Fever, Cough, Back Pain and Fatigue

Robert A. Kyle, MD, and Michael Tomasson, MD

Dr. Kyle: Mayo Clinic College of Medicine
Dr. Tomasson: Washington University School of Medicine, St. Louis, MO

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

This case was reviewed and updated in March 2011 by Dr. Shirley Parker Levine and members of the Teaching Cases Subcommittee.


You are given the results of her CBC as you finish the physical examination.

Test Patient Value Normal Value
Hemoglobin 8.4 g/dL 11.5-15.5 g/dL
Erythrocytes 2.6 x 106/mL 3.8-5.0 x 106/mL
Hematocrit 24.3% 34-40%
MCV 91 fL 80-100 fL
Leukocytes 12,800/mL 4,300-10,000/mL
Platelets 282,000/mL 140,000-440,000/mL
Retic % 0.8% 0.5% - 1.5%

Based on the lab values above, what type of anemia does she have?

Microcytic anemia
Macrocytic anemia
Normocytic, hypoproliferative anemia
Normocytic, hemolytic anemia

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