231k views
3 votes
A 20-year-old woman presents to the emergency department with a complaint of acute onset generalized severe pain after playing a soccer match. A complete blood count demonstrates a hematocrit of 20 percent with reticulocytosis. Which of the following are you likely to find on peripheral blood smear

User Poulad
by
7.8k points

1 Answer

3 votes

You are likely to find on peripheral blood smear Burr cells. (Option B).

What are you likely to find on peripheral blood smear?

Given the clinical presentation of acute onset generalized severe pain after physical activity, along with a hematocrit of 20 percent and reticulocytosis, the likely diagnosis is exercise induced hemolysis.

In this case, you are likely to find Burr cells on the peripheral blood smear. Burr cells, also known as echinocytes, are spiky or crenated red blood cells that may result from changes in cell membrane composition due to hemolysis.

Thus, the correct answer is Burr cells.

The complete question is below:

A 20-year-old woman presents to the emergency department with a complaint of acute onset generalized severe pain after playing a soccer match. A complete blood count demonstrates a hematocrit of 20 percent with reticulocytosis. Which of the following are you likely to find on peripheral blood smear?

A Basophilic stippling

B. Burr cells

C. Heinz bodies

D. Howell-Jolly bodies

User Stefan Sveidqvist
by
8.6k points