Written case study report (20%)

Assessment 1: 

Edwin, a39-year-old male presents to a medical centre for ‘generalcheck-up’.

As part of the examination a request is generated for the followingblood tests with the results listed below:

Patient request form: BMSC12003 Haematology & Transfusion Science Case Study

Surname	Jones				Given Name	Edwin
Date of birth	01/08/1979				UR Number	N/A
Gender	Male				Ward	N/A
History and medication	No significant history given, presented for ‘general check-up’
Tests requested   FASTING þ RANDOMo	FBC, ESR, CRP, E/LFT, Lipid profile
Requesting Dr’s Name		Dr Damania	Requesting Dr’s signature				Z. Damania
Collection Declaration: I certify that the blood specimen(s) accompanying this request was drawn from the patient named above and I established the identity of this patient by direct inquiry and/or by inspection of wristband and immediately upon the blood being drawn I labelled the specimen(s).

Test results:

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Blood filmappearance:

Figure1: Blood film ofEdwin 39-year-old male.

Figure 2: Normal blood film for comparison

Full BLOOD EXAMINATION REPORT

Differential Count&AbsoluteValues

wcc = 7.2x 10⁹/L

Cell Type	Count (%)	Absolute Count X 109/L	Reference Range
Neutrophils	48	3.5 [7.2 x (48/100)]	2.0 – 7.5 x 109/L
Band Forms			0.0 – 0.5 x 109/L
Lymphocytes	36		1.5 – 4.0 x 109/L
Monocytes	11		0.2 – 0.8 x 109/L
Eosinophils	4		0.04 – 0.4 x 109/L
Basophils	1		0.0 – 0.1 x 109/L
Metamyelocytes
Myelocytes
Promyelocytes
Blast cells
nRBC

Students to calculate:

n/100 x WCC = Absolute count

i.e. 7.2 x 10⁹/L * (48/100) = 3.46 x 10⁹/L – report to one decimal place = 3.5 x 10⁹/L.

Now calculate absolute count for Lymphocytes, Monocytes, Eosinophils& Basophils.

Write a detailed report (around 1000 words) on what you think Edwin’s condition/s might be.

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