Case 6

You recommend a CBC, serum chemistry profile, and urinalysis to start to look for the cause of Roxy's weight loss. Since her stools are normal at this time, you decide not to pursue any fecal testing.

Here are her test results:

CBC

Patient values

Reference range

WBC (/µl)

23,200

4,000-15,500

-Bands (/µl)

450

0-300

-Neutrophils (/µl)

19,800

2,060-10,600

-Monocytes (/µl)

1,530

0-840

-Lymphocytes (/µl)

300

690-4,500

-Eosinophils (/µl)

1,120

0-1,200

Hct (%)

32

36-60

RBC morphology

Normal

Serum chemistry profile

Patient values

Reference range

BUN (mg/dl)

36

6-31

Creatinine (mg/dl)

1.0

0.5-1.6

ALP (IU/L)

126

5-131

ALT (IU/L)

95

12-118

Glucose (mg/dl)

89

70-138

Albumin (g/dl)

1.2

2.7-4.4

Globulin (g/dl)

1.8

1.6-3.6

Sodium (mEq/L)

143

139-154

Potassium (mEq/L)

5.7

3.6-5.5

Comment

1+ hemolysis

Urinalysis

Patient values

Reference range

Urine specific gravity

1.020

1.015-1.050

pH

7.2

5.5-7

Protein

2+

Negative

WBC

None seen

0-3/hpf

Bacteria

None seen

Negative

<< Back | Next Step >>