Case Study 30 7 History And Physical M W A 50 Year Old Male Clinical Laboratory Scientist Saw His Primary Care Provid 1 (170.56 KiB) Viewed 40 times
Case Study 30.7 History and Physical M.W., a 50-year-old male clinical laboratory scientist, saw his primary care provider for an examination prior to a 6-month international volunteer assignment. He felt well and had no symptoms of any abnormalities. A urinalysis and CBC were ordered. Laboratory Data Urinalysis: All results within reference ranges. Hematology Laboratory Measurement Patient Data Reference Range RBC х 4.00-6.20 Hgb 11.0–18.8 Hct 35.0-55.0 5.03 106/L 15.2 g/dL 45% 5.1 x 103/UL 175 x 103/UL 89 fL WBC 6.0-11.0 PLT 150.0–400.0 MCV 80.0–100.0 MCH 26.0–34.0 30 pg 34 g/dL MCHC 31.0–35.0 RDW 18% 10.0–20.0 MPV 9.1 fL 6.0-10.0 fL, femtoliters; pg, pictogram. * Published for Beckman Coulter AC TƯ Leukocyte Differential Examination % 58 Cell Type Neutrophils (band neutrophils + polymorphonuclear segmented neutrophils (PMNS]) Lymphocytes 35 4 2 Monocytes Eosinophils Basophils Total 1 100
VOL RBC PLI WBC/ BASO ABS Neutrophil Eosinophil Basophil Blood smear Red blood cells and platelets Lymphocyte Monocyte Absolute Cell Counts
Patient Value Reference Range Units 2.96 2.0–8.0 Neutrophils Lymphocytes 103/uL 103/L 1.79 1.0–5.0 Critical Thinking Group Discussion Questions 1. Are any of the laboratory values abnormal? 2. Why are the absolute cell counts important data? 3. Should additional laboratory assays be ordered?
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