]> 2026-07-31T12:14:23+00:00 WBR0950 0 en Teardrop RBC's with circulating nucleated RBC Macrocytic RBC's with multifragmented neutrophils Microcytic and hypochromic RBC’s with Heinz inclusion bodies Spherocytes , microspherocytes, and elliptocytes ''' Correct ''' : Spherocytes , microspherocytes, and elliptocytes are seen in autoimmune hemolytic conditions which is associated with Wilson’s disease. RBC’s with blister or bite cells Primary Care Office A 25 year old male, comes to the office with complaints of severe fatigue and lethargy for the past 1 year. On further review of history, he says he has intermittent mild abdominal pain over the past few months. Of late he is having difficulty in writing his thesis and really worried about not finishing his project on time. He says he does not talk with friends anymore and spends most of his time at home. His past history is otherwise insignificant and his family history is unremarkable. He does not smoke and drink. His vitals are temperature: 36.7 C, blood pressure: 130/70 mmHg, pulse: 72/min and respirations: 16/min. Abdominal examination reveals mild abdominal pain on the right upper quadrant and mild hepatomegaly. Cardiovascular and respiratory system examinations are normal. Neurological examinations shows mild rigidity in the upper limbs. His eyes shows a brownish discoloration of iris and skin are normal. You admit the patient and send blood sample for CBC, peripheral smear, LFT’s and electrolytes. What is the most likely peripheral smear picture you see in this patient? D Hepatology Hematology 2020-10-28T02:09:50Z 2459150.590162 WBR0950