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LEUKOCYTE
L 3.0
10ˆ9/L
5.0-10.0
and chronic hemorrhage, leukemia, and chronic infection =primary and secondary
polycythemia, erythropoietinsecreting tumors, and renal disorders =leukopeniavi
ral infections, bone marrow depression due to drugs, radiation and primary bone
marrow disorders. =leukocytosisacute infection (degree depends on the severity
of infection, age, resistance, and presence of trauma, tissue necrosis or inflam
mation and hemorrhage). =neutropeniain acute bacterial infection, viral infecti
on, some parasitic infection, aplastic and pernicious anemia, anaphylactic shock
, and renal disease. =neutrophila-in acute localized and general bacterial infe
ction, gout and uremia,
Leukocytes functions as phagocytes of bacteria, fungi and viruses, detoxificatio
n of toxic proteins that may results from allergic reactions and cellular injury
, and immune systems.
Neutrophils are active phagocytes; number increases rapidly during short-term or
acute infection.
Date: July 30, 2009; 6 pm
Test
HEMATOCRIT
Resu lt
0.48
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
THROMBOCYTES
L 15
10ˆ9/ L
140-450
hemodilution =dehydration, polycythemia or hemoconcentratio n =thrombocyto
p enia, cause of bleeding disorders =thrombocytosi s, occurs after hemorrhage
, inflammatory disease, hemolytic anemia, etc.
Date: July 30, 2009; 6 pm
Test
HEMATOCRIT
Resu lt
0.48
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
hemodilution
=dehydration,
THROMBOCYTES
L 15
10ˆ9/ L
140-450
polycythemia or hemoconcentratio n =thrombocytop enia, cause of bleeding diso
rders =thrombocytosi s, occurs after hemorrhage, inflammatory disease, hemoly
tic anemia, etc.
Date: July 31, 2009; 2 am
Test
HEMATOCRIT
Resu lt
0.45
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
THROMBOCYTES
L 30
10ˆ9/ L
140-450
hemodilution =dehydration, polycythemia or hemoconcentratio n =thrombocyto
p enia, cause of bleeding disorders =thrombocytosi s, occurs after hemorrhage
, inflammatory disease, hemolytic anemia, etc.
Date: July 31, 2009; 8 am
Test
HEMATOCRIT
Resu lt
0.44
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
hemodilution
=dehydration,
THROMBOCYTES
L 32
10ˆ9/ L
140-450
polycythemia or hemoconcentratio n =thrombocytop enia, cause of bleeding diso
rders =thrombocytosi s, occurs after hemorrhage, inflammatory disease, hemoly
tic anemia, etc.
Date: July 31, 2009
Test
HEMATOCRIT
Resu lt
0.43
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
THROMBOCYTES
31
10ˆ9/ L
140-450
hemodilution =dehydration, polycythemia or hemoconcentratio n =thrombocyto
p enia, cause of bleeding disorders =thrombocytosi s, occurs after hemorrhage
, inflammatory disease, hemolytic anemia, etc.
Date: July 31, 2009; 8 pm
Test
HEMATOCRIT
Resu lt
0.40
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
hemodilution
=dehydration,
THROMBOCYTES
L 25
10ˆ9/ L
140-450
polycythemia or hemoconcentratio n =thrombocytop enia, cause of bleeding diso
rders =thrombocytosi s, occurs after hemorrhage, inflammatory disease, hemoly
tic anemia, etc.
Date: August 1, 2009; 8 pm
Test
HEMATOCRIT
Resu lt
L 0.37
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
THROMBOCYTES
L 40
10ˆ9/ L
140-450
hemodilution =dehydration, polycythemia or hemoconcentratio n =thrombocyto
p enia, cause of bleeding disorders =thrombocytosi s, occurs after hemorrhage
, inflammatory disease, hemolytic anemia, etc.
Date: August 1, 2009; 2 am
Test
Resu lt
Unit
Reference
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
HEMATOCRIT
0.41
%
M: 0.400.60 F: 0.8-0.4
hemodilution
=dehydration,
polycythemia or hemoconcentratio n
=thrombocytop
THROMBOCYTES
L 23
10ˆ9/ L
140-450
enia, cause of bleeding disorders =thrombocytosi s, occurs after hemorrhage,
inflammatory disease, hemolytic anemia, etc.
