Friday, April 25, 2014

Anemia : Greek- "anaimía" ; want of blood

10 month infant who is on formula feeds has CBC as below:


Detail
Value w/Units
Normal Range
WBC
12.1   K/CMM
5.5-18.0
RBC
4.99   M/CMM
4.00-5.40
Hgb
11.5   g/dL
10.5-13.5
Hct
33.6   %
31.5-40.5
MCV
67.3   fL
80.0-94.0
MCH
23.1   pg
27.0-31.0
MCHC
34.3   g/dL
32.0-36.0
RDW
13.8   %
11.5-14.5
Platelet
368   K/CMM
133-450
MPV
7.8   fL
7.4-10.4


Hemoglobin Electrophoresis

Detail
Value w/Units
Hgb S %
0.0 %
Hgb A %
64.2 %
Hgb A2 %
4.0 %
Hgb F %
1.3 %
Hgb C %
30.5 %



What is the diagnosis?

Did  the Mentzer index help you?

Was RDW a tie breaker?


Answer:

Normal values

Interpretation