Why was a lumbar puncture requested on this patient

Reference no: EM133578181

Assignment:

A 65-year-old white man is admitted to the hospital with myalgia, severe headache, and a stiff neck. Physical findings show that the patient is lethargic and febrile. The physician suspects meningitis with associated bacteremia and requests the following tests: CBC, blood culture, and lumbar puncture for CSF aspiration to include leukocyte count, protein, and glucose levels, and bacterial culture.

The following laboratory results are obtained:

1. CBC shows increased leukocyte count; other parameters within normal reference ranges

2. Blood culture: growth

3. CSF

WBC 1,200 cells/µL (reference range: adult 0 - 5/µL
CSF Protein: 150 mg/dL (reference range 20 - 40 mg/dL)
Glucose: 35 mg/dL (reference range 45 - 60 mg/dL)
Culture: growth

Questions:

Define the following terms: myalgia, meningitis, lumbar, bacteremia, and lethargy.
Why was a lumbar puncture requested on this patient?
In which area of the laboratory would the following tests be performed: blood and CSF culture, CSF protein and glucose levels, and CBC and CSF cell count?
Explain why the glucose level is decreased and the protein level is elevated.

Reference no: EM133578181

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