QUESTION 2 A routine full blood count (FBC) was received in the clinical laboratory on a patient who had been receiving
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QUESTION 2 A routine full blood count (FBC) was received in the clinical laboratory on a patient who had been receiving
QUESTION 2 A routine full blood count (FBC) was received in the clinical laboratory on a patient who had been receiving daily laboratory blood tests. On this particular day, the computer flagged a variety of parameters pertaining to the FBC. The parameters that were flagged were: WBC, haemoglobin, hematocrit , and MCV. What are the steps needed to investigate the discrepancy in this patient's results? QUESTION 3 A 10-year-old girl was taken to an outpatient clinic with a complaint of sore throat and a lump in her neck. Upon examination she was observed to have a tonsillar abscess, swollen glands, and widespread bruising in the extremities. She also had a low-grade fever. She was treated with antibiotics and released, but she failed to progress in the next 2 days. Her blood tests revealed a white count of 8.0 x 10°/L, an hematocrit of 28%, and a platelet count of 10,000. Her parents were contacted and she was immediately admitted to the hospital. A bone marrow examination was performed and revealed an infiltration of blast cells in the marrow. Why are her other cell counts depressed? QUESTION 4 A 5-year-old child was seen by her family physician because of weakness and headaches. She had been in good health except for the usual communicable diseases of childhood. Physical examination revealed a pale, listless child with multiple bruises. The WBC count was 15 x 109/L, the haemoglobin was 8 g/dL, and the platelet count was 90 x 10°/L. She had abnormal cells' in her peripheral blood. A. What is the most likely diagnosis? B. What characteristics of this disease indicate a positive prognosis? Peripheral blood film for the patient in the case study (x1000).