Answer Happy

Case Study 30.8 History and Physical S.S., a 10-year-old white female, presented to the pediatrician complaining of a cold and cough with pain in the neck and chest. She had an elevated temperature and a slight cough. Physical examination revealed enlarged lymph nodes, wheezing, and an elevated temperature.
VOL- LUL ABS RBC PLI 1 1 1 1 WBC/ BASO A urinalysis, CBC, and throat culture were ordered. Laboratory Data Urinalysis: all results within reference ranges. Complete Blood Count Measurement Units Reference Range* 4.00-6.20 RBC 5.14 Ⓡ 106/uL
13.8 g/dL 11.0–18.8 Hgb Hct 41% 35.0–55.0 WBC 6.0-11.0 PLT 35 × 103/uL 200 103/UL 81 fL 150.0–400.0 MCV 80.0–100.0 MCH 27 pg 26.0–34.0 MCHC 32 g/dL 31.0–35.0 RDW 15% 10.0–20.0 MPV 9.0 fL 6.0–10.0 fl, femtoliters; pg, pictogram. *Published for Beckman Coulter ATT % 0 30 Leukocyte Differential Band neutrophils Polymorphonuclear segmented neutrophils (PMNS) Lymphocytes Monocytes Eosinophils Basophils 62 5 2 1 Total 100
(Reprinted from McClatchey KD. Clinical Laboratory Medicine, 2nd ed, Philadelphia, PA: Lippincott Williams & Wilkins, 2002, with permission.) Absolute Cell Counts Patient Value Reference Range Units Neutrophils Lymphocytes 103/pL 103/UL 1.11 22 2.0–8.0 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?