Case of a 49-Year-Old Patient

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The page below is a sample from the LabCE course Macrocytic Anemias. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Case of a 49-Year-Old Patient

A 49-year-old patient sees the physician for fatigue and lack of energy. The patient thinks that their skin has become slightly yellowish, and their fingers are often feeling numb or tingly.
The CBC is as follows:
ParameterResult
Hemoglobin 6.3 g/dL
Hematocrit 22%
WBC 4 x 109/L
MCV 128.6 fL
MCH 36 pg
MCHC 28 g/dL
Based on this case, please answer the following questions.