Case 9

These are the results of your diagnostic tests so far:

CBC

Patient values

Reference range

WBC (/µl)

16,450

4,000-15,500

-Neutrophils (/µl)

14,000

2,060-10,600

-Monocytes (/µl)

1,000

0-840

-Lymphocytes (/µl)

700

690-4,500

-Eosinophils (/µl)

750

0-1,200

Hct (%)

38

36-60

RBC morphology

Normal

Serum chemistry profile

Patient values

Reference range

BUN (mg/dl)

45

6-31

Creatinine (mg/dl)

2

0.5-1.6

ALP (IU/L)

220

5-131

ALT (IU/L)

102

12-118

Albumin (g/dl)

4.5

2.7-4.4

Globulin (g/dl)

3.6

1.6-3.6

Glucose (mg/dl)

120

70-138

Sodium (mEq/L)

140

139-154

Potassium (mEq/L)

5

3.6-5.5

Fecal direct smear - Increased number of white blood cells. No fungal or protozoal elements. Mixed population of rods and cocci.

Centrifugal fecal flotation with zinc sulfate solution - Negative

Abdominal radiographs - No abnormal findings.

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