Required section · Section 1 of 6
Opening laboratory problem
An adult EDTA whole-blood specimen has a microcytic, hypochromic CBC pattern. The compact result table records the measured CBC evidence before any pattern assignment.
The peripheral smear shows marked microcytosis, hypochromia, target cells, and mild anisopoikilocytosis; no nucleated red blood cells are seen. These findings support a microcytic process but do not establish a specific disorder. Basophilic stippling, if present, is also nonspecific and requires smear and exposure correlation.
Microcytosis and hypochromia with a relatively preserved or increased RBC count support a thalassemia carrier pattern, but iron deficiency remains a competing explanation until iron status is assessed. A fractionation pattern is not a genotype: assemble CBC, smear, iron, age, and fractionation evidence before releasing an interpretation.
| Test | Result | Local illustrative interval | Observed pattern |
|---|---|---|---|
| Hemoglobin | 11.2 g/dL | 12.0-16.0 g/dL | Low |
| RBC count | 5.62 × 10^12/L | 3.80-5.20 × 10^12/L | Relatively increased |
| MCV | 63.0 fL | 80-100 fL | Microcytosis |
| MCH | 19.9 pg | 27-33 pg | Hypochromia |
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