MOUSE,MICKEY B+ Queue DOB 10/04/1932 Sex M Pat No 654321 Source HOSPITAL Received 11:58 Address Date 10/09/2010 14/07/2010 30/06/2010 23/06/2010 09/06/2010 09/10/2007 Time 11:28 Spec AW117471J AW215069M AW170145Q AW146255Q AW380100H AW188183G HB 7.6 10.5 12.2 11.2 12.9 14.0 WBC 9.3 3.9 7.2 4.1 7.1 6.0 PLT 264 124 135 145 129 165 RBC 2.76 3.50 4.18 3.94 4.50 4.78 HCT 0.260 0.320 0.360 0.350 0.380 0.423 MCV 94.2 90.3 85.4 89.1 85.3 88.5 MCH 27.5 30.0 29.2 28.4 28.7 29.3 MCHC 29.2 33.2 34.2 31.9 33.6 33.1 NEUH 5.9 1.6 4.6 1.7 4.8 3.71 LYMPH 2.6 1.8 2.2 2.1 1.9 1.49 MONO 0.7 0.4 0.3 0.4 0.3 0.50 EOS 0.0 0.0 0.0 0.0 0.0 0.24 Cursor Down for more Disc: CLIN Sect: HAEW THE DIARIST SRE/APEX |
An interesting case. Consider the historical record. The patient has been haemodynamically stable, with haemoglobin and platelet levels toward the lower end of the reference ranges for at least three years.
He’s developed a gastrointestinal bleed which is evidenced by the drop in haemoglobin level. However the interesting parameter is the platelet count. It has effectively doubled (which is expected in such cases), but such doubling isn’t immediately noticeable because the number is now in the middle of the reference range.
Moral of the story – look at changes in values, not the values in isolation.
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