31 Mary is a 70 kg standard female who presents to the physician s office with severe lethargy The patient has severe gastritis

Question

31 Mary is a 70 kg standard female who presents to the physician s office with severe lethargy The patient has severe gastritis The patient work up suggests a differential diagnosis One of the possibilities is anemia Extensive lab work is done and here are the results hematocrit 27 hemoglobin 7 gm dIRBC 3 million mm3WBC 9 000 mm3Reticulocyte count HighMCHC NormalMCV NormalMCH NormalPeripheral smear the RBC is 9 micromillimeters in width The cells are normal color A Does the patient have anemia If yes is it increased destruction or decreased production B What does the severe gastritis suggest C What do you think the patient s condition is due to

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