Image Based Question-65468

Question

A 24 year old man presented with history of generalized weakness and lethargy for last few years. He had history of pain and discomfort in right hypochondrium on and off. USG abdomen revealed two gall stones of 4mm and 6 mm size. His blood reports show Hemoglobin- 8 gm%, Total bilirubin- 4.2 , Direct bilirubin- 1.6, Indirect bilirubin- 3.6, . Osmotic fragility of RBC increased. The Peripheral blood film show following blood smear represented below.What is the most likely diagnosis?

A. Hereditary spherocytosis.

B. Elliptiocytosis.

C. G6PD deficiency.

D. None of the above.

 

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