RT Book, Section
A1 Hillman, Robert S.
A1 Ault, Kenneth A.
A1 Leporrier, Michel
A1 Rinder, Henry M.
SR Print(0)
ID 1127765399
T1 ANEMIAS ASSOCIATED WITH A REDUCED ERYTHROPOIETIN RESPONSE
T2 Hematology in Clinical Practice, 5e
YR 2016
FD 2016
PB McGraw-Hill Medical
PP New York, NY
SN 9780071626996
LK accessbiomedicalscience.mhmedical.com/content.aspx?aid=1127765399
RD 2024/04/19
AB CASE  HISTORY  •  Part  1A  66-year-old  woman  presents  with  more  than  6  months  of  pain  and  stiffness  of  the  muscles  of  the  neck,  shoulders,  and  lower  back.  Within  the  past  2  weeks,  she  has  also  suffered  from  recurrent  headaches,  unresponsive  to  aspirin,  acetaminophen,  and  nonsteroidals.  Review  of  systems  is  negative  for  collagen  vascular  disease  or  vasculitis,  but  she  has  had  a  10–15  lb  weight  loss,  and  is  a  heavy  smoker.  Examination  is  notable  for  sallow  complexion  and  depressed  mood.  Neck  and  shoulder  muscles  are  tender  to  palpation  but  no  arthritic  changes  or  temporal  artery  nodularity  or  tenderness  are  noted.CBC:  Hematocrit/hemoglobin  -  29%/9  g/dLMCV  -  84  fL  MCH  -  30  pg  MCHC  -  30  g/dLRDW-CV  -  14%WBC  count  -  9,500/μLPlatelet  count  -  210,000/μLSMEAR  MORPHOLOGYNormocytic/normochromic,  with  minimal  anisocytosis,  no  poikilocytosis,  and  no  polychromasia.Reticulocyte  count/index  -  1.3%/<1Sedimentation  rate  -  115  mm/h  (Westergren)C-reactive  protein  -  37  mg/LQuestionsHow  should  the  anemia  be  described  and  classified,  given  the  above  data?What  additional  tests  should  be  ordered?