Ben is seen by local physician for routine preoperative exam prior to dental surgery. His physical exam revealed enlarged spleen. He is found a large left upper quadrant mass (in the abdominal region by ultrasound). CBC Patient Value Normal Range RBCs 2.5 million/uL 3.5-5.5 million/uL · Hb 14.7 g/dL 13 - 18 g/dL · HCT 44 % 45% to 52% PLTs 260 K/uL 150-400 K/uL WBCs 9.3 K/uL 4.5-11 K/uL · N 42 % 40-69% · L 46 % 20-40% · M 10 % 2-8% · E 1.4 % 1-4% · B 0.6 % .5 - 1% What is the diagnosis for this patient?

Ben is seen by local physician for routine preoperative exam prior to dental surgery. His physical exam revealed enlarged spleen. He is found a large left upper quadrant mass (in the abdominal region by ultrasound). CBC Patient Value Normal Range RBCs 2.5 million/uL 3.5-5.5 million/uL · Hb 14.7 g/dL 13 - 18 g/dL · HCT 44 % 45% to 52% PLTs 260 K/uL 150-400 K/uL WBCs 9.3 K/uL 4.5-11 K/uL · N 42 % 40-69% · L 46 % 20-40% · M 10 % 2-8% · E 1.4 % 1-4% · B 0.6 % .5 - 1% What is the diagnosis for this patient?

Cardiopulmonary Anatomy & Physiology

7th Edition

ISBN:9781337794909

Author:Des Jardins, Terry.

Publisher:Des Jardins, Terry.

