Case Study 30 9 History And Physical K C A 70 Year Old Nurse Suffered From Degenerative Arthritis She Visited Her Rh 1 (158.16 KiB) Viewed 78 times
Case Study 30.9 History and Physical K.C., a 70-year-old nurse, suffered from degenerative arthritis. She visited her rheumatologist because of increasing pain in her knees. A CBC and erythrocyte sedimentation rate (ESR) were ordered. Synovial fluid was removed from one knee for examination. Laboratory Data Measurement Units Reference Range* 4.00-6.20 RBC х Hgb 11.0–18.8 Hct 35.0–55.0 3.41 x 106/L 11.0 g/dL 31% 18 x 103/uL 210 x 103/uL 92 fL WBC 6.0-11.0 PLT X 150.0–400.0 MCV 80.0–100.0 MCH 32 pg 26.0–34.0 MCHC 35 g/dL 31.0–35.0 RDW 12% 10.0-20.0 MPV 9 fL 6.0–10.0 fL, femtoliters; pg, pictogram. * Published for Beckman Coulter AC TƯ % 5 65 8 Leukocyte Differential Band neutrophils Polymorphonuclear segmented neutrophils (PMNS) Lymphocytes Monocytes Eosinophils Basophils Total 20 1 1 100
Absolute Cell Counts Patient Value Reference Range Units 13 Neutrophils Lymphocytes Monocytes 103/uL 103/uL 103/ul 2.0–8.0 1.0-5.0 1.44 3.6 0.1–1.0 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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