CellDIFF | CellWiki

Patient

This specimen is of a 20-year-old man seen by the family physician regarding fatigue and decreased muscle strength. He follows a normal diet and has a normal build. He has not been traveling recently. When asked about drug use, he tells in despair that he only smokes a joint on the weekends.

Parameter	Result	Ref.	Units

Hemoglobin	3.1	8-10.5	mmol/L
MCV	105	83-100	fL
RDW	29	12-15	%
Erythrocytes	4.6	4.4-6	⋅10¹²/L
Thrombocytes	131	150-400	⋅10⁹/L
Leukocytes	7.5	4-10	⋅10⁹/L

CRP	7	<8	mg/L
LDH	500	<248	U/L
Haptoglobin	0	0.4-2.1	g/L
DAT	NEG	NEG	-
Vitamin B12	400	130-500	pmol/L
Folate	38	8.8-60	nmol/L
Ferritin	210	30-300	µg/L

DIFF

Combine this additional information with your count and try to form a picture of what might be going on with this patient. In the next step, you can record your suspicions.

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