Hugo brought his 2-year-old son to the doctor for a checkup. He had recently moved to upstate New York from a poor neighborhood in Los Angeles. Hugo commented that his son had been very cranky lately. He attributed this condition to teething

He had a habit of chewing on his favorite painted wooden toys, which were family heirlooms. The well-baby clinic referred Hugo's son to the hospital laboratory because he was lethargic and pale. A CBC was ordered.

TEST RESULT
RBC 3.0 x 1012/L
WBC 8.0 x 109/L
PLT 180 x 109/L
HGB 6.5 g/dL
HCT 22%
PB smear Many red cells exhibiting diffusely granular aggregates

What reflex laboratory tests would be helpful to identify the cause of this anemia?
a. Serum iron studies
b. Vitamin B12
c. Bone marrow aspirate
d. Cytogenetic studies


Correct Answer: A

Health Professions

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