Question

ek Four Lecture Assignment: Case Studies Week Four-Case Studies: Review the information given in the following case studies and answer all questions to the best of your ability. Remember that case studies are intended to spur critical thinking. You will need to take the information you were introduced into the MLT program and combine that with advanced theory in order to answer the questions below. Please note that grammar and punctuation will be evaluated as well. (Each question is worth 2 points partial credit will be allotted as appropriate) Case I A 65-year-old man is admitted to the hospital for a knee replacement. On physical examination, cervical lymphadenopathy was noted. The following are presurgical CBC values: Manual differential counts: WBC: 48.3 RBC: 4.50 Hgb: 13.9 Het: 42.1 MCV: 93.5 Band neutrophils: 3 Segmented neutrophils: 15 Lymphocytes: 75 Monocytes: 5 Eosinophils: 2 Basophils: Metamyelocytes: Myelocytes: Promyelocytes: Many smudge cells The bone marrow aspirate shown in the following image is hypercellular with a predominance of МCH: 30.8 МСНС: 33.0 RDW: 13.9 PLT: 160.9 small mature lymphocytes, as expected. neophis abo 1. Describe the peripheral blood findings. Dmmature neutophls such as meyla my leacy tes 2. Based on all the data provided, what condition is most likely? CLL CChrenic lymjhocytre leukemia) 3. Calculate the absolute lymphocyte count for this patient. 46.3X76-3d Copyright O 2012, 2007, 2002, 1995 by Saunders, an imprint of Elsevier Inc. 2

Answer 1

1. The peripheral smear depicts immature differential WBC's

2. Based on the data provided , the patient is suspected of CLL ( Chronic lymphoblastic leukaemia )

3. The absolute lymphocyte count for this patient is WBC× %lymphocytes = 48.3× 0.75 = 36.2.