Question

A 57 year old male was admitted with a history of weakness, fatigue and abdominal discomfort for several weeks. Physical examination revealed an enlarged spleen. Hematologic data were: HBG - 9.5 g/dl; WBC - 20,000/ul (corrected 17,800/ul); differential revealed 55% segs, 15% bands, 6% metamyelocytes, 2% myelocytes, 2% myeloblasts, 10% monocytes, 10% lymphocytes, 12 nRBC/100 WBC, moderate anisocytosis with marked poikilocytosis (many tear drops), platelets 750,000/ul. Leukocyte alkaline phosphatase score was 200. These data are most consistent with:

Answer 1

Answer: These data are most consistent with the complete blood count which shows that the body is more prone to many of the infections. These results show that there is a decrease in the number of healthy red blood cells, platelets and white cells in bloodstream, leading to more frequent infections. If not treated cirrhosis and other diseases affecting the liver may occurs. Spleen stores red blood cells and platelets, which helps in a blood clot. These data show the decrease in the level of the protective cells and hence making body more available to the pathogens which may cause other infections.