This Case Wears Me Out: An Athlete With An Unusual Cause Of Exercise Intolerance

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This Case Wears Me Out: An Athlete With An Unusual Cause Of Exercise Intolerance - Page #3

Lab Studies: WBC: 4.9 <br>Hgb: 6.7 <br>Hct: 19.4 <br>Platelets: 11,000 <br>MCV: 104 <br>DIFF: neutrophils 80%, lymphocytes 7%, otherwise normal <br>RBC morphology: slight teardrop cells, polychromasia, schistocytes <br>CMP normal except total bilirubin: 4.1 <br>Reticulocyte count: 17.0% <br>Absolute reticulocyte count: 320 <br>D-dimer: 0.23 <br>CK: 94 <br>LDH: 495 <br>ESR: 37 <br>ANA, anti-DNA Ab, viral hepatitis panel, HIV, Monospot all negative <br>Direct Coombs test: positive Other Studies: CT chest/abdomen/pelvis showed mild splenomegaly, no lytic or sclerotic bone lesions; no enlarged lymph nodes were seen. <br>Bone marrow biopsy demonstrated mixed marrow elements with no evidence of increased blasts or abnormal lymphoid populations. Consultations: Hematology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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