A 20-year-old woman has 3–4 painful crises a year needing admission and transfusion every 3 months. Hb 8.5, reticulocytes 3%, MCV 85, platelets 440, WBC 5. Which disease?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: E. Sickle cell disease
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HEME-02 Normocytic Anemia [Slides].pdf · p. 28
Recurrent painful (vaso-occlusive) crises needing admission and transfusion, with a normocytic anaemia (MCV 85), point to sickle cell disease. The sources teach that frequent vaso-occlusive crises (≥3/year) are the indication for hydroxyurea in sickle cell anaemia.
- Beta thalassaemia major and alpha thalassaemia cause a microcytic hypochromic anaemia and do not cause painful crises.
- Iron deficiency is also microcytic.
- المصدر
- HEME-02 Normocytic Anemia [Slides].pdf · p. 28
Hematology🩸.pdf · p. 21 - المحاضرة
- Haemoglobinopathies (SCD, Thalassaemia) · Hematology · Module C
- ظهر في
- MED41 ♂ EOM C