RT Book, Section
A1 Hillman, Robert S.
A1 Ault, Kenneth A.
A1 Leporrier, Michel
A1 Rinder, Henry M.
SR Print(0)
ID 1127766424
T1 ANEMIA IN THE ELDERLY
T2 Hematology in Clinical Practice, 5e
YR 2016
FD 2016
PB McGraw-Hill Medical
PP New York, NY
SN 9780071626996
LK hemonc.mhmedical.com/content.aspx?aid=1127766424
RD 2024/04/19
AB CASE  HISTORY  •  Part  1A  77-year-old  woman  is  brought  to  the  Geriatric  Center  by  her  family  for  evaluation  of  increasing  frailty,  forgetfulness,  and  decreased  ability  to  live  independently  and  care  for  herself.  She  has  a  history  of  at  least  2  falls  and  has  lost  approximately  15  lbs  in  the  last  3  months.  As  part  of  her  evaluation,  she  has  a  blood  count  with  the  following  results:CBC:  Hematocrit/hemoglobin  -  33%/11  g/dLMCV  -  96  fL  MCH  -  34  pg  MCHC  -  33  g/dLRDW-CV  -  14%Reticulocyte  count/index  -  1.5%/~1White  blood  cell  count  -  5,100/μLPlatelet  count  -  130,000/μLBLOOD  SMEAR  MORPHOLOGYGenerally  normocytic,  normochromic  red  blood  cells  with  slight  anisocytosis.  No  polychromasia  and  both  white  blood  cell  and  platelet  morphology  are  normal.  Lymphocytes  are  decreased  in  number  but  with  normal  morphology.QuestionsIs  this  patient  anemic  or  does  she  fall  into  the  appropriate  range  of  normal  for  her  age  group?If  a  further  workup  is  in  order,  what  additional  laboratory  tests  should  be  ordered?