We're back with another Morphology Monday case! This week's case comes from a 69 year old male presenting with a increasing fatigue and back back over the past several months. He has also experiences recurrent infections recently.
A full blood count was requested and the results were:
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WBC: 4.2 ×10⁹/L
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RBC: 2.85 ×10¹²/L
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Hb: 92 g/L
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HCT: 0.27
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MCV: 94 fL
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MCHC: 341 g/L
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Platelets: 118 ×10⁹/L
A blood film was made for review. Here are some of the images:
The biochemistry results showed:
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Creatinine: 152 µmol/L
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Corrected Calcium: 2.78 mmol/L
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Total Protein: 96 g/L
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Albumin: 28 g/L
What do you think is wrong with the patient?