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First, the RBC indices must be calculated.

First, the RBC indices must be calculated. The MCV ((Hct/RBC) x 10) = 71 fL. Since the reference range for the MCV is 80-100 fL, this anemia would be classified as microcytic. The MCH ((Hgb/RBC) x 10) = 19.3 pg. Since the reference range for the MCH is 27-33 pg, this would be considered hypochromic. Finally, the MCHC ((Hgb/Hct) X 100) = 27%. Since the normal range for the MCHC is 33%-36%, this would indicate hypochromia which correlates with the MCH findings. The correct answer is therefore microcytic, hypochromic anemia.

A patient is admitted to the emergency room with lethargy and pallor. The CBC results are as follows:

RBC = 4.1 x 1012/L

Hemoglobin = 7.9 g/cL

Hematocrit = 29%

How would you classify this anemia?

A.

microcytic, hypochromic

B.

normocytic, normochromic

C.

macrocytic, normochromic

D.

microcytic, hyperchromic

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