Lin, a 5-year-11-month-boy, had a fever 20 days ago with no obvious trigger and reachedthe highest oral temperature of 40°C. He visited 2 pediatric hospitals and the results are asfollows.1st hospitalBlood routine test: WBC: 8.7 X10°/L, N: 21%, RBC: 3.36X10°/L, BPC: 75X 10/L, Hb: 109g/L;peripheral blood smear shows: atypical cells 29%.Suspected "infectious mononucleosis" and EBV infection, thus intravenous ganciclovir wasgiven.2nd hospitalNo anaemic face, temperature 37.5°C. No superficial lymph nodes were obviously enlarged.Skin rash (-). The liver and spleen was palpable 1.0cm below rib with a soft texture, tenderness(-) and rebounds tenderness (-). All joints had no swollen and tenderness.Blood routine test: WBC: 7.2 X 10°/L, RBC: 3.1 X 10°/L, BPC: 64 X 10°/L, Hb: 90g/L, atypicalcells 7%. Peripheral blood smear test: blast=18%, L=48%, N=31%.1. Are liver and spleen palpable in child if there is no hepatosplenomegaly?2. Why did the 1t hospital doesn't do the liver, spleen and other tests for the patient?3. Why different results shown in 2 different hospitals? And also the temperature difference?

1. No, if there is no hepatosplenomegaly, then the liver and spleen can't be palpated. 2.The first…

Answered: Lin, a 5-year-11-month-boy, had a fever…

Basic Clinical Laboratory Techniques 6E

6th Edition

ISBN:9781133893943

Author:ESTRIDGE

Publisher:ESTRIDGE

Chapter2: Basic Hematology

Section2.9: White Blood Cell Differential Count

Problem 2.1CS

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55-year-old white male college professor had been experiencing fatigue and shortness of breath when walking over the past several months. Getting more sleep at night did not help. He reported eating a balanced diet of fruits, vegetables, meat, and dairy products. Physical examination, he appeared slightly pale but had no other abnormalities. His laboratory results was a following: Hemoglobin 12.5 g/dL Hematocrit 32% RBC 4.2 X 1012/L WBC count within normal limits MCV 42 fL MCH 29.7 pg Urinalysis is normal Fecal occult blood found to be positive What is the most likely cause of this patient’s anemia? 2- What type of red cell morphology would be expected on a peripheral blood smear? What follow-up tests should be conducted? What do you expected the treatment for this patient would be? 5- What would you expected about the reticulocyte count to be…
A 30-year-old woman arrives at the outpatient department complaining of nausea and vomiting. The patient seems to have jaundice as well. Blood and urine tests are ordered in the laboratory. The following are the results collected from the testing: • Complete Blood Count o Hemoglobin:Normal o WBCcount:Normal • Serum Bilirubin o Total:7.0mg/dL o Conjugated:6.0mg/dL • Serum Enzymes o AlanineTransaminase(ALT):330U/L o AlkalinePhosphatase(ALP):195U/L • Urinalysis o Appearance:Darkbrown o Bilirubin:Positive o Urobilinogen:Decreased ANSWER THE FOLLOWING: 1. Interpret and correlate the patient’s laboratory results. 2. Discuss the possible causes of jaundice in this patient. 3. What part of the bilirubin pathway is severely affected? Explain. 4. What other serum enzyme/s can be used to assess the patient’s condition? Explain.
A 55-year-old white male college professor had been experiencing fatigue and shortness of breath when walking over the past several months. Getting more sleep at night did not help. He reported eating a balanced diet of fruits, vegetables, meat, and dairy products. Physical examination, he appeared slightly pale but had no other abnormalities. His laboratory results was a following: Hemoglobin Hematocrit 12.5 g/dL 32% RBC 4.2 X 1012/L WBC count within normal limits MCV 42 fL 29.7 pg МСН Urinalysis is normal Fecal occult blood found to be positive 1- What is the most likely cause of this patient's anemia? 2- What type of red cell morphology would be expected on a peripheral blood smear? 3- What follow-up tests should be conducted? 4- What do you expected the treatment for this patient would be? 5- What would you expected about the reticulocyte count to be for this patient? (Increase/ decrease/ normal)? Why?
