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ASPHO Feb 2013 Case Quiz- Guy Young

Page 1 Questions

The Patient with the “Mild” Life-Threatening Disease


Guy Young, MD
A 16-year-old African American patient presents with a chief complaint of bloody urine. The patient was in his usual state of health until the evening prior to admission when after Kung Fu practice, he noted that his urine was red. This had never occurred before. There was no back or groin pain and no dysuria. The patient denied any trauma in spite of his Kung Fu practice. He also had a recent upper respiratory infection, which was managed conservatively with no over-the-counter medications.

His admission labs demonstrated the following:
WBC: 3.6
Hgb: 10.6
Plt: 17,000
1. What finding would you expect to see on his peripheral blood smear?