HCS206 Blood Science 2015-16 Haematology / Transfusion Case Study Report Guide

The coursework will consist of a case study in hematology and transfusion science that incorporates information from both the lectures and the practical sessions.
Important reminder: Your coursework must be turned in by Sunday, December 13, 2015, at midnight. The coursework should be turned in electronically using Turnitin.
The following criteria will be used to determine how well the content was understood: • Structure and relevance
Assessment direction: Coursework will evaluate the following learning outcome:
S4 Learn how to analyze data effectively through laboratory exercises and clinical case studies.
The case reports ought to contain: 1,500 maximum words
• Case description as stated in the case outline
• Assessment and analysis of the lab results. Organize your report by responding to the following inquiries:
o Describe the structural characteristics of the blood film (20%)
o Describe the observations related to the whole blood count (20%)
o Interpret the biochemical test results What benefit does this provide for making a differential diagnosis? (10%)
o What is the differential diagnosis (or, more specifically, the most probable diagnosis)? Include an explanation of the etiology (disease mechanism) in your response.
(30%)
o Explain a typical factor that contributes to this nutritional shortfall in developed nations (20%)
• In summary
o A succinct conclusion (one or two sentences) outlining the key findings.
Make sure your references are accurate (e.g., textbooks, websites for the NHS, etc.), and keep in mind that both the presentation and the content of your work will affect how well you are graded.
Blood Science HCS206 Case for 2015–16: A 72-year-old man who had been experiencing lethargy, appetite loss, and feverish feelings for several weeks arrived at the hospital with significant pallor and symptoms of both left and right cardiac failure. A film of peripheral blood revealed: (A red cell with basophilic stippling is shown by a huge arrowhead)
The biochemical tests’ findings were as follows:
patient outcomes standard value
50-1000 ng/L of serum B12
200 g/L packed red cells with folate 150-1000 µg/L
658 IU/L of lactate dehydrogenase and 230–450 IU/L
Blood Count in Full
ranges for test patient responses
6.2 4.0-11.0 WBC x 109/L RBC x 1012/L 7.9 13.5-18.0 Hct% 23 35-53 MCV fL 114 83.0-99.0 MCH pg 31.2 30.8-34.6 2.72 4.60-5.70 Hb g/dL 2.72 4.60-5.70 Hb %
Reticulocyte count 30 50-100 x 109/L