WEEK 6: ANALYZING A CASE STUDY WBC 8.3 x 109/L Segmented Neutrophils 32% Band Neutrophils 0%...
WEEK 6: ANALYZING A CASE STUDY
|
WBC |
8.3 x 109/L |
|
Segmented Neutrophils |
32% |
|
Band Neutrophils |
0% |
|
Lymphocytes |
60% |
|
Monocytes |
6% |
|
Eosinophils |
2% |
|
Basophils |
0% |
|
RBC |
4.20 x 1012/L |
|
Hgb |
13.1 g/dL |
|
Hct |
40% |
|
RDW |
11.8% |
|
Plt |
226 x 109/L |
|
Morphology |
Unremarkable |
|
PT |
13.2 sec |
|
APTT |
33 sec |
|
Bleeding Time |
16 min |
|
Platelet Aggregation |
No response to ADP, collagen, thrombin, and epinephrine |
In your discussion post, answer the following questions regarding the results: Based upon the patient’s lab results, what diagnosis would be determined? What would the platelet aggregation response be to ristocetin?
Homework Answers
1. Based on the lab results, all the lab values are normal except for bleeding time. The normal bleeding time is 2-9 minutes.
This shows the patient have a bleeding disorder, most probably Von Willebrand disease. Von willebrand disease is caused by deficiency or defect of Von Willebrand factor. It causes excessive bleeding and increased bleeding tendency.
Ristocetin is an antibiotic used for the detection of von Willebrand disease and Bernard Soulier syndrome.
In normal blood when ristocetin is added it results in agglutination of fixed platelets. In case of VonWillbrand disease agglutination will either be hypoactive or hyperactive.
Add Answer to:
WEEK 6: ANALYZING A CASE STUDY
WBC
8.3 x 109/L
Segmented Neutrophils
32%
Band Neutrophils
0%...
A 58-year-old man is admitted to the hospital with jaundice and nosebleeds. CBC and WBC different...
A 58-year-old man is admitted to the hospital with jaundice and nosebleeds. CBC and WBC differential counts: WBC: 9.5 Band neutrophils: 15 RBC: 3.10 Segmented neutrophils: 50 Hgb: 10.4 Lymphocytes: 25 Hct: 32.0 Monocytes: 8 MCV: 103.1 Eosinophils: MCH: 33.5 Basophils: MCHC: 32.5 Metamyelocytes: 2 RDW: 12.9 Myelocytes: PLT: 119.9 Promyelocytes: PT: 16 sec aPTT: 53 sec Direct bilirubin: increased ALT: elevated AST: elevated ALP: elevated Interpret the coagulation screening test. Based on all the data provided, what condition is...
Jean L., a 30-year-old white woman, was seen in the office of a rheumatologist. She was...
Jean L., a 30-year-old white woman, was seen in the office of a rheumatologist. She was diagnosed in childhood with rheumatoid arthritis. Even at the relatively young age of 30 years old, the joints of her hands were noticeably enlarged and deformed and her gait was affected by knee and hip pain. Among her admission laboratory results are those shown in Table 3-4. Table 3-4 Jean L. Adult Female Reference Range Reference Range for Absolute Values (x 109IL) WBC RBC Hb Hct MCV...
Ellen P., a 35-year old white woman, had a history of systemic lupus erythematosus, diagnosed when...
Ellen P., a 35-year old white woman, had a history of systemic lupus erythematosus, diagnosed when she was in her early twenties. Her disease was generally under good control with steroid treatments. However, she was admitted to the hospital due to a recent onset of jaundice. Her liver was enlarged and tender. Among her admission laboratory results are those shown. Ellen P. Adult Female Reference Range Reference Range for Absolute Values (x 109IL) WBC RBC Hb Hct MCV MCH MCHC Platelets RDW 13.5...
Case Study: The parents took John, the 4 year old Greek patient to a pediatrician for...
Case Study: The parents took John, the 4 year old Greek patient to a pediatrician for a checkup. A CBC revealed the following results: CBCDIFFERENTIAL WBC =11.4 x 109/LSegs=55% RBC=1.7 x 1012/LBands=1% Hgb=8.3 g/dLLymph=36% Hct=24%Mono=7% Plt=172 x 109/LEos=1% MCV=69 fLModerate poikilocytosis, polychromasia, MCH=21 pgand many target cells; few teardrop cells observed MCHC=29% 1. Based upon the indices, classify the anemia morphologically. 2. Name 3 disorders that frequently present with the same morphology that dominates this smear. 3. List 2 additional...
