Posted by peter from IP 71.14.78.29 on January 31, 2006 at 17:51:41:
347- A 70 y/o px has become progressively ill over the past year. He complains of fatigue and shortness of breath. He has a hx of endocarditis and received an artificial heart valve 5 yrs ago. On P/E, he appears jaundiced and his sclera is icteric.LDH= 390 IU/L, Hgb=18gm/dl, total bilirubin=7 mg/dl with an unconjugated bilirubin of 6.4 mg/dl. On a peripheral blood smear of cells which of the followings would be expected?
a. microspherocytes
b. sickle cells
c. shistocytes
d. heinz bodies
e. agglutinated cells