CASE #1 A 50 year old female phoned her physician and complained of fatigue, shortness of breath on exertion, and general malaise. She requested B12 shots to make her feel better. The physician asked...

Extracted text: CASE #1 A 50 year old female phoned her physician and complained of fatigue, shortness of breath on exertion, and general malaise. She requested B12 shots to make her feel better. The physician asked her to schedule an appointment so that se could determine the cause of the symptoms before offering treatment. A point of care hemoglobin determination performed in the office was 9.0 g/dl. The physician then requested additional laboratory tests, including a CBC with a peripheral blood film examination and a reticulocytes count. Why did the physician want the patient to come to clinic before prescribed therapy?? • How do the MCV and reticulocytes count help determining the diagnosis and treatment Why the examination of the peripheral blood is important in the investigation of the anemia?? Lectures of Dr. Mohanad Nada/ Medical Hematology