Abdominal Pain and Anemia in a Child

Allison King, MD, MPH and John DiPersio, MD, PhD

Washington University School of Medicine, St. Louis, MO

This case was reviewed and updated in June 2013 by Dr. Ted Wun and members of the Teaching Cases Subcommittee.

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.

III. LABORATORY DATA

 

Patient Value

Normal Value

WBC

15,000

4,000-12,000/μL

HGB

6.3

11.5-13.5 g/dL

HCT

18

34%-40%

PLT

560,000

140,000-440,000/μL

MCV

89.0

75-87 fl

Retic %

14%

0.5%-1.5%

Retic Absolute

220,000/μL

20,000-80,000/μL


The differential showed 80% neutrophils, 15% lymphocytes, and 5% monocytes.


What other labs would you request?

Peripheral blood smear
Hemoglobin electrophoresis
Amylase and lipase
Blood cultures
Blood type and screen for antibodies
Haptoglobin
LDH
Renal and liver function laboratory studies
Dipstick urinalysis

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