A 26-Year-Old Day Laborer with a Long History of Anemia $\times$

question 2

Multiple Choice

A 26-year-old day laborer with a long history of anemia has a several months' history of dyspnea, fever, and pulmonary pain.Additionally, he complains of tightness in the chest and upper abdominal region.His hematology values are as follows: WBC 15.9 $\times$ 10⁹/L
RBC 2.9 $\times$ 10¹²/L
Hgb 9.5 g/dL
Hct 30%
MCV 103 fL
MCH 31 pg
MCHC 32%
NRBC 15/100 WBC
Platelets 275 $\times$ 10⁹/L
Reticulocytes 16.8%
The hemoglobin electrophoresis results are as follows:
Hgb A =3%
Hgb A₂ = 2%
Hgb S = 85%
Hgb F = 10%
The most likely diagnosis is:

• A)Sickle cell trait
• B)Sickle cell disease
• C)Beta thalassemia minor
• D)Sickle thalassemia

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Definitions:

Whig Party

A political party active in the mid-19th century United States that opposed the policies of the Democratic Party and advocated for a strong federal government.

Second Bank

A term likely referring to the Second Bank of the United States, a national bank that operated from 1816 to 1836, playing a pivotal role in early American financial policy.

National Government Debt

The total amount of money that a country's government has borrowed, through various means, and has yet to repay.

Federal Expenditures

The spending of government funds, allocated through the federal budget, on various national programs, services, and infrastructure.