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A 40-Year-Old Patient Was Admitted to the Hospital with Acute

Question 20

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A 40-year-old patient was admitted to the hospital with acute cholecystitis and a palpable spleen. A CBC was performed: Hemoglobin, 13.0 g/dL; MCV, 80 fL; Hct, 38%; MCH, 28 pg; Retic, 7%; MCHC, 36%; RPI, 3.9; Coombs' test negative; spherocytes, 2+; anisocytosis, 2+; poikilocytosis, 2+. Which of the following disorders is consistent with the laboratory profile?


A) Autoimmune hemolytic anemia
B) Thalassemia
C) Hereditary elliptocytosis (HE)
D) Hereditary spherocytosis (HS)
E) Hereditary pyropoikilocytosis (HPP)

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