Clinical Presentation and Initial Lab Results

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The page below is a sample from the LabCE course Case Studies in Hematology - Nonmalignant WBC Disorders. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Clinical Presentation and Initial Lab Results

A 61-year-old female had a wellness checkup that included a CBC. Three weeks later, she encountered someone who later tested positive for COVID-19. Five days later, she began developing some common symptoms, such as cough, fever, and fatigue. She had relatively minor signs for one week, but then she developed shortness of breath; her oxygen saturation decreased, and she was admitted to the hospital. A CBC was done upon admission and is shown below compared to her CBC at the wellness visit. The reference range is listed in the last column.
Wellness VisitAdmissionReference Range
Hgb13.8 g/dL13.5g/dL12-16 g/dL
HCT41%41.2%37-47%
RBC4.8 x 106/μL4.7 x 106/μL4.2-5.4 x 106/μL
WBC6.7 x 103/μL8.4 x 103/μL4.8-10.8 x 103/μL
platelets240,000/μL222,400/μL150,000-400,000/μL
Neutrophils3.9 x 103/μL6.2 x 103/μL1.5-6.5 x 103/μL
Lymphocytes1.9 x 103/μL1.8 x 103/μL1.2-3.4 x 103/μL
Monocytes0.28 x 103/μL0.35x 103/μL0.11-0.59 x 103/μL
Eosinophils0.1 x 103/μL0.06 x 103/μL0-0.5 x 103/μL
Basophils0.6 x 103/μL0.1 x 103/μL0-0.2 x 103/μL