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Old 09-07-2012
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A 2 year old child is brought to the physician for a routine visit. He is growing and developing appropriately.He drinks 3-4 glasses of whole milk each day. He is starting to put words together into short sentences.His mother has no concerns. Physical examination shows mild pallor.Laboratory studies show the following:

Hemoglobin 9.5 g/dL
RDW 21%(normal 11.5-14.5%)
MCV 70fl
Platelet count 284,000/mm3
leukocye count 6,500/mm3

Which of the following additional findings is most likely in this patient?

A. Abnormal Hemoglobin electrophoresis
B. Low reticulocyte count
C. Low serum iron total binding capacity
D. High indirect bilirubin
E. Positive fecal occult blood test
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Last edited by step_enhancer; 09-07-2012 at 11:10 AM.
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Old 09-07-2012
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B........Iron def anemia........increased RDW
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Old 09-07-2012
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B. Low reticulocyte count
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Old 09-07-2012
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Quote:
Originally Posted by step_enhancer View Post
A popular Qbank Q

A 2 year old child is brought to the physician for a routine visit. He is growing and developing appropriately.He drinks 3-4 glasses of whole milk each day. He is starting to put words together into short sentences.His mother has no concerns. Physical examination shows mild pallor.Laboratory studies show the following:

Hemoglobin 9.5 g/dL
RDW 21%(normal 11.5-14.5%)
MCV 70fl
Platelet count 284,000/mm3
leukocye count 6,500/mm3

Which of the following additional findings is most likely in this patient?

A. Abnormal Hemoglobin electrophoresis
B. Low reticulocyte count
C. Low serum iron total binding capacity
D. High indirect bilirubin
E. Positive fecal occult blood test

B.) low reticulocye count because this is iron deficiency anemia so he has problem in hematogenesis( iron is required in hematogenesis), so his reticulocytes are low as well.
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