Questions: 1. Analyze the hemogramms A and B and make the conclusion from each of themt. What is the blood system status?

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
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TASK 9. To solve clinic-patophysiological tasks.
A Patient who during 5 years suffered from chronic myeloleukemia had taken chronic medication with cytostatics. Now he
complains of sharp deterioration: increasing of weakness, sleeplessness, high gingival hemorrhage, appearing of hemorrhage on
shins, pereodical fever. On examination: paleness of skin, in some areas- pustular eruptions. He has lymphadenopathy,
splenomegalia, hepatomegalia. A patient has made the blood analysis. The result is compared with the previos analysis (3 months
ago).
Hb
Erythrocytes
Reticulocytes
Leucocytes
Myeloblasts
Promyelocytes
Neutrophils:
Myelocytes
Metamyelocytes
Band forms
Analyze A
86 g/1
3,3 x 10¹2/1
0%
Lymphocytes
Monocytes
58,0x 10°/1
67%
4%
0%
0%
5,5%
Segmented neutrophil 15%
Eosinophiles
8%
Basophiles
0%
0,5%
0%
Analyze B
125 g/1
4,1 x 10¹²/1
0,15%
17,0 x 10°/1
3%
11%
7%
13,5%
14,5%
36%
5%
7,5%
2,0%
0,5%
Questions:
1. Analyze the hemogramms A and B and make the
conclusion from each of themt. What is the blood system
status?
2. What analysis was made later?
3. How can we characterize the changes in the first and
second blood analysis?
4. What are the mechanisms of their development?
5. What mechanisms are inherent in symptomatology?
Transcribed Image Text:TASK 9. To solve clinic-patophysiological tasks. A Patient who during 5 years suffered from chronic myeloleukemia had taken chronic medication with cytostatics. Now he complains of sharp deterioration: increasing of weakness, sleeplessness, high gingival hemorrhage, appearing of hemorrhage on shins, pereodical fever. On examination: paleness of skin, in some areas- pustular eruptions. He has lymphadenopathy, splenomegalia, hepatomegalia. A patient has made the blood analysis. The result is compared with the previos analysis (3 months ago). Hb Erythrocytes Reticulocytes Leucocytes Myeloblasts Promyelocytes Neutrophils: Myelocytes Metamyelocytes Band forms Analyze A 86 g/1 3,3 x 10¹2/1 0% Lymphocytes Monocytes 58,0x 10°/1 67% 4% 0% 0% 5,5% Segmented neutrophil 15% Eosinophiles 8% Basophiles 0% 0,5% 0% Analyze B 125 g/1 4,1 x 10¹²/1 0,15% 17,0 x 10°/1 3% 11% 7% 13,5% 14,5% 36% 5% 7,5% 2,0% 0,5% Questions: 1. Analyze the hemogramms A and B and make the conclusion from each of themt. What is the blood system status? 2. What analysis was made later? 3. How can we characterize the changes in the first and second blood analysis? 4. What are the mechanisms of their development? 5. What mechanisms are inherent in symptomatology?
Expert Solution
Step 1: Brief Introduction

Understanding of both clinical conditions and laboratory findings. In this scenario, we are presented with a challenging case involving a patient battling chronic myeloleukemia for over five years. She has been receiving cytostatic medications. However, the patient is now experiencing a sudden deterioration in health. Marked by weakness, sleep disturbances, gingival hemorrhage, shin hemorrhage, periodic fever and various physical examination findings. Such as skin paleness, pustular eruptions, lymphadenopathy, splenomegaly and hepatomegaly. To gain insights into the patient condition and the progression of their illness. You are provided with two sets of blood test results. Referred to as Analyze A and Analyze B. which were conducted three months apart. These test results offer valuable clues into the patient's hematological status, potential treatment responses and the mechanisms underlying their symptoms. In this analysis, we will delve into the details of these blood test findings, draw comparisons between Analyze A and Analyze B and explore the possible mechanisms behind these changes. Shedding light on the intricate clinical and pathological aspects of this complex case.

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