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Review Question - QID 108831

Pathologic RBC Forms Overview Type Example Associated Pathology Acanthocyte (spur cell)   Liver disease, abeta lipoproteinemia   Basophilic stippling   Lead poisoning Bite cell   G6PD deficiency Elliptocyte   Hereditary elliptocytosis QID: 108831 (M1.HE.17.4753)
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QID 108831 (Type "108831" in App Search)
A 3-month-old male is brought to his pediatrician by his mother for failure to thrive. His mother reports a history of pale, frothy, foul smelling stools since he was born. His temperature is 98.6°F (37°C), blood pressure is 105/70 mmHg, pulse is 80/min, and respirations are 18/min. He is in the 20th percentile for both height and weight. On examination, the child’s abdomen is protruding. A complete blood count is obtained and shows the following: hemoglobin 11.0 g/dL, hematocrit 30%, white blood cell count 4,500 cells/mm3, and platelets 300,000/uL. A liver function panel is within normal limits. A lipid panel reveals absent chylomicrons, LDL, VLDL, and decreased triglycerides. A peripheral blood smear is shown in Figure A. Which of the following diagnoses is most likely in this patient?
  • A
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  • A