Chapter15: Hemodynamic Measurements

Section: Chapter Questions

Problem 1RQ

See similar textbooks

Similar questions

A 30-year-old woman arrives at the outpatient department complaining of nausea and vomiting. The patient seems to have jaundice as well. Blood and urine tests are ordered in the laboratory. The following are the results collected from the testing: • Complete Blood Count o Hemoglobin:Normal o WBCcount:Normal • Serum Bilirubin o Total:7.0mg/dL o Conjugated:6.0mg/dL • Serum Enzymes o AlanineTransaminase(ALT):330U/L o AlkalinePhosphatase(ALP):195U/L • Urinalysis o Appearance:Darkbrown o Bilirubin:Positive o Urobilinogen:Decreased ANSWER THE FOLLOWING: 1. Interpret and correlate the patient’s laboratory results. 2. Discuss the possible causes of jaundice in this patient. 3. What part of the bilirubin pathway is severely affected? Explain. 4. What other serum enzyme/s can be used to assess the patient’s condition? Explain.
Which of the following hemoglobin results would be within the normal range? Multiple Choice 10 g/100 mL 5 g/100 mL 20 g/100 mL 15 g/100 mL
A 38-year-old white woman was treated in the emergency department for severe lacerations and abdominal injuries sustained in an automobile accident. She was admitted to the hospital for observation and further evaluation. On admission, a complete blood count (CBC), urinalysis, and radiograph series were ordered. Her CBC results were as follows: Hemoglobin 10.5 g/dL Hct 34% RBC 3.8 × 1012/L WBC 12.0 × 109 /L The RBC indices were as follows: MCV 89.6 fL MCH 27.6 pg MCHC 31 g/dL The peripheral blood smear showed essentially normal RBC morphology and platelet distribution. Forty-eight hours after admission, a stat repeat CBC was ordered. The results were as follows: Hemoglobin 8.0 g/dL Hct 26% RBC 2.9 × 1012/L WBC 15.5 × 109 /L The RBC indices were all within their normal ranges. A peripheral blood smear showed normal RBC morphology, although some polychromatophilia was noted. The distribution of platelets had increased. A follow-up platelet count was 0.60 × 1012/L. Subsequently,…
A 38-year-old white woman was treated in the emergency department for severe lacerations and abdominal injuries sustained in an automobile accident. She was admitted to the hospital for observation and further evaluation. On admission, a complete blood count (CBC), urinalysis, and radiograph series were ordered. Her CBC results were as follows: Hemoglobin 10.5 g/dL Hct 34% RBC 3.8 × 1012/L WBC 12.0 × 109 /L The RBC indices were as follows: MCV 89.6 fL MCH 27.6 pg MCHC 31 g/dL The peripheral blood smear showed essentially normal RBC morphology and platelet distribution. Forty-eight hours after admission, a stat repeat CBC was ordered. The results were as follows: Hemoglobin 8.0 g/dL Hct 26% RBC 2.9 × 1012/L WBC 15.5 × 109 /L The RBC indices were all within their normal ranges. A peripheral blood smear showed normal RBC morphology, although some polychromatophilia was noted. The distribution of platelets had increased. A follow-up platelet count was 0.60 × 1012/L.…
A 38-year-old white woman was treated in the emergency department for severe lacerations and abdominal injuries sustained in an automobile accident. She was admitted to the hospital for observation and further evaluation. On admission, a complete blood count (CBC), urinalysis, and radiograph series were ordered. Her CBC results were as follows: Hemoglobin 10.5 g/dL Hct 34% RBC 3.8 × 1012/L WBC 12.0 × 109 /L The RBC indices were as follows: MCV 89.6 fL MCH 27.6 pg MCHC 31 g/dL The peripheral blood smear showed essentially normal RBC morphology and platelet distribution. Forty-eight hours after admission, a stat repeat CBC was ordered. The results were as follows: Hemoglobin 8.0 g/dL Hct 26% RBC 2.9 × 1012/L WBC 15.5 × 109 /L The RBC indices were all within their normal ranges. A peripheral blood smear showed normal RBC morphology, although some polychromatophilia was noted. The distribution of platelets had increased. A follow-up platelet count was 0.60 × 1012/L.…
A child weighing 22 lbs, has an infection and the doctor orders erythromycin drops 2.0 mLp.o. q6h. The bottle states that the usual dosage is 20.0-40.0 mg/kg/day, and there are35.0 mg per 1.5 mL. Find the min and max dosage per day in mL. Is the order within therecommended dosage?
1) Given: Hb=12.0g/dl, Hct=36%RBC= 4.0×10^12,Calculate: a: MCH.b: MCHC.c: MCV. 2) Given: Hb=15.0g/ dl , Hct=45%, RBC= 5.0×10^12.Calculate: a: MCHb: MCHC.c: MCV.d: Name term given to these calculated values.
Given a retic count of 6.5%. Calculate the corrected retic count and RPI. The RBC count is 2.90 x 10^6/ul, Hct = 34.0% using the RBCcount as standard
The physician ordered 2500 mL of NS to infuse in 150 mL/hour with a drop factor of 15 gtt/mL. How long will this IV run? a. 14 hours. b.15 hours 30 minutes c.16 hours 36 minutes d. 17 hours.
With the results below, do you think the patient requires a transfusion? Using current guidlines to support your answer , explain your reason. Investigation Result (normal range - female) Haematology Red cell count (x 1012/L) 4.0 (3.8 – 5.8) Haemoglobin (g/L) 123 (115 – 165) White cell count (x 109/L) 8.1 (3.6 – 11.0) neutrophils 2.9 (1.8 – 7.5) lymphocytes 4.5 (1.0 – 4.0) monocytes 0.62 (0.2 – 0.8) eosinophils 0.10 (0.1 – 0.4) basophils 0.02 (0.02 – 0.1) Platelets (x 109/L) 138 (140 – 400) Prothrombin Time (s) 20 (10 – 14) Activated Partial Thromboplastin Time (s) 45 (22 – 36) Biochemistry Serum Bilirubin (µmol/L) 50 (≤21) Serum ALP (IU/L) 300 (30 – 130) Serum AST (IU/L) 527 (≤32) Serum ALT (IU/L) 650 (10 – 35) Serum albumin (g/L) 37 (35 – 50) Urine: Microscopy Faeces: Microscopy WBC <5 per ml No Cryptosporidium seen RBC <5…