A 43-Year-Old Male Presents to Your Office with Several Months

A 43-year-old male presents to your office with several months history of progressive fatigue and occasional palpitations.  He had three episodes of acute respiratory infections over the last year; otherwise, his past medical history is insignificant.  He smokes two packs of cigarettes daily and consumes alcohol occasionally.  He is not taking any medications and denies drug abuse.  He has been sexually active with several partners recently.  The physical examination is insignificant.  His laboratory values are: His HIV test results are negative.  Which of the following is the best next step in the management of this patient?

A) ESR and serum C-reactive protein
B) Serum iron and TIBC
C) Reticulocyte count
D) Hemoglobin electrophoresis and Coombs' test
E) Bone marrow biopsy

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free