Health center with increasing fatigue

Reference no: EM133651785

Case History.

21 year old college female presents to the student health center with increasing fatigue over the past week. She is complaining of sore throat, headache, earache, chills and fever. Cells found in the differential: Physical Exam. Throat and tonsils swollen with white patches. Swollen cervical lymph nodes are also noted. CBC Patient Results Normal Values Results N or ABN RBC 4.88 x 1012/L 4.0-5.0 X 1012/L HGB 13.4 g/dL 12-16 g/dL HCT 41.1 % 36-46% MCV 84.2 fL 80-100fL MCH 27.3 pg 28-34pg MCHC 33.0 g/dL 32-36 g/dL RDW 12.2 12-14.6 WBC 14.9 x 109/L 4.5-11.0 X 109/L Diff N seg 24% 40-80% Lymph 73% 25-35% Mono 0% 2-10% Eos 3% 1-5% Baso 0% 0-1% PLT 333 x 109/L 150-450 X 109/L RBC morphology: Normocytic, normochromic WBC morphology: Most of the lymphocytes are reactive. They are large cells with a smudged chromatin pattern and abundant cytoplasm with radial and/or peripheral basophilia. Some of the larger cells have finer chromatin and nucleoli. PLT morphology: Within normal limits

Question 1. Indicate which results are abnormal by writing ABN next to the patient's results.

Question 2. What further laboratory studies are indicated?

Question 3. What is the most likely diagnosis?

Reference no: EM133651785

Questions Cloud

Diffusion required for the increased volume : When a cell is too large, the plasma membrane does not have enough surface area to support the rate of diffusion required for the increased volume.

Which well-known public health figure : Which well-known public health figure, famous for his response to a large cholera epidemic, lived nearby at about the same time?

What would stimulation of this parasympathetic input result : What would stimulation of this parasympathetic input result in? What effect would you expect MAO inhibitors to have on heart rate?

Responsible for production of more autoinducer : Must autoinducers bind to receptor to trun on transcription of genes responsible for the production of more autoinducer?

Health center with increasing fatigue : 21 year old college female presents to the student health center with increasing fatigue over the past week. What is the most likely diagnosis?

Veress needle tip before insufflation is started : What test result can be used to infer an intraperitoneal position of the Veress needle tip before insufflation is started?

Discuss the positives and negatives of voluntary regulation : Discuss the positives and negatives of voluntary regulation, as well as the positives and negatives of voluntary accreditation.

Mixed layer and the deep ocean is called : The zone of rapid change that represents a transition between the mixed layer and the deep ocean is called?

Feeling unusually tired or weak is common symptom : Fatigue: Feeling unusually tired or weak is a common symptom. Fever and Infections: This disease can suppress the immune system,

User Account

All Pages