1 / 8

Jenny’s Ix Findings

Jenny’s Ix Findings. FBE HB 11 , WCC 7.0, Plt 110 HB 10 , WCC 7.3, Plt 90 HB 9 , WCC 7.2, Plt 96 HB 9.5 , WCC 7.2, Plt 115 UECs Na 140, K 4.0, Ur 7.0 , Cr 110 LFTs Mildly elevated ALT and bilirubin , otherwise normal

zita
Download Presentation

Jenny’s Ix Findings

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Jenny’s Ix Findings • FBE • HB 11, WCC 7.0, Plt 110 • HB 10, WCC 7.3, Plt 90 • HB 9, WCC 7.2, Plt 96 • HB 9.5, WCC 7.2, Plt 115 • UECs • Na 140, K 4.0, Ur 7.0, Cr 110 • LFTs • Mildly elevated ALT and bilirubin,otherwise normal • Atypical pneumonia - Legionella, Chlamydia species, Mycoplasma pneumoniae, Pneumocystis jiroveci serology - pending • CXR - clear • Malarial Thick and Thin Film • Negative • Positive for plasmodium falciparum, parasite count 0.2% • parasite count 0.1% • parasite count 0% • Hep A serology - Total Ab positive, IgM pending • Hep B serology - Surface Antibody positive, surface pending • Arbovirus (dengue) serology - pending • HIV serology - negative • Pregnancy Test - pending

  2. Malarial Thick and Thin Blood Films • 3 thick and thin smears 12-24hrs apart should be obtained • Highest yield of peripheral parasites occurs during or soon after a fever spike; however smears should not be delayed to await a fever spike. • Thin Films - qualitative (speciation) • Drop of blood on specimen slide • Clean spreader slide held at an angle of 45 degrees over droplet of blood • Spread the blood along the specimen slide evenly and thinly • Wait until blood sample is dry before you fix the sample using methanol, then stain. • Thick Films - quantitative (parasite count) • Drop of blood on specimen slide • Use another clean slide to spread the droplet of blood in a circle approx. 1-2cm in diameter • Wait until blood sample is dry before staining (should not be fixed)

  3. Slides • Plasmodium falciparum • P vivax • P ovale • P malariae • Normal

  4. References • http://emedicine.medscape.com/article/221134-diagnosis - malaria • http://emedicine.medscape.com/article/177484-diagnosis - hep a • http://emedicine.medscape.com/article/215840-diagnosis - dengue • http://emedicine.medscape.com/article/231135-diagnosis - typhoid • Oxford Clinical Handbook 7th edn, pp. 382-385, 394, 414, 421 • PBL book case 14 p 41-43 • http://www.rph.wa.gov.au/malaria/diagnosis.html - pics

More Related