Hematopathology, Set 3

For each of the following patient histories, match the most closely associated lettered hematologic condition that produces anemia:

1. A 54-year-old woman presents with the sudden onset of headaches with photophobia worsening for the past two days. She has a temperature of 37 degrees Celsius. A complete blood count shows a hemoglobin of 11.2 g/dL, hematocrit 33.7%, MCV 94 fL, platelet count 32,000/microliter, and WBC count 9900/microliter. The peripheral blood smear demonstrates many schistocytes. Her serum urea nitrogen is 38 mg/dL with creatinine 3.9 mg/dL:

2. A 45-year-old woman has a long history of rheumatoid arthritis. She has a complete blood count that reveals the following: hemoglobin 11.6 g/dL, hematocrit 34.8%, MCV 87 fL, platelet count 268,000/microliter, and WBC count 6800/microliter. The serum haptoglobin is not decreased. The serum iron is 20 micrograms/dL; total iron binding capacity 195 micrograms/dL, and % saturation 10.2. The serum ferritin is 317 nanogram/mL. Her D-dimer is negative. The reticulocyte count is 1.1%:

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