Question

Mr. Brown, a 70 year old man, has been healthy most of his life, but lately has been feeling
extremely sick. He complains of malaise, fever, abdominal pain, nausea and tachycardia.
She reported at the emergency department of Greater Accra Regional hospital and the
following full blood count laboratory results were produced by the haematology automated
analyser. A routine urine examination reveals the presence of numerous red blood cells,
pus cells and schistosoma haematobium ova.
RESULT NORMAL RANGE RESULT NORMAL
RANGE
Total WBC 14.0 x
109
/L
4-10 x 109
/L HB 6.8 g/dl 13 – 17g/dl
Neutrophils 81 % 40 – 70 % HCT 20.2 % 42 - 52 %
Lymphocytes 16% 20 -50 % MCV 68 fl 76 – 96 fl
Monocytes 2% 2 – 8% PLATELETS
397
140 - 440
Eosinophil 12 % 1 – 6 % RBC 4.82 x
1012/l
4.50 × 1012/L
Basophils 1% 0 – 1 %
a) Comment on the above results using all the parameters provided. [3 marks]
b) Calculate the mean cell hemoglobin concentration (MCHC) and (MCH) using the
above parameters. [2 marks]
c) A manual white blood cell (WBC) count was performed. A total of 280 cells were
counted in all 4-mm2
squares of a Neubauer-ruled chamber. A 1:20 dilution was used.
Calculate the manual WBC count. [2 marks]
d) Folate and vitamin B12 deficiencies cause megaloblastic changes in the bone marrow
of a patient with a macrocytic anaemia. State four causes of folate deficiency.

Answer 1

Answer:

A condition in which the force of the blood against the artery walls is too high.

Usually hypertension is defined as blood pressure above 140/90, and is considered severe if the pressure is above 180/120.

Very common

More than 10 million cases per year (India)

Treatable by a medical professional

Requires a medical diagnosis

Lab tests or imaging not required

Chronic: can last for years or be lifelong

For informational purposes only. Consult your local medical authority for advice.