Case study on patient in the haematology laboratory

Assignment Help Biology
Reference no: EM13509 , Length: word count:2500

A case study is a standard format for recounting the story of a specific case. A case study should have the following format:

Case History

Begin by describing the way in which the patient came to be seen by a doctor. Describe their symptoms, history and some haematological results. In cases where clinical details are elaborate, you may want to simplify them to ensure your audience can understand. You can use tables to present data. Then go on to describe the haematological abnormalities and what they mean. Give
the diagnosis and explain how this was decided upon - are there any other conditions which could give rise to the patient's symptoms? How could the diagnosis be confirmed by other tests?

If the patient underwent any treatment, describe this. Why was this treatment selected?

Case study:

A 28 year old woman was visited by her GP.  She had been complaining of general malaise for some days, and now appeared flushed and was sweating.  She had developed several bruises over her body without, apparently, any significant cause.  She was very agitated.
 
On examination, her GP found that she had an oral temperature of 39.4oC, and a heartbeat of 115 beats a minute.  Although flushed, her nails were pale, and she had widespread bruising.  Examination of her oral cavity revealed ulceration, a gum infection and some gum bleeding.  The GP arranged for her to be taken urgently for admission to hospital under the care of the consultant haematologist.  In hospital, the patient had samples of blood taken for full blood count (FBC), clotting screen and for blood grouping.

Blood film analysis
 
A Biomedical Scientist made a blood film and stained it.  She then examined the blood film and reported the following:-
 
Red cells showed varying cell shapes and sizes.  Occasional nucleated red blood cells were seen.  Occasional red cell fragments were seen.  Marked thrombocytopaenia.

A manual differential white blood cell count was performed by this biomedical scientist, with the following results (overleaf):-
 
Neutrophils       2%     of white cells
Lymphocytes    17%             "
Monocytes         1%              "
Myelocytes        19%            "
Promyelocytes   59%            "
Blast cells           2%             "
 
The biomedical scientist contacted the consultant haematologist to let her know the results from the FBC and clotting tests.  The consultant then came to the lab to scan the blood film herself and made the following blood film comments:- 
 
Many promyelocytes seen with azurophilic granules and bundles of Auer rods.  
 
Blood group test results
 
She was found to be O Rhesus (D) positive, with no atypical antibodies present.

Initial treatment of patient
 
The consultant haematologist contacted staff in the Blood Transfusion department, and requested that 1 unit of platelets, and 4 units of FFP be given that evening to the patient.  Antibiotics (gentomycin and meropenem) were started too, along with 'ATRA'. 

Questions related to case study

Describe the disease itself - incidence, clinical features, likely progression, typical haematological presentation etc.

Describe the cause of the disease and any biochemical pathways involved. Why do the haematological abnormalities described occur?

Describe the treatment options available and the likely outcome for these patients.

Is there any research currently taking place in this field / are there any future developments likely?

Reference no: EM13509

Questions Cloud

What are the essential elements of revolutions : What are the essential elements of revolutions
What is the maximum displacement of the bridge deck : What is the maximum displacement of the bridge deck?
Determine the maximum total bending moment : Determine maximum total bending moment (static plus dynamic) of the beam under steady-state conditions.
Swot analysis recommendations and brainstorm : Prepare a Swot analysis recommendations of nutrisystem.
Case study on patient in the haematology laboratory : Write a case study which detailing a scenario of a patient being investigated in the Haematology laboratory.
Prepare a marketing plan : The aim of this assignment is to Prepare a Marketing Plan.
Implement a database of courses and students for a school : Implement a database of courses and students for a school.
Use a search tree to find the solution : Explain how will use a search tree to find the solution.
Write a prolog program using swi proglog : Write a Prolog program using swi proglog

Reviews

Write a Review

Biology Questions & Answers

  Immune response to infectious disease

It is a very curcial concept to understand how the immune response is mounted against viruses, bacteria, protozoans and helminthes. For an effective immune response, both innate and adaptive immunity should work together.

  A review on advanced glycated end products (ages)

This Project report elaborates a critical review of important elements attached to Advanced Glycated End Products (AGEs). It is very crucial to understand the process called Millard reaction.

  Plastic as a soil stabilizer

Soil stabilization is the permanent physical and chemical alteration of soils to enhance their physical properties. Stabilization can increase the shear strength of a soil and control the shrink-swell properties.

  Principles of microbiology

This assignment has three parts which contains questions related to Microbiology. It contains basic principles of microscopy, staining techniques in microbiology and microbial growth in the food industry.

  List the biologic functions

Lipid metabolites are often seen as key elements in cellular signaling. Is this unique? Please provide several examples of the function of lipids as key elements in signal arrays and list the biologic functions these signals affect?

  Biologic function relationships

Please describe how one might search for chemical structure, biologic function relationships, involving small molecular weight lipophylic compounds. Provide one example.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd