Case scenario 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. Question: 1. Based on the information obtained thus far, what does the laboratory analysis indicate? Explain your answer.

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Reference
Reference Range
Range
x 4.8–10.8
10uL
13.3
WBC
10%uL
Neutrophils
40%
60%-70%
53%
4.7-6.1
10IL
*20%
lymphocytes
are atypical
of 20%-30%
RBC
4.5 x 10PL
Lymphocytes
Hgb
14.1 g/dL
14-18 g/dL
Monocytes
7%
5%-10%
Hct
42%
42%-52%
Eosinophils
0%-5%
MCV 92L
80-100 L
Basophils
0%-2%
Absolute
MCH
27 pg
27-31 pg
5.32
1.4-6.5 x 10%uL
neutrophils
MCH
Absolute
33%
32% -36%
lymphocytes
7.05
1.2-3.4 x 10%UL
Absolute
RDW
14.3%
11.5%-14.5%
0.93
0.1-0.6 x 10%uL
monocytes
* Absolute
eosinophils
150-450
Pit
325 x 10L
10IL
0-0.5 x 10%uL
Absolute
MPV
9.5 L
7.4–10.4 L
0-0.2 x 10%uL
basophils
Transcribed Image Text:Reference Reference Range Range x 4.8–10.8 10uL 13.3 WBC 10%uL Neutrophils 40% 60%-70% 53% 4.7-6.1 10IL *20% lymphocytes are atypical of 20%-30% RBC 4.5 x 10PL Lymphocytes Hgb 14.1 g/dL 14-18 g/dL Monocytes 7% 5%-10% Hct 42% 42%-52% Eosinophils 0%-5% MCV 92L 80-100 L Basophils 0%-2% Absolute MCH 27 pg 27-31 pg 5.32 1.4-6.5 x 10%uL neutrophils MCH Absolute 33% 32% -36% lymphocytes 7.05 1.2-3.4 x 10%UL Absolute RDW 14.3% 11.5%-14.5% 0.93 0.1-0.6 x 10%uL monocytes * Absolute eosinophils 150-450 Pit 325 x 10L 10IL 0-0.5 x 10%uL Absolute MPV 9.5 L 7.4–10.4 L 0-0.2 x 10%uL basophils
Case scenario
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.
Question:
1. Based on the information obtained thus far, what does the laboratory analysis indicate? Explain your
answer.
2. The patient's symptoms of fever and painful, swollen lymph nodes are caused by what innate immune
mechanisms? Explain your answer
3. 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?
Transcribed Image Text:Case scenario 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. Question: 1. Based on the information obtained thus far, what does the laboratory analysis indicate? Explain your answer. 2. The patient's symptoms of fever and painful, swollen lymph nodes are caused by what innate immune mechanisms? Explain your answer 3. 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?
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