Geoff J., a 54-year-old white man, was seen in the emergency department of a large metropolitan hospital.
Question:
Geoff J., a 54-year-old white man, was seen in the emergency department of a large metropolitan hospital. The man was homeless and alcoholic. He was brought to the hospital by the director of a homeless shelter. The director was concerned about allowing the man to stay at the shelter because he appeared seriously ill and might be infectious to others. Geoff was experiencing fever, chills and a deep productive cough. See Table 3-8
Table 3-8
Geoff J. Adult Male Reference Range
Reference Range for Absolute
Values (x 109IL)
WBC RBC Hb Hct MCV MCH MCHC Platelets RDW | 18.3 3.1 110 .34 108 35 34 237 16 | 5-10 x 109/L 5-6 x 1012/L 135-175 g/L .41-.53 L/L 80-100 fL 26-34 pg 31-37% 150-400 x 109/L 11.5-14.5% |
Differential
Neutrophils 75 25-60% 1.10-6.05
Bands 15 0-10% 0.10-2.1
Lymphocytes 10 20-50% 1.50-4.00
Monocytes 0 2-11% 0.20-0.95
Eosinophils 0 0-8% 0-0.70
Basophils 0 0-2% 0-0.15
Morphology 1+ macrocytosis, target cell, toxic granulation, vacuolization, and Dohle bodies
Questions
1. Describe Geoff’s blood picture using appropriate terminology.
2. For Geoff, what is the most likely explanation for the RBC and WBC abnormalities?
3. Discuss the mechanism by which anemia develops in this condition.
Operations Management Creating Value Along the Supply Chain
ISBN: 978-1118301173
1st Canadian Edition
Authors: Roberta S. Russell, Bernard W. Taylor, Ignacio Castillo, Navneet Vidyarthi