Patient History and 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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Patient History and Lab Results

A 43-year-old female with moderate-severe but controlled asthma is seen for a wellness check. Her CBC and chemistry panel were within range except for a slightly elevated white count, eosinophilia, and basophilia.
Here are partial results from her CBC regarding these values. Reference ranges are listed in the last column.
CBC
Patient Result Reference Range
Hemoglobin 14.1 g/dL12-16 g/dL
Hematocrit42%37-47%
RBC5.1 x 106/μL4.2-5.4 x 106/μL
MCV92 fL80-100 fL
MCH 29 pg27-31 pg
WBC11.1 x 103/μL4.8-10.8 x 103/μL
Differential
Patient ResultReference Range
Neutrophils63%50-70%
Lymphocytes22%20-44%
Monocyte6%2- 9%
Eosinophils5%0-4%
Basophils4%0-2%
Absolute
Patient Result Reference Range
Neutrophils6.9 x 103/μL1.5-6.5 x 103/μL
Lymphocytes2.4 x 103/μL1.2-3.4 x 103/μL
Monocyte0.6 x 103/μL0.11-0.59 x 103/μL
Eosinophils0.6x 103/μL0-0.5 x 103/μL
Basophils0.5 x 103/μL0-0.2 x 103/μL