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Clinical Laboratory Hematology 3rd Edition by Shirlyn McKenzie, Lynne Williams
Edition 3ISBN: 978-0133076011Clinical Laboratory Hematology 3rd Edition by Shirlyn McKenzie, Lynne Williams
Edition 3ISBN: 978-0133076011 Exercise 19
A 48-year-old Caucasian female experiencing fatigue, loss of appetite, and weight loss over a period of three months was seen by her physician. A medical history revealed she had a history of alcohol abuse. An initial laboratory workup demonstrated that she was anemic, had a leukocyte count of 
and had an MCV of 119 fL. Macro-ovalocytes and neutrophil hypersegmentation were noted on her blood smear evaluation. Based on the initial laboratory test results, her physician obtained a serum cobalamin and folate workup. Results were as follows: 
Based on her clinical history and laboratory results, the best possible diagnosis is which of the following? (Objective 12)
A) pernicious anemia
B) folate deficiency
C) primary cobalamin deficiency
D) anemia of liver disease
and had an MCV of 119 fL. Macro-ovalocytes and neutrophil hypersegmentation were noted on her blood smear evaluation. Based on the initial laboratory test results, her physician obtained a serum cobalamin and folate workup. Results were as follows: Based on her clinical history and laboratory results, the best possible diagnosis is which of the following? (Objective 12)
A) pernicious anemia
B) folate deficiency
C) primary cobalamin deficiency
D) anemia of liver disease
Explanation
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Verified
The symptoms experienced by the patient ...
Clinical Laboratory Hematology 3rd Edition by Shirlyn McKenzie, Lynne Williams
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