[Expert Solution]: Hematology Virtual Lab Case Study Mrs

Hematology Virtual Lab Case Study Mrs. Smith, a 65-year-old retired school teacher, presents to the clinic with complaints of increasing fatigue and weakness over the past few months. She reports feeling increasingly tired, especially after minimal exertion. She also notes shortness of breath on exertion and occasional dizziness. Additionally, she has experienced tingling and numbness in her hands and feet. She denies any recent illness or infections. Past Medical History: • Hypertension that is well controlled with medication. • Gastric bypass surgery performed 10 years prior for severe obesity. • Osteoporosis, treated with calcium and vitamin D supplementation. Social History: • Mrs. Smith is a non-smoker and she does not consume alcohol. She lives with her husband and maintains a healthy, balanced diet. She is not on any specific dietary restrictions post-gastric bypass surgery. • Physical Examination: • General: Fatigued appearance, pallor • Vital Signs: Blood pressure 130/80 mmHg, heart rate 88 bpm, respiratory rate 18/min, temperature 98.6 F. • Cardiovascular: Regular rate and rhythm, no murmurs • Respiratory: Clear to auscultation bilaterally • Abdomen: No organomegaly, surgical scars noted from previous gastric bypass surgery • Neurological: Decreased vibratory sensation in bilateral lower extremities, otherwise unremarkable. Lab Results: CBC • WBC 6.8 x 10^9/L • RBC 2.89 x 10^12/L • HGB 8.2 g/dL • HCT 24.6% • MCV 120 fL • MCH 31.9 pg • MCHC 28 g/dL • RDW 19.08% • PLT 220 x 10^9/L RBC MORPH: 1. What are the abnormal CBC and RBC Morphology results? 2. Explain the pathophysiology of this problem. 3. What is the diagnosis? 4. What is the likely cause of the diagnosis? 5. How is this treated?