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15 18 21 Question 2 (10 points) Female, aged 46 years, gastrectomy for duodenal ulcer 18 months prior to admission. Presented with anemia, weight loss and complaining that her stools were frequent, yellowish, and bulky. Laboratory Tests Test Calcium Phosphate Albumin Alkaline phosphatase Fecal fat Hematology: Hemoglobin Smear Prothrombin time Result 2.02 0.71 40 450 70 120 macrocytic red cells 28 s Reference Interval (2.1-2.62 mmol/L) (0.8-1.45 mmol/L) (35-55 g/L) (30-450 U/L) (21g/3 days) 144-166 g/L iii) Doe this patient have anemia? Explain. 12 s i) Does this patient have malabsorption. Explain. ii) Explain the likely cause for the decreased calcium and phosphate.
6 D 12 15 18 21 Hemoglobin Smear Prothrombin time 120 macrocytic red cells 28 s iv) Explain the PT result. i) Does this patient have malabsorption. Explain. ii) Explain the likely cause for the decreased calcium and phosphate. iii) Doe this patient have anemia? Explain. v) What deficiency can explain the Smear? 144-166 g/L > 12 s