4 non-pregnant 33-year-old female subjects have the following identical blood data: (9 pts) MCV (fL) HgB (g/dL) RBC #x10 HCT% RDW% 85 13.1 4.00 38 11.8
Unique aspects for each subject are: Subject Serum folate (nmol/L) A 11-14 B 7-8 C 10-12
RBC folate (nmol/L) 420 340 380
Additional information:
Kidney disease
+Antibodies against IF
Smokes
Takes asthma medication
All 3 are about to start an experimental Folate deficient diet. Given the above information, answer and briefly discuss the following questions: Which participant would you expect to display abnormal RBC indices and/or display clinical Anemia first? Circle one:
A
B
C
Provide three reasons about that participant describing why you believe that person will display the clinical symptoms first.