ASCP ASCP-MLT Question Answer
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?