|
This
22-year-old black man complains of severe abdominal pain and fever. He has a
history of similar episodes, some requiring hospitalization. He also believes
he has some form of 'kidney' problem.
Physical exam reveals a slight man of small stature who is in considerable
distress. No significant physical findings are present, and no spleen is
palpated. Here are his labs:
| WBC 12,400 |
|
RBC 3.2 |
Sickle Dex + |
| Percent
Abs |
|
HGB 9.3 |
Electrophoresis (click it) |
| NE 71.8
8.9 |
|
HCT 27.5 |
|
| LY 21.6
2.7 |
|
MCV 85.7 |
Reference values? |
| MO 4.7
0.6 |
|
MCH 28.9 |
|
| EO 0.4
L 0 |
|
MCHC 33.7 |
Look at his spleen |
| BA 1.5
H 0.2 |
|
RDW 15.7 |
|
| nRBC 5/100 wbc |
|
PLT 304 |
|
| |
|
MPV 7.7 |
|
|
