Wednesday, 23 July 2014

Low MCV & MCH with NORMAL Iron studies

Q: Young female with low MCV and MCH but normal Fe and TIBC, most likely test to make Diagnosis? 

A. bone marrow aspiration
B. Hb A2
C. Retic count


Answer: B


Explanation: Microcytic Anemia With NORMAL Iron studies (Serum Iron, TIBC, Ferritin etc) = Thalassemia.

Hb electropheresis is the Next best Investigation.