TY - CHAP M1 - Book, Section TI - THE DYSPLASTIC AND SIDEROBLASTIC ANEMIAS A1 - Hillman, Robert S. A1 - Ault, Kenneth A. A1 - Leporrier, Michel A1 - Rinder, Henry M. Y1 - 2016 N1 - T2 - Hematology in Clinical Practice, 5e AB - CASE HISTORY • Part 1A 65-year-old woman seen for a routine checkup reports a decrease in exercise tolerance, especially during routine workouts at the gym. She denies other recent illness. Review of systems is positive, however, for a history of Hodgkin lymphoma, stage IA, diagnosed at age 25 and treated successfully with mantle radiation. Physical examination reveals a well-developed white female looking younger than her stated age. Conjunctiva may be somewhat pale. No evidence of lymphadenopathy or hepatosplenomegaly. No recent weight loss.CBC: Hemoglobin/hematocrit - 10 g/dL/30%MCV - 99 fL MCH - 32 pg MCHC - 33 g/dLRDW-CV - 16%White blood cell count – 4,900/μLTable Graphic Jump Location|Download (.pdf)|PrintAbsolute differential:Neutrophils - 2,600/μLLymphocytes - 2,100/μLMonocytes - 200/μLPlatelet count - 180,000/μLSMEAR MORPHOLOGYSlightly macrocytic, normochromic with 1+ aniso- and poikilocytosis. Few if any polychromatic macrocytes observed. Leukocytes are normal except for occasional bilobed cells (Pelger-Huët anomaly). Platelets appear somewhat pale—poorly granulated.Reticulocyte count/index - 1.2%/<1.0QuestionsHow should the CBC findings be described?What additional studies should be ordered? SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/29 UR - hemonc.mhmedical.com/content.aspx?aid=1127766055 ER -