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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? 

Interpret the gel below.  What is the most likely patient population in lane 6?   

Refer to the chart below.  What is the most likely diagnosis associated with the values in Choice B? (Objective 10) Choice RBC Hgb Hct A 1.50 x 10^6/ul 6.5g/dl 18.3% B 4.50 x 10^6/ul 10.1 g/dl 30.2% C 3.00 x 10^6/ul 9.0 g/dl 27% D 3.25 x 10^6/ul 11.5 g/dl 34.5%

In Beta thalassemia, other globin chains combine with alpha chains to compensate for the decrease in the Beta chain production.  This increase is seen in an adult on electrophoresis as: 

G-6-PD deficiency usually does not cause a problem for a patient except when: 

Which result is typical in stage 3 iron deficiency anemia?

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

In the sickle solubility test, if the solution of RBCs and reagent is clear and you can see the black lines behind the tube, the interpretation for that tube is

The portion of the spleen responsible for culling and pitting is: 

A father brings his 2-year old son to the doctor for a check-up. He had recently moved to upstate New York from a poor neighborhood in Los Angeles. The father commented that his son had been very cranky lately. He attributed this condition to teething. He had a habit of chewing on his favorite painted wooden toys, which were family heirlooms. He was referred to the hospital laboratory from the well-baby clinic because he was lethargic and pale. A CBC was ordered.   TEST RESULT REFERENCE RANGE RBC 3.0 X 10^6/ul 5-6 X 10^6/ul WBC 8.0 X 10^3/ul 4-10 X 10^3/ul PLT 180,000/ul 150,000 – 450,000/ul HGB 6.5 g/dl 14-16 g/dl HCT 22% 37-44% Retic count 12% 5-8%   Many of the RBCs looked like the cell below.    What is the most likely condition?