NBME 16 Answers ↦
motherhen
Sad picture... I definitely thought this was B-thalessemia since the image looked like different size and shaped RBCs (anisopoikilocytosis). But if I squint my eyes real hard and turn sideways I guess I can also see those spheres
+1
2020-05-13T04:11:51Z
furqanka
beta thal, iron def and inadequate epo would have low reticulocyte count.
impaired oxidative enzyme aka g6pd deficiency affects mostly males and would have bite cells
+
2020-06-02T09:49:32Z
submitted by bingcentipede(219), 2020-04-28T16:33:12Z
This is hereditary spherocytosis. The image stinks, but the cells are not super pale in the middle and they're round. Her dad also had a splenectomy (HS is autosomal dominant), which is the definitive treatment for HS.
Pt is also normocytic (90.2 um^3), so a lot of the other answer choices can be eliminated based off this.
In the end, screw this picture because it's not clear and you can't zoom in.