Question

2. Jack is an African American college student and a midfielder on the college soccer team. During a match played in Fort Collins Co, he developed acute severe left upper abdominal pain and was transported to the ER. The pain eventually resolved following oxygen therapy. He had a CBC and chemistries drawn as part of a checkup a week later when he returned home.

CBC results:

RBC 4.2 x 103/uL

Hgb 13.6 g/dL

Hct 44.7%

MCV 105 fL

MCHC 32.1

RDW 16.3

Retic 3.7%

WBC 7.3 x 103/uL

Diff: Gran 51%, Lymph 38%, Mono 11%

Platelets 275.0 x 103/uL

1. What facts given in the patient’s clinical history are important in establishing the diagnosis? (1 point)

2. What do you suspect is the cause of his symptoms (1 point)

3. What screening test could quickly confirm your suspicion (1 point)

4. The physician noted that the LDH test result was elevated, explain why (1 point)

5. What CBC result(s) is abnormal and what might cause that (1 point)

6. In the Hgb Electrophoresis result below, what lane is Jack’s sample? (1 point)

Origin A2

Answer 1

The splenic enlargement causes upper left quadrant pain that common in athletes when there is trauma or injury and with sickle cell anemia trait. sickle cell anemia common in African American people. that time o2 supply to spleen will be diminished that causes tissue death. the patient feels relief after o2 therapy.
Caused include blunt injury or trauma that is common for athletes and hematological disease or sickle cell disease.
CT scanning with IV contrast finds out splenic infarction.
High lactate dehydrogenase(LDH) found in splenic infarction. it shows acute or chronic cell damage. the additional diagnostic test help to make the correct diagnosis.