A 17-year-old white female was admitted to the ER for melena
A 17-year-old white female was admitted to the ER for melena. A CBC showed the hemoglobin to be 9.0%, hematocrit 27%, WBC 32,000/mm with 21% polys, 7% bands, 70% lymphocytes, and 2% monocytes. Platelet count was 20,000/ mm'. Bone marrow aspiration and smear shows evidence of lymphoblasts.
1. What was the patient's admitting symptom?
A. Diarrhea B. Blood in her stool C. Vomiting blood D. Spitting up blood
2. What do the lab data tell about RBCs?
A. None of the tests reflect information about RBCS B. RBCs are normal C. RBCs are elevated D. RBCs are decreased as evidenced by low hematocrit and hemoglobin
3. What is a likely diagnosis for the patient?
A. Sickle cell anemia B. Hemophilia C. Acute lymphoblastic leukemia D. Chronic myelocytic leukemia
4. The bone marrow was filled with:
A. Immature white blood cells B. Mature neutrophils C. Platelets D.Immature red blood cells
Homework Answers
A 17-year female patient was admitted to the ER for her symptoms of Malena. Her CBC showed Hb 9.0%, Hematocrit 27%, WBC 32,000/mm3 with 21% polys, 7% bands, 70% lymphocytes and 2% monocytes.
Bone marrow aspiration and smear shows evidence of lymphoblast
1. The patient is admitted for blood in her stool, in medical term blood in stool is known as Malena.
Answer - B. blood in her stool
2. lab data says that RBCs are decreased as evidenced by low hematocrit(is 27% but the average normal range is 45%) and hemoglobin(9.0%).
Hematocrit is the percentage of red blood cells in total blood. low hematocrit clearly shows decrease RBC level.
Answer - D. RBCs are decreased as evidenced by low hematocrit and hemoglobin.
3. Acute lymphoblastic leukemia is the diagnosis of the patient because Bone marrow aspiration and smear show evidence of lymphoblast(Immature white blood cells), there is also a low count of blood cells which is causing infections, bleeding.
Answer - C. Acute lymphoblastic leukemia
4. In this patient, The bone marrow was filled with immature white blood cells.
Because blood smear show evidence of lymphoblast(Immature white blood cells).
Answer - A. Immature White blood cells.
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