TY - CHAP M1 - Book, Section TI - MARROW-DAMAGE ANEMIA A1 - Hillman, Robert S. A1 - Ault, Kenneth A. A1 - Leporrier, Michel A1 - Rinder, Henry M. PY - 2016 T2 - Hematology in Clinical Practice, 5e AB - CASE HISTORY • Part 1A 27-year-old auto mechanic presents with a 1-month history of increasing fatigue, shortness of breath with strenuous exertion, easy bruising, and gum bleeding. His past history is negative, except for hepatitis A as a teenager. His occupation does involve the use of cleaning solvents on auto parts. Examination reveals a well-muscled male with pale conjunctiva, petechiae limited to the ankle areas, and hand and forearm bruises. No lymphadenopathy or hepatosplenomegaly.CBC: Hematocrit/hemoglobin - 20%/6 g/dLMCV - 91 fL MCH - 32 pg MCHC - 33 g/dLRDW-CV - 13%SMEAR MORPHOLOGYNormochromic/normocytic red cells with ± anisocytosis and the rare polychromatic macrocyte. Platelets and neutrophils markedly decreased without blast cells. Lymphocytes appear normal.Table Graphic Jump Location|Download (.pdf)|PrintReticulocyte count/index - <1%/<0.5White blood cell count - 1,600/μLAbsolute differential:Neutrophils - <200/μLLymphocytes - 1,200/μLMonocytes - 320/μLPlatelet count - 9,000/μLQuestionsHow should the anemia be classified?What tests should be ordered? SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - accessbiomedicalscience.mhmedical.com/content.aspx?aid=1127765304 ER -