CASE STUDY 3 When a 50-year-old woman was referred to a hematologist for recurring pancytopenia, her WBC was 2.5 x 109/L; RBC, 2.1 x 1012/L; Hgb, 9.0 g/dL; Hct, 30%; platelet count, 40 x 10°/L: MCV,70 TL; MCH, 26 pg; and MCHC, 30.5%. In addition to pancytopenia, she had been experiencing shortness of breath and fatigue for the past 3 weeks, and lately these symptoms had gotten worse. Her family history was unremarkable, but she explained that she has had excessive menstrual bleeding for the past 4 months. A CBC, differential, and a bone marrow examination were ordered. What type of anemia does this patient have? What additional test could you perform? What is the likely cause for this patient’s pancytopenia?
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