Lab Case 154

A 17 year old girl presents with 3 weeks of fevers, lethargy, general body aches and palpitations. She was diagnosed with a blood disorder in childhood but is on no regular medications and has no other significant medical issues.

Vitals: T 38.2,  PR  138/min

Her blood results show:Hb  87 g/l              PCV  0.261               MCHC  333  g/l  (320-360)           MCV  91

MCH  30.2              Platelets  419  (150-400)            WCC  20.7        N  5.4           L  12.6

Retics  16.0  (0.2-2.0)

Bili  47            ALP  89 U/L       GGT  62  U/L       ALT  336  U/L      Albumin  41    TP  74

Na  136     K  4.1        Cl  106      HCO3  23       Urea  3.0          Creat  53

LDH  548  (120-250)         Bili (conjugated)  22 umol/l (<8)

Describe and interpret the blood results, including case, cause, complications