A 56-year-old man has a history of chronic anemia that was improved by an operation at the age of 15. He develops tiredness and shortness of breath after moderate exertion but does not require blood transfusion and copes well with everyday activities. Drug therapy comprises folic acid 5 mg/day and penicillin V 250 mg twice daily. A full blood count shows:   Hemoglobin- 90 g/L MCV- 109 f/L What are the abnormalities present in the peripheral blood smear of the patient and why? What is the possible diagnosis of the patient based on the given case above? How to confirm the patient’s diagnosis? Provide hematology tests needed for this case and explain why.

Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
Chapter5: Abbreviations And Systems Of Measurement
Section: Chapter Questions
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A 56-year-old man has a history of chronic anemia that was improved by an operation at the age of 15. He develops tiredness and shortness of breath after moderate exertion but does not require blood transfusion and copes well with everyday activities. Drug therapy comprises folic acid 5 mg/day and penicillin V 250 mg twice daily. A full blood count shows:

 

Hemoglobin- 90 g/L

MCV- 109 f/L

  1. What are the abnormalities present in the peripheral blood smear of the patient and why?
  2. What is the possible diagnosis of the patient based on the given case above?
  3. How to confirm the patient’s diagnosis? Provide hematology tests needed for this case and explain why.
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