Ashley, a 25-year-old Caucasian female, comes in for her annual well-exam appointment. During the health history, she reports increased fatigue lately, making it difficult to participate i

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Ashley, a 25-year-old Caucasian female, comes in for her annual well-exam appointment. During the health history, she reports increased fatigue lately, making it difficult to participate in her usual activities. You collect a CBC and ESR as part of the screening panel for her annual exam. Her results are as follows:
CBC: WBC – 5.0
RBC – 3.3
Hemoglobin – 10.1 g/dL
Hematocrit – 32. 4 g/dL
Platelet count – 300
MCV – 78 fl
MCHC – 30 mg/dL
RDW – 18%
ESR: 16mm/hr
Questions to discuss:
What is your primary differential diagnosis for Ashley?
Are further diagnostic studies needed to confirm your diagnosis? If so, what are they and what are the confirmatory values?
What additional subjective (ROS) and objective (physical exam) findings would be found supporting your diagnosis? Document as you would in the chart. Do not include questions.

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