Unknown Case 4_4_23

Describe the CBC on day 1

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Leukocytosis, macrocytic anemia with anisocytosis and thrombocytopenia

What is the differential diagnosis based on day 1 CBC?

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Cirrhosis
B12 or folate deficiency
Primary bone marrow process (e.g., MDS)

Abbreviations: ETOH, alcohol; BM, bone marrow process; CAD, cold agglutinin disease; Na, sodium, WBC, white blood cell count; Retics, reticulocytes; CLD, chronic liver disease, MDS, myelodysplasia; AA, aplastic anemia; MM, multiple myeloma; MGUS, monoclonal gammopathy of unknown significant; IBMFS, inherited bone marrow failure syndromes; metabolism, hypoT, hypothyroidism; inborn errors of metabolism; other includes COPD, CKD, Down syndrome and splenectomy.

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