Date: August 1, 2009; 8 am
Test
HEMATOCRIT
Resu lt
L 0.31
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
THROMBOCYTES
L 17
10ˆ9/ L
140-450
hemodilution =dehydration, polycythemia or hemoconcentratio n =thrombocyto
p enia, cause of bleeding disorders =thrombocytosi s, occurs after hemorrhage
, inflammatory disease, hemolytic anemia, etc.
Date: August 1, 2009; 2 pm
Test
HEMATOCRIT
Resu lt
0.42
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
THROMBOCYTES
L 30
10ˆ9/ L
140-450
hemodilution =dehydration, polycythemia or hemoconcentratio n =thrombocyto
p enia, cause of bleeding disorders =thrombocytosi s, occurs after hemorrhage
, inflammatory disease, hemolytic anemia, etc.
Date: August 1, 2009; 8 pm
Test
Resu lt
L 0.37
Unit
Reference
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
HEMATOCRIT
%
M: 0.400.60 F: 0.8-0.4
hemodilution
=dehydration,
THROMBOCYTES
L 40
10ˆ9/ L
140-450
polycythemia or hemoconcentratio n =thrombocytop enia, cause of bleeding diso
rders =thrombocytosi s, occurs after hemorrhage, inflammatory disease, hemoly
tic anemia, etc.
Date: August 2, 2009; 2 am
Test
Resul t
L 0.37
Unit
Reference
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
HEMATOCRIT
%
M: 0.400.60 F: 0.8-0.4
hemodilution =dehydration, polycythemia or hemoconcentration
=thrombocytopeni
THROMBOCYT ES
L 49
10ˆ9/L
140-450
a, cause of bleeding disorders =thrombocytosis, occurs after hemorrhage, infl
ammatory disease, hemolytic anemia, etc.
Date: August 2, 2009
Test
Resu lt
L 0.38
Unit
Reference
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied by RB
C’s. Thrombocytes are needed for normal blood clotting; initiate clotting cascad
e by clinging to broken area; help control blood loss from broken blood vessels.
HEMATOCRIT
%
M: 0.400.60 F: 0.8-0.4
hemodilution
=dehydration,
THROMBOCYTES
L 64
10ˆ9/ L
140-450
polycythemia or hemoconcentratio n =thrombocytop enia, cause of bleeding diso
rders =thrombocytosi s, occurs after hemorrhage, inflammatory disease, hemoly
tic anemia, etc.
Date: August 2, 2009;6 pm
Test
HEMATOCRIT
Resu lt
L 0.35
Unit
%
Reference
M: 0.400.60 F: 0.8-0.4
Clinical Significance
=anemia or
Functions
Hematocrit is a measure of the proportion of blood volume that is occupied
hemodilution
=dehydration,
polycythemia or hemoconcentratio
THROMBOCYTES
L 70
10ˆ9/ L
140-450
n =thrombocytop enia, cause of bleeding disorders =thrombocytosi s, occurs
after hemorrhage, inflammatory disease, hemolytic anemia, etc.
by RBC’s. Thrombocytes are needed for normal blood clotting; initiate clotting c
ascade by clinging to broken area; help control blood loss from broken blood ves
sels.
L EGEND :
H-High N-Normal; results within normal values are not necessarily marked with an
indicator L-Low SH-Slightly High
D AVAO M EDICAL S CHOOL F OUNDATION H OSPITAL M EDICAL DRIVE , B AJADA D AVAO C
ITY
HEMATOLOGY
Name: Mr. Canas Date: August 3, 2009 Age: 7 years old Room: Sex: Male Physician:
Dr. Ong
Test
Resul t
Unit
Reference
Clinical Significance
= anemia, liver
Functions
Hemoglobin is responsible for binding oxygen in the lungs and in transporting th
e bound oxygen throughout the body where it is used in aerobic metabolic pathway
s.
