Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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A 19-year-old male visits his primary care physician with a sore throat, swollen lymph nodes, and extreme fatigue. During the visit, the nurse finds that he has a fever. The patient reports that he is attending his second year of college at a local university. The physician performs a physical examination, which confirms large, swollen, painful lymph nodes. He decides to send the patient to the office laboratory for blood work. He orders a complete blood count (CBC) and viral and bacterial studies.

   

Reference Range

   

Reference Range

WBC

13.3 × 103/uL

4.8–10.8 × 103/uL

Neutrophils

40%

60%–70%

RBC

4.5 × 109/L

4.7–6.1 × 109/L

Lymphocytes

53%

*20% of lymphocytes are atypical

20%–30%

Hgb

14.1 g/dL

14–18 g/dL

Monocytes

7%

5%–10%

Hct

42%

42%–52%

Eosinophils

0

0%–5%

MCV

92 fL

80–100 fL

Basophils

0

0%–2%

MCH

27 pg

27–31 pg

Absolute neutrophils

5.32

1.4–6.5 × 103/uL

MCHC

33%

32% –36%

Absolute lymphocytes

7.05

1.2–3.4 × 103/uL

RDW

14.3%

11.5%–14.5%

Absolute monocytes

0.93

0.1–0.6 × 103/uL

Plt

325 × 109/L

150–450 × 109/L

Absolute eosinophils

0

0–0.5 × 103/uL

MPV

9.5 fL

7.4–10.4 fL

Absolute basophils

0

0–0.2 × 103/uL

 

Question:

  1. The patient’s symptoms of fever and painful, swollen lymph nodes are caused by what innate immune mechanisms? Explain your answer
  2. About 50% of patients with chronic viral infection develop splenomegaly. Based on what you know about the organs of the immune system, why would this condition develop?

NOTE: please answer all questions. Thank you!

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