A 20-year-old male is seen by his physician following a week…

A 20-year-old male is seen by his physician following a weekend backpacking trip to the mountains.  His CBC reveals a peripheral blood morphology including hypochromia, anisocytosis, and poikilocytosis.  Cellulose acetate hemoglobin electrophoresis yields Hgb A = 47%, Hgb S = 50%, Hgb A2 = 3%.  These results are consistent with which of the following:

The following results are obtained on sample run during a ro…

The following results are obtained on sample run during a routine doctor’s visit. WBC 152.0 NEU% 9.21 LYM% 85.6 MONO% 1.21 EOS% .008 BASO% 3.96 RBC 2.20 HGB 7.18 HCG 20.5 MCV 93.4 MCH 32.6 MCHC 34.9 RDW 15.3 PLT 212 MPV 10.4                                          Suspect Population Flags: Variant Lymphocytes, Fragile WBC What is the most likely diagnosis?