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General
and Systemic Histopathology, C601&C602
Virtual Slide: A 69-year-old man with
hematuria.
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This
69-year-old man complains of gross hematuria of several days duration. He
claims to have had bloody urine several times over the past 3 years, but
nothing like he is experiencing now. He also has arthritis and claims to take
up to 8 aspirin a day. Here are his labs:
| WBC 17,800 |
|
RBC 2.90 |
Unrinalysis |
| Percent
Abs |
|
HGB 7.1 |
Pink/cloudy |
| NE 86.5 H
11.0 |
|
HCT 21.6 |
9.030 sg |
| LY 7.3
L 0.9 |
|
MCV 74.5 |
1+ protein |
| MO 4.4
0.6 |
|
MCH 24.5 |
pH 5 |
| EO 0.4
L 0.1 |
|
MCHC 32.9 |
3+ Hgb |
| BA 1.4
H 0.2 |
|
RDW 21.0 |
RBC: many |
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PLT 484 |
WBC: many |
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MPV 8.0 |
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Click the green box in the smear above to see the slide using the virtual
microscope. Describe what you see and then answer the following questions.
- Likely cause of his anemia?
- What kind of anemia?
- RBC morphology?
- Other labs?
- Why is the stool occult blood positive?
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| PT = 11.5 sec |
Ferritin = 5 ng/ml |
| PTT = 28 sec |
Stool hemoccult + |
| ESR = 114 mmhr |
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| FE = 17 |
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| TIBC = 470 ug/dl |
Reference values? |
Next patient is a 22-year-old black man. |
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