Hematology Case Study D - History: A retired seventy-year-old

MEDT 4600 Hematology Review

Case Study D

History: A retired seventy-year-old male while sailing around the world fell on his yacht. When examined by a local hospital (in Brazil) a fractured hip and pneumonia were found. He returned to the U.S. for a follow up.

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Lab results were:

WBC 5.7

RBC 2.83

HGB 9.0

HCT 27.0

MCV 95.5

MCH 31.9

MCHC 33.4

RDW 23.4

PLT 101

Peripheral Blood Smear:

28% plasma cells

Rouleaux was noted

Question 1 – What do the above lab results indicate?

Additional testing

Protein Electrophoresis:

Albumin 30.5%

Alpha 1 2.6%

Alpha 2 8.4%

Beta 5.9%

Gamma 53.6%

Question 2 - What results are abnormal in the protein electrophoresis testing?

Additional testing

Immunoglobulin Quantitation:

Result Reference

IgG 307 723-1,685 mg/dl

IgA 1069 69-382 mg/dl

IgM 31 63-277 mg/dl

Question 3 – What is the final diagnosis based on ALL of the lab results?