O Troubleshooting

What Influence Does the Patient's History Have on an Increased MCHC?

A patient had presented to the laboratory for 3 consecutive days with variability in his MCH and MCHC. At times his MCHC rose to 39%, prompting an investigation of this increased parameter. Cold agglutinins, lipemia, and spherocytes are each reasons why the MCHC might be elevated. Each of these was eliminated as a reason for the fluctuating MCHC. On day 4, the patient had another CBC, which again presented with an elevated MCHC.

RBC 2.71 X 1012/L

MCV 84.2 fL

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