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General
and Systemic Histopathology, C601&C602
Virtual Slide: 56-year-old man with frostbite.
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This
56-year-old, chronic alcoholic, man is brought to the emergency room with
hypothermia and
frostbite involving his toes and fingers. He was found down in
the street with no shoes or coat. It is mid January and the outside
temperature is 18oF.
He smells strongly of alcohol. Here are his labs:
| WBC 3.3 X 103 |
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RBC 2.22 |
Retic 1.0 % |
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Percent Abs |
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HGB 8.5 |
Bilirubin (T/D) 1.8/0.2 |
| NE 38.5
L 1.3 |
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HCT 23.7 |
LDH 10,000 |
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LY 44.4
H 1.4 |
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MCV 126.8 |
Fe 200ug/dl |
| MO 16.7
H 0.6 |
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MCH 38 |
Blood alcohol 286mg% |
| EO 0.3
L 0 |
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MCHC 35.7 |
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| BA 0.1
0 |
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RDW 16.4 |
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PLT 109 X 103 |
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MPV 8.0 |
Reference values? |
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Click the little red + in the bone
marrow smear above to see the slide using the virtual
microscope. Describe what you see and then answer the following questions.
- Why does this man have macrocytes?
- What's with the LDH
- What other tests do you need?
- See how a bone marrow is done.
Next is a 70-year-old
man complaining of fatigue. |
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