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Anemia case Group 16 Areej Faten Maha
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13-years old boy from Guyana, jaundice , recurent acute bone pain , stomach ,tense ,tired
CBC Hb = 6.5g/ml MCV = 82.3fl WBCs = 9.800/µL PLT = /µL
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Blood film : Poikilocytosis , anisocytosis , nucleated red cells , few spherocytes , Pappenhiemer bodies , howell jolly bodies , polychromaisa Hb electrophoresis HbA2= 3.2% HbF = 6.6% HbA = 0 HbS = 90.2%
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Sickle cell test ( screening test )
A Saline citrate ager with paraffin oil . Sodium metabisulfite method . Solubility test . Confimatory test Hb electrophoresis .
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