A patient waiting for a liver transplant is admitted to the…

A patient waiting for a liver transplant is admitted to the local hospital.  Initial admission labs are drawn which show an MCHC of 41%.  A manual hematocrit is spun and the supernatant is green.  What is the erroneous CBC parameter and what would you do to correct it? 

An African-American patient comes to the emergency room with…

An African-American patient comes to the emergency room with complaints of shortness of breath, abdominal pain and joint pain. The physician orders a CBC and solubility test.  The results are:   Test Value Reference Range WBC 10 x 103/ul 3.5-11.0 x 103/ul RBC 2.59 x 106/ul 3.5-5.5 x 106/ul HGB 7.8 g/dl 13.0-17.0 g/dl HCT 22.8% 40-50% MCV 88 fl 80-100 fl MCH 30.1 pg 27-31 pg MCHC 34.2% 32-36% RDW 20.8