Hi, I hope your doing well!I was given a case, in that case there were questions about understanding what the result meant. I need help with the questions that were asked, please!I also included a photo of the case! Thank you! Part Il -Understanding ResultsLab TestJamie's ResultsReference Range for WomenCBCWBC count3.8 x 10%L4.8–10.8 x 10/LRBC count3.2 x 10/L4.0-5.0 x 102/LHemoglobin10.6 g/dl12.0–16.0 g/dlHematocrit32.8%36-46%Platelet count140 x 10/L150-450 x 10/LDifferential44%NeutrophilsLymphocytesMonocytesEosinophilsВasophils40-60%40%20-40%9%2-10%6%0-5%1%0-1%ESR – (Sedimentation Rate)61 mm/hr0-20 mm/hrChem Panel141 mEg/L4.2 mEq/L108 mEg/L136–148 mEq/L3.6-5.0 mEq/L95-110 mEq/LSodiumPotassiumChlorideCarbon Dioxide26 mmol/L23-29 mmol/L101 mg/dL.6.9 g/dL4.8 g/L18 mg/dL0.9 mg/dl.189 ug/dL70-99 mg/dL6.5-8.3 g/dL3.5-5.0 g/L6-20 mg/dL0.6-1.1 mg/dL.30–150 ug/dL.GlucoseTotal ProteinAlbuminBUNCreatinineIronMicrobiologyBlood CultureNegativeNegativeImmunologyC-Reactive Protein5.8 mg/L3-5 mg/LRheumatoid FactorNegativeNegativeNegativeVDRLPositiveANAPositive 1:640NegativeNegativeNegativeNegativeNegativeRickettsial ImmunofluorescenceNegativeNegativeNegativeNegativeMono-spotLyme AntibodiesDirect CombsQuestions:1. Which test results are abnormal?2. What do these test results indicate? Include a discussion on what conditions have been eliminated. Whatcondition could be causing the abnormal results?3. Based on your assessment of Jamie's condition, what kind of doctor (specialist) should she see? PartI- The Investigative ProcessJamie is a 26-year-old graduate student at the University of Arkansas-Monticello. She is working on her PhD inbiology. As a biologist, she enjoys spending time outdoors when she can. The campus is on the edge of the woods andit is a nice place for Jamie to walk and relax to relieve the stress of graduate school. Jamie has not been able to enjoyher walks lately due to the fatigue she has been experiencing. Others have noticed that she does not have the staminashe had in the past to complete her research.Her major professor convinces her that it would be a good idea to make an appointment to see her family physicianto determine the source of her fatigue. He suggests that maybe she has a viral infection, and she just needs to get somerest. She is able to get an appointment with her family practitioner. When she arrives at the clinic, the nurse takes herblood pressure and temperature. Her blood pressure is 128/74 and her temperature is a slightly elevated 101.2°F.She is asked to provide her family medical history and to describe any symptoms she has noticed. Jamie tells herdoctor that her maternal grandmother had rheumatism and was not able to get around. Her father had prostate cancer.She cannot think of any other family illnesses. She tells her doctor that in addition to feeling run down, her kneesand elbows have been aching, and she has been having trouble pipetting because of pain in her hands. She has beenexperiencing frequent cold sores that she has been treating with over-the-counter medication. She attributes her recentweight loss to poor eating habits as a student. On general examination, the doctor finds a rash on her upper backwhere she is typically exposed to the sun and swollen lymph nodes on her neck.The doctor decides that further tests are required to rule out some obvious possibilities. He suspects an autoimmunedisease such as lupus (systemic lupus erythematous, SLE) or rheumatoid arthritis (RA), a tick born disease like Lymedisease, anemia, or chronic Epstein Barr virus syndrome. Jamie is sent to the lab where blood is drawn. She is asked toreturn the following week to review the lab test results.

Complete blood count (CBC) is a analysis of the amount of all blood cells present in an individual.…

Lab Test Jamie's Results Reference Range for Women CBC WBC count 3.8 x 10%L. 4.8–10.8 x 10/L RBC count 3.2 x 10/L. 10.6 g/dl 4.0-5.0 x 10/L Hemoglobin 12.0–16.0 g/dl Hematocrit 32.8% 36-46% Platelet count 140 x 10/L 150-450 x 10/L Differential Neutrophils Lymphocytes Monocytes Eosinophils Вsophils 44% 40-60% 40% 20-40% 9% 2-10% 6% 0-5% 1% 0-1% ESR – (Sedimentation Rate) 61 mm/hr 0-20 mm/hr Chem Panel 141 mEq/L 4.2 mEq/L 108 mEg/L 136–148 mEq/L 3.6-5.0 mEg/L 95-110 mEq/L Sodium Potassium Chloride Carbon Dioxide 26 mmol/L 23-29 mmol/L 70-99 mg/dL 6.5-8.3 g/dL 3.5-5.0 g/L 6-20 mg/dL 0.6-1.1 mg/dl. 30-150 ug/dL Glucose 101 mg/dL 6.9 g/dL 4.8 g/L 18 mg/dL 0.9 mg/dL 189 ug/dL Total Protein Albumin BUN Creatinine Iron Microbiology Blood Culture Negative Negative Immunology C-Reactive Protein 5.8 mg/L 3-5 mg/L Rheumatoid Factor Negative Negative Negative Negative Negative Negative Negative Negative VDRL Positive ANA Positive 1:640 Rickettsial Immunofluorescence Negative Negative Negative Negative Mono-spot Lyme Antibodies Direct Combs Questions: 1. Which test results are abnormal? 2. What do these test results indicate? Include a discussion on what conditions have been eliminated. What condition could be causing the abnormal results? 3. Based on your assessment of Jamie's condition, what kind of doctor (specialist) should she see?

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