Case Presentation: A 37-year-old female with no medical history presented for lab abnormalities. Initial blood work revealed a hemoglobin of 5.1 g/dL with a MCV and MCH unable to be calculated. Her white blood cell and platelet counts were normal. She denied melena, hematochezia, or other episodes of bleeding other than menorrhagia requiring up to [...]

Case Presentation: A 50-year-old man with chronic alcohol use (10 beers per week) presented with three months of malaise, lower extremity edema, and 20-pound weight loss. Physical exam revealed jaundice, macroglossia, 2/6 apical systolic murmur, lung crackles, abdominal distension, and bilateral lower extremity pitting edema. Initial labs were notable for hemoglobin of 2.3 g/dL, MCV [...]