The following results were produced by your haematology analyser for an 85 year old man. Total WBC 14.0 x 10^9/l
Neutrophils 81 %
Lymphocytes 16%
Monocytes 2%
Eosinophils 12 %
Basophils 0%
Red cell count 4.82 x 10^12/l
HB 7.5 g/dl
HCT 22.2

MCV 68
MCH 22
MCHC 27
RDW –CV 14
PLATELETS 397
P-LCR 24
MPV 10

Comment on the probable cause (s) of the low haemoglobin using all the parameters provided

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.