What is the significance of the cell counts, indices, and peripheral blood smear images shown? What additional tests should be performed? How would the bone marrow respond? What information is most diagnostic? Presenting symptoms of a 4-year-old boy include fever and abdominal pain. Manual differential counts: WBC: 14.3 RBC: 3.20 Hgb: 9.0 Hct

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What is the significance of the cell counts, indices, and peripheral blood smear images shown?  What additional tests should be performed?  How would the bone marrow respond?  What information is most diagnostic?  Presenting symptoms of a 4-year-old boy include fever and abdominal pain. Manual differential counts: WBC: 14.3 RBC: 3.20 Hgb: 9.0 Hct: 27.1 MCV: 84.6 MCH:28.1 MCHC: 33.2 RDW: 16.9 PLT: 464.9

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