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MYEL 2%
hypersegmented Neutrophils
A few noted
29% 60%
2% 2%
2% 3%
HGB
MCV
RDW
PLT
68
120
24.2
124
Liver Enzymes
Gamma GT ALT
Hematology Case # 2
History
21 year old female who is a University student noted over the past week increasing fatigue, sore throat, headaches, and fever.
Physical Exam
She has erythematous throat and tonsils, Swollen cervical lymph nodes and hepatosplenomegaly
5.25 x 1012/L 154 g/L 87.9 fL 12.2 150 x 109/L 11.9 x 109/L
Neutrophils
Lymphocytes
Monocytes Eosinophils Basophils
71
2 3 0
Pertussis Toxoplasmosis
Hematology Case # 3
A 15-year-old girl complained of fatigue and loss of stamina. Her appetite was poor. Her monthly menstrual flow was heavy. Here CBC was as follows:
Case 3 CBC
Neutrophils
Lymphocytes
73%
24%
Case 3 questions
What is your diagnosis? List 4 possible underlying disease? What additional tests would you do? Explain the platelet count?
Case 3 questions
What is your diagnosis?
Microcytic hypochromic anemia
Case 3 questions
What additional tests would you do? Serum Ferritin Serum Iron, TIBC Hemoglobin Electrophoresis Bone marrow examination Lead level Explain the platelet count?
Typically seen in patients who are actively bleeding Increased in erythropoietin levels Bone marrow hyperplasia
Hematology Case # 4
While examining your own blood you find:
WBC 9 x 109 /L
Segmented neuts 30% bands 5% Eos 7% Basos 3% Monos 5% Lymphs 50%
Hematology Case # 5
49 year old male patient presented with fatigue. There was splenomegaly present CBC WBC 30. Hgb 120 and plt 400
6 8 3 1 4 7 1 22 100
Case 5 Questions
What is the differential diagnosis?
Reactive
infection, inflammation, necrosis, physical agents, emotional stimuli, drugs, toxins, other neoplasia, metabolic, hormonal, and endocrine disturbances,
Neoplastic
Chronic myeloproliferative disorders
Chronic myeloid leukemia Essential thrombocythemia Chronic idiopathic myelofibrosis Polycythemia Vera
Hematology Case # 6
Your second patient is a 37-year-old man complained of weakness. He is pale and gave a history of petechiae and hematuria. He is tired.