Deb Smith, age 56, came to her nurse practitioner (NP) with fatigue, pallor, dyspnea on exertion, and palpitations.
Deb Smith, age 56, came to her nurse practitioner (NP) with fatigue, pallor, dyspnea on exertion, and palpitations. Her laboratory report indicates that her hematocrit, hemoglobin, and reticulocyte counts are low; that her MCV is high; and that her MCH…