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Old 05-29-2011
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Question Can you diagnose this blood film picture #2?

Based on the next picture, the anemia is more likely to occur due to:

Can you diagnose this blood film picture #2?-screen-shot-2011-05-29-4.22.15-pm.png
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A) Iron deficiency
B) alpha Talasemia
C) Lead poisoning
D) Folic acid deficiency
E) Chronic renal failure
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Old 05-29-2011
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hypersegmented neutrophils?
my ans is folic acid
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Old 05-29-2011
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Folate deficiency. hyper-segmented neutrophils, as salz mentioned.
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Old 05-29-2011
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Quote:
Originally Posted by dr_ram View Post
Folate deficiency. hyper-segmented neutrophils, as salz mentioned.
Yeap, the pic shows a neutrophil with hypersegmented more than 4-5 lobe is characteristic of it. Which is from folate def.


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Old 05-29-2011
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Quote:
Originally Posted by bebix View Post
Based on the next picture, the anemia is more likely to occur due to:

Attachment 1351
click image to enlarge

A) Iron deficiency
B) alpha Talasemia
C) Lead poisoning
D) Folic acid deficiency
E) Chronic renal failure


D) folic acid def.
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Old 05-30-2011
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Yep, Folic Acid..

Cell maturation as well as DNA Maturation requires Folic Acid, so it will result in a really huge RBC and lots of nuclei
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Old 05-30-2011
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Correct Answer Correct answer.

Indeed

Hypersegmented PMN is shown from a patient with megaloblastic anemia secondary to folate deficiency. The PMN in this image has 10 lobes. Hypersegmented PMNs can be seen in patients with folic acid or Vitamin B12 deficiency, or as a manifestation of a myelodysplastic disorder.

Another pic:

Can you diagnose this blood film picture #2?-screen-shot-2011-05-29-4.20.48-pm.png
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Blood-Films, Hematology-, Pathology-, Step-1-Questions

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