Lin, a 5-year-11-month-boy was admitted to a paediatric hospital. No neck stiffness, Kernig's sign (-), Brudzinski's sign (-), Babinski's sign (-). All joints had no swollen and tenderness. The outpatient physician then ordered blood routine and peripheral blood smear tests. To find out the reasons for the elbows pain, bilateral tibia, ulnar, femur and fibula films were taken. Blood routine test: WBC=7.2 x 109/L, RBC=3.1 x 109/L, BPC=64 x 109/L, Hb=90g/L, atypical cells 7%. Peripheral blood smear test: blast=18%, L=48%, N=31%. Bilateral tibia, ulnar, femur and fibula films: no obvious bone tissue damage in the bilateral ulnar, fibula, lower section of the tibia and the distal part of the femur. The outpatient physician suggested the parents to sign the consent form of bone marrow aspiration immediately and wished to proceed with the procedure as soon as possible to analyse the immune markers. The physician also informed the parents that, if necessary, Lin may need to have a bone marrow biopsy too. 1. What would the doctor do in this situation? What is the relationship between the blood test results and elbow pain? 2. Why Lin's joints had no swollen and tenderness but had elbow pains? 3. Under which circumstances that the patient need to do a bone marrow biopsy?
Lin, a 5-year-11-month-boy was admitted to a paediatric hospital. No neck stiffness, Kernig's sign (-), Brudzinski's sign (-), Babinski's sign (-). All joints had no swollen and tenderness. The outpatient physician then ordered blood routine and peripheral blood smear tests. To find out the reasons for the elbows pain, bilateral tibia, ulnar, femur and fibula films were taken. Blood routine test: WBC=7.2 x 109/L, RBC=3.1 x 109/L, BPC=64 x 109/L, Hb=90g/L, atypical cells 7%. Peripheral blood smear test: blast=18%, L=48%, N=31%. Bilateral tibia, ulnar, femur and fibula films: no obvious bone tissue damage in the bilateral ulnar, fibula, lower section of the tibia and the distal part of the femur. The outpatient physician suggested the parents to sign the consent form of bone marrow aspiration immediately and wished to proceed with the procedure as soon as possible to analyse the immune markers. The physician also informed the parents that, if necessary, Lin may need to have a bone marrow biopsy too. 1. What would the doctor do in this situation? What is the relationship between the blood test results and elbow pain? 2. Why Lin's joints had no swollen and tenderness but had elbow pains? 3. Under which circumstances that the patient need to do a bone marrow biopsy?
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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Transcribed Image Text:Lin, a 5-year-11-month-boy was admitted to a paediatric hospital. No neck stiffness, Kernig's sign (-),
Brudzinski's sign (-), Babinski's sign (-). All joints had no swollen and tenderness. The outpatient
physician then ordered blood routine and peripheral blood smear tests. To find out the reasons for
the elbows pain, bilateral tibia, ulnar, femur and fibula films were taken. Blood routine test:
WBC=7.2 x 109/L, RBC=3.1 x 109/L, BPC=64 x 109/L, Hb=90g/L, atypical cells 7%. Peripheral blood
smear test: blast=18%, L=48%, N=31%. Bilateral tibia, ulnar, femur and fibula films: no obvious bone
tissue damage in the bilateral ulnar, fibula, lower section of the tibia and the distal part of the femur.
The outpatient physician suggested the parents to sign the consent form of bone marrow aspiration
immediately and wished to proceed with the procedure as soon as possible to analyse the immune
markers. The physician also informed the parents that, if necessary, Lin may need to have a bone
marrow biopsy too.
1. What would the doctor do in this situation? What is the relationship between the blood test
results and elbow pain?
2. Why Lin's joints had no swollen and tenderness but had elbow pains?
3. Under which circumstances that the patient need to do a bone marrow biopsy?
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