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[Solved]: This 46 y/o female patient was admitted to the…

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This 46 y/o female patient was admitted to the hospital for treatment of a venous thrombosis. She was initially admitted to SICU. Laboratory test results are as follows: CBC WBC 6.5 x 103/uL RBC 3.89 x 106/uL Hemoglobin 9.7 g/dL Hematocrit 28.9% RDW 23.5% Platelet Count 56 x 103/uL MPV 8.9 fL Urinalysis Color Amber Clarity Cloudy Specific Gravity 1.020 pH 6.0 Glucose Negative Protein 100 mg/dL Ketones Negative Bilirubin Negative Blood Large Nitrate Negative Urobilinogen 1.0 EU Leukocyte Esterase Negative Urine Microscopic Results WBC 5 – 10/hpf Squamous Epithel. 0 – 2/lpf RBC 5 – 10/hpf Amorph. Urates 3+ Granular Casts 2 – 3/lpf Coagulation Tests Prothrombin Time 26.3 seconds INR 2.08 aPTT 37.1 sec. Fibrinogen 308 mg/dL D-Dimers 5,000 ng/ml Other Tests Hepatitis B Surface Antigen Non-reactive Hepatitis B Core Antibody, IgM Non-Reactive Hepatitis A Antibody, IgM Non-Reactive Hepatitis C Antibody Non-Reactive HIV Antibody ????? T-lymphocytes (helper/inducer) were evaluated and their numbers were found to be decreased. Special Instructions / Questions What is the meaning of the acronym SICU? What is the clinical significance of the PT and INR results for this patient? What are D-Dimers and what is the significance of this test result? List several conditions in which elevated D-Dimers may be found? How does the urinalysis report contribute to the patient’s report? After you have performed the evaluation of the stained blood film you may have found something of significant importance. With this information and that of the T-lymphocyte (helper), what was the test result for the HIV antibody? Write either negative or positive.

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