Miss Washington is a 71 y/o female who presents with a leg ulcer that appeared after a fall 1 week ago. The patient is coughing and wheezing. She tells you that “I’m feeling terrible.” Vital signs appear stable with no fever.

What is thrombophlebitis? What complication, possibly life-threatening, could develop?

Is the patient anemic at this time and, if so, is the anemia normocytic, microcytic, or macrocytic? What is the most significant abnormality that this patient’s CBC has revealed?

This 58-year-old nuclear power plant worker saw his family physician because of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed that the man had pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis (UA). A follow-up appointment is scheduled for the following week. Laboratory Data The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled coin) appearance of the RBCs. The UA was normal. The patient was called and requested to return to the laboratory for additional tests. The physician ordered an ESR, kidney screening profile, liver blood profile, and radiographic skeletal survey, with the following results: ESR—50 mm/hr Kidney profile—normal Liver profile—normal, except for increased globular protein Skeletal survey—bone lesions in various sites What follow-up laboratory tests…