Geoff J., a 54-year-old white man, was seen in the emergency department of a large metropolitan...
Geoff J., a 54-year-old white man, was seen in the emergency department of a large metropolitan hospital. The man was homeless and alcoholic. He was brought to the hospital by the director of a homeless shelter. The director was concerned about allowing the man to stay at the shelter because he appeared seriously ill and might be infectious to others. Geoff was experiencing fever, chills and a deep productive cough. See Table 3-8 Table 3-8 Geoff J. Adult Male Reference Range Reference...
Introductory scenario A 30-year-old Hispanic woman visits her primary care physician with complaints of fever, joint...
Introductory scenario A 30-year-old Hispanic woman visits her primary care physician with complaints of fever, joint pain, and a rash on her hands and face. The patient reports that the rash worsens after spending time in the sun. The patient also reports a decrease in energy and appetite. The physician suspects the patient has an autoimmune disease but needs to gather more data to diagnose a specific disease such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), or multiple sclerosis....
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever,...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness and a lack of stamina in activities he typically performs (work, sports). He recently noticed excessive bleeding from his gums after brushing his teeth. On physical examination, his physician noted lymphadenopathy and multiple petechiae on his torso, arms and legs. A CBC with differential and a coagulation panel were ordered. The results are as follows: CBC WBC (x 109/L) 25.0 RBC (x 1012/L) ...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness and...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness and a lack of stamina in activities he typically performs (e.g., work, sports). He recently noticed excessive bleeding from his gums after brushing his teeth. On physical examination, his physician noted lymphadenopathy and multiple petechiae on his torso, arms and legs. A CBC with differential and a coagulation panel were ordered. The results are as follows:CBC WBC (x 109/L) 25.0 RBC (x 1012/L) ...
Case Study : A 70-yr-old male, who had been getting progressively more tired and lethargic the past few months, sought m...
Case Study : A 70-yr-old male, who had been getting progressively more tired and lethargic the past few months, sought medical advice. The patient appeared thin with noticeable pallor of the nail beds and mucus membranes. A CBC revealed his hemoglobin to be 9.1 g/dL and his hematocrit was 30.0%. He was placed on iron supplementation and told to return for follow-up blood work in six weeks. Six weeks later his hematocrit had dropped to 25.7% (see CBC below). CBC...
Introductory scenario A 30-year-old Hispanic woman visits her primary care physician with complaints of fever, joint pain, and a rash on her hands and face. The patient reports that the rash worsens after spending time in the sun. The patient also reports a decrease in energy and appetite. The physician suspects the patient has an autoimmune disease but needs to gather more data to diagnose a specific disease such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), or multiple sclerosis....
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
Most questions answered within 3 hours.
-
The Question: Cryptography is behind the scenes
of much of the security of the internet. These...
asked 1 hour ago -
Important Information to answer the question:
Scale Solar Power Energy
The average price of a 4KW...
asked 2 hours ago -
Lowell Corp. sells $100,000 of bonds to private investors. The
bonds are due in five years,...
asked 4 hours ago -
3) Do you believe that Disney’s
acquisition-based growth strategy is sustainable?
4) Which competencies support this...
asked 4 hours ago -
Rank the following three stocks by their total risk level highest
to lowest night writer has...
asked 4 hours ago -
A local
electronic company primarily manufactures four highly technical
telecommunication products. Each product must be processed...
asked 6 hours ago -
•Describe the basic structure of collagen monomers •Explain how
amino acid composition of collagen contributes to...
asked 7 hours ago -
Compute the sample correlation coefficient
r for each of the following data sets.
(Use 3 decimal...
asked 8 hours ago -
5a. What are the advantages and disadvantages of Proxy ARP?
b. What is the TTL field...
asked 8 hours ago -
An ice cube (density = 900[kg/m3]) with a side length of
2.54[cm] is held by a...
asked 9 hours ago -
would you say that leaders in the international context are born
or made? That is, can...
asked 10 hours ago -
Instructions
Read the Digital Trends article "Solid state drives are speedier
than hard disk drives. Are...
asked 10 hours ago