What finding in the CBC results would make the physician suspect that the patient is infected with HIV-1?

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
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A woman visits the emergency department with complaints of fever and fatigue lasting for about 2 weeks. The patient is an immigrant from Eswatini and does not have a primary care physician. The patient reports that he was in good health until a few months ago, when he started feeling very tired and having recurrent colds. Upon further questioning, the patient remembers that he had a severe "cold" about 8 to 10 years ago while he was still living in Africa. He was unable to receive medical attention for it, but the cold ultimately resolved. He had been feeling fine until these recent signs and symptoms developed. Suspecting a viral infection, the physician assistant (PA) orders initial laboratory work.

 

QUESTION: What finding in the CBC results would make the physician suspect that the patient is infected with HIV-1?

CBC results
Reference Range
Reference Range
WBC
12.1 x 10/ul 4.8–10.8 x 10/ul
Neutrophils
98%
60%-70%
RBC
4.5 x10/L
4.7-6.1 x 10/L
Lymphocytes
2%
20%-30%
Hgb
12.9 g/dL
14–18 g/dL
Monocytes
5%-10%
Hct
39%
42%-52%
Eosinophils
0%-5%
Plt
140 x 10°/L
150–450 x 10°/L
Basophils
0%-2%
Absolute neutrophils
11.9
1.4-6.5 x 103/ul
Absolute lymphocytes 0.2
1.2–3.4 x 10/ul
Absolute monocytes
0.1-0.6 x 10/uL
Absolute eosinophils
0-0.5 x 103/uL
Absolute basophils
0-0.2 x 103/ul
Transcribed Image Text:CBC results Reference Range Reference Range WBC 12.1 x 10/ul 4.8–10.8 x 10/ul Neutrophils 98% 60%-70% RBC 4.5 x10/L 4.7-6.1 x 10/L Lymphocytes 2% 20%-30% Hgb 12.9 g/dL 14–18 g/dL Monocytes 5%-10% Hct 39% 42%-52% Eosinophils 0%-5% Plt 140 x 10°/L 150–450 x 10°/L Basophils 0%-2% Absolute neutrophils 11.9 1.4-6.5 x 103/ul Absolute lymphocytes 0.2 1.2–3.4 x 10/ul Absolute monocytes 0.1-0.6 x 10/uL Absolute eosinophils 0-0.5 x 103/uL Absolute basophils 0-0.2 x 103/ul
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