Lin, a 5-year-11-month-boy, had a fever 20 days ago with no obvious trigger and reachedthe highest oral temperature of 40°C. He visited 2 pediatric hospitals and the results are asfollows.1st hospitalBlood 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 wasgiven.2nd hospitalNo 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, atypicalcells 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, spleen and other tests for the patient?3. Why different results shown in 2 different hospitals? And also the temperature difference?

1. No, if there is no hepatosplenomegaly, then the liver and spleen can't be palpated. 2.The first…

Answered: Lin, a 5-year-11-month-boy, had a fever…

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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Lin, a 5-year-11-month-boy. He-had a fever 20 days ago with no obvious trigger and reached the highest oral- temperature of- 40°C, no obvious cough, runny nose, vomiting, headache, dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He visited a local hospital and-underwent a blood routine test: WBC=8.7X10°L, N=21%, RBC= 3.36X10%/L, BPC=75X 10°/L, Hb=109g/L; peripheral -blood smear shows: atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus intravenous ganciclovir was given and his blood was extracted to check for anti-EBV antibody simultaneously. After 6-days of intravenous ganciclovir, his body temperature still fluctuated at around: 38°C. Anti-EBVVCA-IgM(-), anti-VCA-IgG(+) 1. Do you think the doctor's diagnosis is correct? And what do you think the next step would the doctor take? 2. How long does a normal fever and infectious fever last?
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