A 10-month-old boy of Arabic extraction is brought to the physician by his parents who complain that their child is failing to thrive. Physical examination reveals splenomegaly and jaundice. A CBC shows a microcytic, hypochromic anemia (hemoglobin = 7.4 g/dL). Fetal hemoglobin accounts for most of the hemoglobin. A peripheral blood smear is shown in the image. Which of the following is the appropriate diagnosis?\            1.G6PD deficiency          2 Iron deficiency anemia          3. B-Thalassemia         4. Hereditary elliptocytosis         5. Hereditary spherocytosis

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A 10-month-old boy of Arabic extraction is brought to the physician by his parents who complain that their child is failing to thrive. Physical examination reveals splenomegaly and jaundice. A CBC shows a microcytic, hypochromic anemia (hemoglobin = 7.4 g/dL). Fetal hemoglobin accounts for most of the hemoglobin. A peripheral blood smear is shown in the image. Which of the following is the appropriate diagnosis?\

 

         1.G6PD deficiency

         2 Iron deficiency anemia

         3. B-Thalassemia

        4. Hereditary elliptocytosis

        5. Hereditary spherocytosis

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