SOLVED1349

Patient Presentation: 50 year old white male with no relevant medical history presents to his PCP with fatigue, joint pain (especially in knees and hands), and skin discoloration (mostly on face and upper body). No recent weight loss, fever, or travel. Patient noted that there is a family history of anemia, but doesn’t know the specific type. There is also a family history of unspecified heart and liver disease, with no significant alcohol abuse. Laboratory Results: CBC WBC: 7,500/µL RBC: 5.2 million/µL HgB: 16.8 g/dL Hct: 50.4% MCV: 88 fL MCHC: 33.3% MCH: 32.3 pg RDW: 13.5% Platelets: 175,000/µL Serum Iron: 250 µg/dL Transferrin Saturation: 85% Ferritin: 800 ng/mL ALT: 55 U/L AST: 62 U/L Peripheral Blood Smear findings: RBCs are normocytic and normochromic, and there are no noticeable abnormalities in WBCs morphology or distribution. Questions: 1. Based on the clinical presentation and lab findings, what diagnosis is most likely? 2. What confirmatory tests should be ordered? 3. What treatment options are available?
SCIENCE
HEALTH SCIENCE
NURSING

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