system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 33-year-old G2P2 woman presents with a history of fatigue and difficulty breathing upon exertion. She was not able to tolerate antenatal vitamin supplements due to nausea and constipation. Her vital signs include: temperature 37.0°C (98.6°F), blood pressure 112/64 mm Hg, and pulse 98/min. Physical examination reveals conjunctival pallor and spoon nails. Laboratory findings are significant for the following:
Hemoglobin 9.1 g/dL
Hematocrit 27.3%
Mean corpuscular volume (MCV) 73 μm3
Mean corpuscular hemoglobin (MCH) 21 pg/cell
Red cell distribution width (RDW) 17.5% (ref: 11.5–14.5%)
Serum ferritin 9 ng/mL
Which of the following would most likely be seen on a peripheral blood smear in this patient?
assistant
Anisopoikilocytosis