A male patients who is 83-year-old , was admitted to a local hospital with recurrent urinary tract bleeding and an infection associated with prostatitis ( inflammation of the prostate) . He had a CBC upon admission. The results were: RBC: 4.15 X1012/ L Hb: 81 g/L Hct: 26% Platelets: 174 X109/L WBC: 2.8 X109/L Reticulocyte count: 2.6% Serum iron: 18 μg/dL TIBC: 425 μg/dL a. How would you describe his anemia morphologically? b Calculate % saturation. ( normal to be more than 15%) c. Is this value normal, decreased,o r increased?
With the results below, do you think the patient requires a transfusion? Using current guidlines to support your answer , explain your reason. Investigation Result (normal range - female) Haematology Red cell count (x 1012/L) 4.0 (3.8 – 5.8) Haemoglobin (g/L) 123 (115 – 165) White cell count (x 109/L) 8.1 (3.6 – 11.0) neutrophils 2.9 (1.8 – 7.5) lymphocytes 4.5 (1.0 – 4.0) monocytes 0.62 (0.2 – 0.8) eosinophils 0.10 (0.1 – 0.4) basophils 0.02 (0.02 – 0.1) Platelets (x 109/L) 138 (140 – 400) Prothrombin Time (s) 20 (10 – 14) Activated Partial Thromboplastin Time (s) 45 (22 – 36) Biochemistry Serum Bilirubin (µmol/L) 50 (≤21) Serum ALP (IU/L) 300 (30 – 130) Serum AST (IU/L) 527 (≤32) Serum ALT (IU/L) 650 (10 – 35) Serum albumin (g/L) 37 (35 – 50) Urine: Microscopy Faeces: Microscopy WBC <5 per ml No Cryptosporidium seen RBC <5…
SHOU WORICINETS ) A client has been ordrred Ancef 1qiv q12h. The medicalting is diluted In 50ML of DSW and is to be Infused over 20 minutes. 9) The is planning nurse to use an elechrunic Infusin pump to administer this medicatium.what Infusion rate would She program Into the pump ? b) The nurse is not able to obtain an electronic Infusion pump E must manually Infuse the medication. The drup factor of the tubing She chooses is lo gH ImL. the Infusivm rate In qtt! Calculate
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Ben is seen by local physician for routine preoperative exam prior to dental surgery. His physical exam revealed enlarged spleen. He is found a large left upper quadrant mass (in the abdominal region by ultrasound). CBC Patient Value Normal Range RBCs 2.5 million/uL 3.5-5.5 million/uL · Hb 14.7 g/dL 13 - 18 g/dL · HCT 44 % 45% to 52% PLTs 260 K/uL 150-400 K/uL WBCs 9.3 K/uL 4.5-11 K/uL · N 42 % 40-69% · L 46 % 20-40% · M 10 % 2-8% · E 1.4 % 1-4% · B 0.6 % .5 - 1% What is the diagnosis for this patient?
An 80-year-old man is seen for an annual physical examination. He complains of shortness of breath on exertion and is often tired. His stool is black. Laboratory data are: Hb 8.2 g/dL Hct 30% WBC count: 4.2 x 10°/ WBC differential Neutrophils: 60% Lymphocytes: 31% Monocytes: 7% Eosinophils: 2% Basophils: 0% RBC count: 40 x 102/ RDW: 20% Platelet count: 400 x 10°/ Reticulocyte count: 1.2% Stool occult blood: Positive What is the most probable type of anemia seen in this patient? What is the cause of the anemia seen in this patient?
A nine-year old boy with HbSS disease presents with pain in his right leg. The complete blood count shows: Hb 7.5 g/dl; WBC 25x10 /L; PLT 300x10 /L. The MOST appropriate investigation to aid with his diagnosis is: a. PT / PTTb. Reticulocyte countc. ESRd. ASOT
A 25 year old male became a chronic alcoholic after dropping out of university. His mother reported that he had been very cranky lately. She attributed this condition to his frustrations with school. He was referred to the hospital laboratory from his community clinic because he was lethargic and pale. A CBC was ordered. Laboratory Data The following determinations were obtained: Hemoglobin 6.5 g/L Hematocrit 22% Total RBC count 3.0 x 1012/L Total WBC count 8.0 x 10/L Normal Vitamin B12 and Folate Elevated Ferritin The peripheral blood smear revealed dense, dark-staining particles in some of the RBCS. Questions 1. What are the erythrocyte indices in this patient? 2. How can this anemia be classified? 3. What are the dark-staining granules in the erythrocytes? What is their origin?
2:11 Lab 6_BLOOD_assignment_Uni... •.. 2 of 2 Lab 6: BLOOD (supplement page) Identify 1 example of each formed element (including the platelet) in this figure. https://www.istockphoto.com/photo/human-blood-cell-under-microscope-1000x-gm472212721-36663142

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