A 5-year-old boy is brought to the physician with itchy, bilateral erythematous skin lesions on the flexuralsurfaces of the elbow and knees for the past one week (image attached). He has had similar lesions onand off for the past four years. His mother mentions that his older sister also has similar lesions. Hislaboratory parameters show an increased number of eosinophils. Which of the following conditions ismost likely associated with this disorder?Answers A-EA Bronchial asthmaB Deforming joint diseaseC Gluten sensitivityD Hepatitis C virus infectionE Underlying malignancyOOOQuestion # 35 attachmentQQ

Atopic Dermatitis: Atopic dermatitis, also known as eczema, is a chronic inflammatory skin condition…

Answered: A 5-year-old boy is brought to the…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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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…
What is the treatment option for this patient? How could this patient have prevented the disease she is currently experiencing?
A 45-year-old man with HIV infection comes to the office because of a 6-week history of swelling near the left side of his neck. His most recent CD4+ T-lymphocyte count was 42/mm3 (N>500), and plasma HIV viral load was 55,000 copies/mL. He currently takes no medications. His temperature is 38oC (100oF), pulse is 72/min, respirations are 12/min and blood pressure is 120/81 mmHg. Physical examination shows a left supraclavicular mass. Immunohistochemical staining of a biopsy specimen of the mass confirms the presence of the causal virus’s DNA and replication within lymphoma cells but not in nearby normal cells. Which of the following is the most likely explanation for the tumor formation? a) Chronic immune activation of B lymphocytes b) Chronic immune activation of T lymphocytes c) Inhibition of B-lymphocyte tumor surveillance d) Inhibition of T-lymphocyte tumor surveillance e) Malignant transformation of B lymphocytes f) Malignant transformation of T lymphocytes
Lin, a 5-year-11-month-boy, had a fever 20 days ago with no obvious trigger and reached the highest oral temperature of 40°C. He visited 2 pediatric hospitals and the results are as follows. 1st hospital Blood routine test: WBC: 8.7 X10°/L, N: 21%, RBC: 3.36X10°/L, BPC: 75X 10/L, Hb: 109g/L; peripheral blood smear shows: atypical cells 29%. Suspected "infectious mononucleosis" and EBV infection, thus intravenous ganciclovir was given. 2nd hospital No anaemic face, temperature 37.5°C. No superficial lymph nodes were obviously enlarged. Skin rash (-). The liver and spleen was palpable 1.0cm below rib with a soft texture, tenderness (-) and rebounds tenderness (-). All joints had no swollen and tenderness. Blood routine test: WBC: 7.2 X 10°/L, RBC: 3.1 X 10°/L, BPC: 64 X 10°/L, Hb: 90g/L, atypical cells 7%. Peripheral blood smear test: blast=18%, L=48%, N=31%. 1. Are liver and spleen palpable in child if there is no hepatosplenomegaly? 2. Why did the 1t hospital doesn't do the liver,…
A 62-year-old man who has had a worsening cough for several months now complains of dyspnea. He also has fatigue and has experienced a 15-lb weight loss. A chest radiograph shows hilar lymphadenopathy and a right lung mass. What other studies might be helpful in arriving at a definitive diagnosis? What are the risk factors for tumors of the lung?
What the linked video below and answer the questions below https://youtu.be/z3k3GZ1F_rg 1) What causes tear drop cells? 2) What is IgM?
A 62-year-old man who has had a worsening cough for several months now complains of dyspnea. He also has fatigue and has experienced a 15-lb weight loss. A chest radiograph shows hilar lymphadenopathy and a right lung mass. Questions What other studies might be helpful in arriving at a definitive diagnosis? What are the risk factors for tumors of the lung?
A 13-year-old girl is brought to the emergency department 15 minutes after the sudden onset of shortness of breath. She has a 9-year history of episodes of soft tissue swelling, particularly involving her face and extremities, but without urticaria or erythema. Some of these episodes have been accompanied by acute abdominal pain with diarrhea. She has no history of severe or frequent infections. Her temperature is 37°C (98.6°F), pulse is 81/min, respirations are 20/min and labored with marked stridor, and blood pressure is 95/65 mm Hg. Physical examination shows marked facial edema. Treatment with danazol and stanozolol resolves her symptoms. The most likely cause of her which of the following substances? condition is a deficiency of Angiodema A) C1 inhibitor B) CD40 ligand-class switching C) Factor VIII (antihemophilic factor) DY IgA resp issues also NADPH oxidase respiratory hurst issue F) Plasminogen activator ↓ Azols helps in reduction of Ego sterol 091 by wholortus cyfockmome $450…
A 29-year-old previously healthy female presented with a productive cough, fever to 102 oF, and severe headache. She had cervical adenopathy (swollen glands), although she had a nonerythematous throat with no exudate. Chest examination showed crackles bilaterally at the lung base with decreased breath sounds diffusely. This finding was confirmed by chest film that showed bilateral multifocal areas of patchy consolidation. Her neck was not stiff, but because of the severity of the headache, she was admitted to the neurologic service. A spinal fluid was obtained and was negative for bacteria, cryptococcus, and acid-fast smear. Blood cultures and sputum cultures did not produce a pathogen. The patient did not improve on ceftriaxone. On day 3 she was started on erythromycin. On day 4, cold agglutinins were done and were positive. The patient gradually improved although the headache, photophobia, and cough continued for some time QUESTIONS: 1. What is the agent of this disease?…

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