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7. Do the iron studies in this patients (serum iron and TIBC) suggest sideroblastic anemia? 8. Do his laboratory test results and clinical history indicate that a bone marrow examination is necessary? 9. What is the possible cause for this anemia?

7. Do the iron studies in this patients (serum iron and TIBC) suggest sideroblastic anemia? 8. Do his laboratory test results and clinical history indicate that a bone marrow examination is necessary? 9. What is the possible cause for this anemia?

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please solve parts 7, 8 and 9

A male patients who is 83-year-old, was admitted to a local hospital with recurrent urinary tract bleeding and an infection associated with prostatitis (inflammation of the prostate). He had a CBC upon admission. The results were: RBC: 4.15 X10¹2/L Hb: 81 g/L Hct: 26% Platelets: 174 X10%/L WBC: 2.8 X10%/L Reticulocyte count: 2.6% Serum iron: 18 µg/dL TIBC: 425 µg/dL 1. How would you describe his anemia morphologically? Calculate % saturation. (normal to be more than 15%) 3. Is this value normal, decreased, or increased? 2. What disease, if any, is suggested by this value? How do the patient's iron study results help in differentiating the diagnosis of iron deficiency from ACD? 6. What additional iron test that was not done would be most helpful in this case? 7. Do the iron studies in this patients (serum iron and TIBC) suggest sideroblastic anemia? 8. Do his laboratory test results and clinical history indicate that a bone marrow examination is necessary? What is the possible cause for this anemia? 4. 5. 9.
Transcribed Image Text:A male patients who is 83-year-old, was admitted to a local hospital with recurrent urinary tract bleeding and an infection associated with prostatitis (inflammation of the prostate). He had a CBC upon admission. The results were: RBC: 4.15 X10¹2/L Hb: 81 g/L Hct: 26% Platelets: 174 X10%/L WBC: 2.8 X10%/L Reticulocyte count: 2.6% Serum iron: 18 µg/dL TIBC: 425 µg/dL 1. How would you describe his anemia morphologically? Calculate % saturation. (normal to be more than 15%) 3. Is this value normal, decreased, or increased? 2. What disease, if any, is suggested by this value? How do the patient's iron study results help in differentiating the diagnosis of iron deficiency from ACD? 6. What additional iron test that was not done would be most helpful in this case? 7. Do the iron studies in this patients (serum iron and TIBC) suggest sideroblastic anemia? 8. Do his laboratory test results and clinical history indicate that a bone marrow examination is necessary? What is the possible cause for this anemia? 4. 5. 9.
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