Test Red cell count (x10¹²/L) Haemoglobin (Hb) (g/L) Haematocrit (PCV) (ratio) Mean cell volume (MCV) (fL) Mean cell Hb (MCH) (pg) Mean cell Hb concentration (MCHC) (g/L) Reticulocytes (%) Platelets (x10⁹/L) White cell count (x10⁹/L) Patient result 2.2 x 10¹2/L 52 g/L 0.19 54 fL 18 pg 240 g/L 4.6% 384 x 10⁹/L 18 x 10⁹/L Reference range 3.8 - 5.5 130 - 170 0.31 -0.43 76.0 - 100.0 25.0 35.0 310- 350 0.5 - 3.1 140 - 450 6.0 16.0
A 2-year-old boy of Greek descent is admitted to the hospital with a fractured arm, leg and hepatosplenomegaly. There is also the presence of a bacterial infection. The patients' haematology results are shown below.
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From the information provided, what is the most likely diagnosis for this patient?
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sickle cell trait
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sickle cell anaemia
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beta-thalassaemia trait
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alpha-thalassaemia major
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beta-thalassaemia major
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Step by step
Solved in 2 steps
Which of the following statements is most accurate for the 2-year-old patient with beta thalassemia major?
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treatment for this patient would comprise blood transfusions, erythropoietin, folate, vitamin C and an iron chelator
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treatment for this patient would comprise removal of the spleen, folate, vitamin C and a bone marrow transplant
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treatment for this patient would comprise removal of the spleen, blood transfusions, folate, vitamin C and an iron chelator
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treatment for this patient would comprise blood transfusions, folate, vitamin C and an iron chelator
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treatment for this patient would comprise blood transfusions, folate, vitamin D and a calcium chelator
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