|
This
19-year-old white college student complains can no longer complete his daily
10 mile jog. He develops extreme at about 5 miles. He's also noted bruises
around his ankle and has recently had several nosebleeds. In retrospect, he
feels his symptoms have slowly been coming on for about 2 months.
Physical exam reveals a pale, slender well
developed man with scattered petechiae, but no adenopathy or arganomegaly. His labs:
| WBC 0.5 X 103 |
|
RBC 2.61 |
Anti-HBsAg + |
|
Percent Abs |
|
HGB 8.2 |
TIBC 350 ug/dl |
| NE 2.3
0 |
|
HCT 23.2 |
FE 180 ug/dl |
| LY 96.5
0.5 |
|
MCV 89.2 |
Ferritin 100 ng/ml |
| MO 0.7
0 |
|
MCH 31.5 |
|
| EO 0.5
0 |
|
MCHC 35.3 |
|
| BA 0
0 |
|
RDW 13.1 |
|
| |
|
PLT 23 X 103 |
Reference values? |
| |
|
MPV 10.2 |
|
|
