoglobin anemia. Step 2: MCV = 27% x 10
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Unformatted text preview: = 121.6 macrocytosis. 2.22 Step 3: MCHC = 8.5 x 100 = 31.5 normochromic. 27 Step 4: RDW increased aniocytosis Step 5: The patient is anemic but the morphology report does not include polychromasia. Using the report, I calculated the corrected reticulocyte count getting 1.08%, but in order for it to compensate anemia it must be at least 3% normal. Therefore, this patients CRC is inadequate to compensate for the anemia. CRC = 1.8% x 27% = 1.08% 45% Step 6: Hypersegmentation of neutrophils, moderate aniocytosis (correlates to the increased RDW count), moderate poikilocytosis, macrocytes, macroovalocytes, few dacryocytes. MCH = 8.5 x 10 = 38.3 (Increased because of the large cells = macrocytosis) 2.22...
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This note was uploaded on 03/27/2012 for the course BLD 324 taught by Professor Doig during the Spring '08 term at Michigan State University.

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