Page 664 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )

648 PART 8 ■ Fundamentals of Hematological Analysis

CASE STUDIES (continued)
CASE STUDIES (continued)

■ Laboratory Data
VOL

Leukocyte Differential %

Band neutrophils 10

Polymorphonuclear segmented neutrophils (PMNs) 80

Lymphocytes 7

Monocytes 1

Eosinophils 1

Basophils 1
ABS
Total 100
RBC PLI
RBC morphology: 3+ microcytosis, 3+ hypochromia, 1+ anisocytosis.

■ Absolute Cell Counts

Neutrophils 10 /µL 20.7 2.0–8.0
3
WBC/
Lymphocytes 10 /µL 1.6 1.0–5.0 BASO
3

■ Critical Thinking Group Discussion Questions
1. Are any o the laboratory values abnormal?

2. Why are the absolute cell counts important data?

3. Should additional laboratory assays be ordered?

(Reprinted rom McClatchey KD. Clinical Laboratory

Medicine, 2nd ed, Philadelphia, PA: Lippincott

Williams & Wilkins, 2002, with permission.)

CBC was ordered.

(Reprinted rom Anderson SC. Anderson’s Atlas Measurement Units Reference Range*

o Hematology, Philadelphia, PA: Wolters Kluwer 6

Health/Lippincott Williams & Wilkins, 2003, with RBC 4.0 × 10 /µL 4.00–6.20

permission.) Hgb 11 g/dL 11.0–18.8

Hct 34% 35.0–55.0

3
Case Study 30.11 WBC 9.0 × 10 /µL 6.0–11.0
PLT 20.0 × 10 /µL 150.0–400.0
3
■ History and Physical MCV 85 fL 80.0–100.0
A.C. is a 27-year-old white male. On New Year’s day, he dis-

covered swollen lymph nodes in his arm pits. He had been MCH 28 pg 26.0–34.0

becoming progressively tired and weak over the last several MCHC 33g/dL 31.0–35.0

weeks but thought that he had the f u. RDW 15% 10.0–20.0

He went to the emergency department where a stat CBC MPV 9.0 fL 6.0–10.0

was ordered.
fL, femtoliters; pg, pictogram.

*Published for Beckman Coulter A T .
C TM