HEMOGLOBIN
L 107
g/dL
M:140-170 F:120-150
or kidney disease =primary and secondary polycythemia, COPD, CHF, burns
=anemia, acute
ERYTHROCYTES
N 4.11
10ˆ12/ L
4.0-6.0
LEUKOCYTE
N 5.0
10ˆ9/L
5.0-10.0
M ICROSCOPIC FINDINGS : O PUS CELLS O MUCUS THREADS O RENAL CELLS C HEMICAL CHAR
ACTERISTICS : O GLUCOSE O ALBUMIN O SPECIFIC GRAVITY
Please admit Diet for age except dark color foods VS q hour and record
To provide good nutrition of the patient. No special diet may prevent the condit
ion. May take food as tolerated and to monitor blood loss through the GI tract.
To monitor patient’s vital signs: blood pressure, temperature, cardiac rate and
respiratory rate. And to monitor if there is sign for potential shock or bleedin
g. Complete Blood Count - to identify persons who may have an infection and to i
dentify acute and chronic illness, bleeding tendencies, and white blood cell dis
orders such as leukemia Urinalysis – for routine urine analysis; to check for pr
esence of pus, blood, sugar, albumin, and the like in the urine; to check specif
ic gravity and pH of urine. Blood typing- it is to assess the what specific anti
gen are present to the blood of the patient and if it is Rh negative or positive
. It is an efficient and effective method of supplying fluids directly into the
intravascular fluid compartment and replacing electrolyte losses. PLR is an isot
onic solution which is good for hydrating the patient.
Dx: CBC, blood typing and U/A, X-ray For repeat platelet and hematocrit on July
31, 2009 @ 2 am
CBR without BRP I and O q shift and record Refer for BP less than 90/60, weak pu
lse, and other unusualities.
An antacid that reduces gastric acid by binding with phosphate in the intestin
e, and then is excreted as aluminum carbonate in feces. Inhibits the synthesis
of prostaglandins that may serve as mediators of pain and fever, primarily in t
he CNS. This provides measure of safety. Accurate measurement is essential i
n detecting negative fluid balance. These unusualities are indicative of an im
pending danger on the patient’s physiological status
Stand by O2 tank @ bedside 11:45am • Followed up D5INB 1L @ 90cc/hour July 31, 2
009; 9:10 am • Repeat platelet and hematocrit at 8am • IVF to follow D5IMB 1L @
90cc/hour
The patient’s condition has improved and does not need an intravenous fluid supp
lement anymore.
This formulation combines the synergistic effects of vitamin C and zinc in enhan
cing the immune function, in promoting wound healing and tissue repair and in op
timizing longitudinal growth.
To evaluate patient’s condition and check for improvement
•
Follow up in 7 days
The patient was not diagnosed at an early stage. The patient only went to the ho
spital when he experie
Predisposing factor such as the poor environmental condition is observed The pat
ient took the prescribed medicines and complied with all the necessary diagnosti
c procedures. The patient’s immune system is not that fully developed. In his ag
e, he is more prone to infection and
The patient has a poor environment because the canal is situated near their hous
e and most of the tim mosquitoes and other vectors. The patient was accompanie
d by his parents all the time and was well taken care of by his family.
4 2 6 14
12 /7=1.71
General Prognosis
The general prognosis of the patient is fair. Four out of the seven criteria und
er the specific/detailed prognosis has showed poor forecast and one is justified
as fair and two are justified as good. Based from the gathered data, the patien
t had not gone to the hospital when his fever was recurring. The patient only we
nt to the hospital when he experienced abdominal pain, thus he was not early dia
gnosed of dengue.
BIBLIOGRAPHY:
• • • •
•
• • •
http://www.drugs.com/mmx/tranexamic-acid.html http://www.wikipedia.com http://ww
w.ehow.com/about_4674809_pathophysiology_dengue_hemor rhagic.fever.html http://e
n.wikipedia.org/wiki/Circulatory_system http://en.wikipedia.org/wiki/Pulmonary_c
irculation http://chestofbooks.com/health/body/massage/Margaret-DPalmer/Lessons-
on-Massage/The-Portal-Circulation.html http://www.innerbody.com/image/lympov.htm
l Doenges, Moorhouse, Murr.Nurse’s Pocket Guide Diagnoses, Rationales and Interv
entions 9th Ed.