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Mr. Hernandez is a 59-year-old Hispanic man who presents for an annual physical exam. He has no complaints or concerns at the visit.  

He has a past medical history of hypertension. He takes lisinopril 10 mg orally every day. He is allergic to penicillin (cause hives). Social history: truck driver, divorce. Quit smoking 5 years ago after smoking one pack per day for 20 years, drinks three to four beers a week.  

Vital signs: temperature 98.6°F; pulse 74 beats per minute; respirations 18 per minute; blood pressure 124/76 mmHg; body mass index 31.  
Health maintenance: refuses the influenza shot; has never had a colonoscopy.  
Family history: he is adopted. 
His physical exam is unremarkable. Mr. Hernandez’s complete metabolic profile was within normal limits and his complete blood count with differential revealed the 
following results: 

Image transcription text

CBC Result Normal range WBC 120 x10/ml 4.8-108 x10 mL Hgb 8.0 B/dL 12.0-15.6 2/dL Hel 35 46% RBC 5.0 x
109mL 4.5-5.9 x10MmL MCV 90 x pl/red cell 80-96.1 x uil/red cell MCH 32 pp/red cell 27.5-33 2 pp/red cell MCHC
31 EL 33.4-35.5 #1 Platelets 45,000/mL 150 400 000/L. Blasts 85% 095 CBC – complein blood count: … Show more

Provide responses to the three (3) items below based on this scenario. 

Describe the type of anemia present (e.g., microcytic, macrocytic, normocytic) and list the results that support your decision.
Describe additional diagnostic tests to be ordered and explain why they will be ordered.
Describe the top two most likely diagnoses and explain why you made these choices.

 

SCIENCE
HEALTH SCIENCE
NURSING
BIOL 101

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