1) Describe the differences between a normal patient’s CBC and
mystery patient 2’s CBC.
2) Make educated guesses as to what the problem might be with
the mystery patient or problems that are reflected in the
measurements of the CBC.
3) Come up with additional follow-up tests to gain more
information to make a more accurate diagnosis of the patient.
CBC: compete blood count reference ranges Blood component White blood cells Red blood cells* Abbreviation used WBC RBC Reference range SI Reference range 4.5-11.0 x 109/L Male: 4.3-5.9×102/L 500-11,000/mm2 Male: 4.3-5.9 million/mm Female: 3.5-5.5 million/mm Female: 3.5-5.5 x 10/L Male: 13.5-17.5g/d Male: 2.09-2 Female: 12.0-16.0 g/dL Female:1.86-2.48 Hemoglobin* HGB mmol/L HT Male: 4196-5396 Female: 3696-4696 Male: 0.41-0.53 Female: 0.36-0.46 Hematocrit Mean corpuscular volume MCV 80-100 um3 80-100 fl Mean corpuscular hemoglobin MCH 25.4-34.6 pg/cell 0.39-0.54 fmol/cell Mean corpuscular MCHC 31%-36% Hb/cell 4.81-5.58 mmol Hb/L hemoglobirn concentration Platelets Platelets 150,000-400,000/mm 150-400 x 109/L
Tony SparkEnlightened
1) If we compare CBC count between the normal and the mystery
patient then we can see elevated level of white blood count. We can
also see elevated lymphs (lymphocytosis), decreased neutrophils (
neutropenia) and elevated monocytes ( monocytosis).
2) The results suggest chronic infections due to bacteria or
virus.
3) To check the infection further following tests can be done
:
Full blood count : atypical lymphocytes and abnormal white cell
counts due to viral infections.
C- reactive protein or CRP : <50 in viral infection .
Procalcitonin is negative in bacterial infection.
Other serological tests to detect specific virus or bacteria
based on symptoms, such as ELISA, widal etc.