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    The blood test results for Mary Joan who presents with multiple painful joints show abnormalities that could indicate an underlying condition. Her red blood cell count is low, as evidenced by a low hemoglobin and hematocrit level. Inflammation markers like ESR and CRP are elevated. Liver enzymes ALT and AST are mildly elevated as well. Taken together, these results suggest Mary Joan may have a condition like rheumatoid arthritis that is causing both anemia and inflammation in her body.

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    The blood test results for Mary Joan who presents with multiple painful joints show abnormalities that could indicate an underlying condition. Her red blood cell count is low, as evidenced by a low hemoglobin and hematocrit level. Inflammation markers like ESR and CRP are elevated. Liver enzymes ALT and AST are mildly elevated as well. Taken together, these results suggest Mary Joan may have a condition like rheumatoid arthritis that is causing both anemia and inflammation in her body.

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    2 views4 pages

    Blood Tests Useful Normal Values

    Uploaded by

    Kru Prime
    The blood test results for Mary Joan who presents with multiple painful joints show abnormalities that could indicate an underlying condition. Her red blood cell count is low, as evidenced by a low hemoglobin and hematocrit level. Inflammation markers like ESR and CRP are elevated. Liver enzymes ALT and AST are mildly elevated as well. Taken together, these results suggest Mary Joan may have a condition like rheumatoid arthritis that is causing both anemia and inflammation in her body.

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    24/09/2021, 14:08 VH: Mary Joan - Multiple painful joints: Blood tests

      

    VIRTUAL HOSPITAL

    > Courses > Medicine and Dentistry > Virtual Hospital > File store > Mary Joan - Multiple painful joints

    MARY JOAN - MULTIPLE PAINFUL JOINTS

    Full blood count Results Normal

    Haemoglobin 10.9 12.0 – 16.0 g/dL

    White cell count 4.2 3.92-9.88 109/l

    Platelets 190 150-400 109/l

    MCV 69 77-95 fL

    MCH 26.2 27.0-32.0 pg

    MCHC 31.8 32.0-36.0 g/dL

    Neutrophil 3.2 2.0–7.5 x 109

    Lymphocyte 4.3 1.0– 4.0 x 109

    Monocyte 0.8 0.2–1.0 x 109

    Basophil 0.1 0.0-0.1 x 109

    Eosinophil 0.1 0.0-0.4 x 109

    ESR 29 <10 mm/hr

    Urea & Electrolytes

    Sodium 136 136-145 mmol/l

    Potassium 3.9 3.5-5.1 mmol/l

    Creatinine 92 68-98 µmol/l

    Urea 4.2 3.0-7.0 mmol/l

    C-reactive protein 10 <5 mg/l

    Liver Function test

    Bilirubin 17 3-17 µmol/l

    ALP 4.2 25-110 U/l

    ALT 45 10-50 U/l

    AST 35 8-40 U/l

    Albumin 38 33-49 g/l

    Haematinics

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    24/09/2021, 14:08 VH: Mary Joan - Multiple painful joints: Blood tests

    Iron 8.7 8.9 -30.4 µmol/l


      
    Transferrin 189 190 – 326 mg/dl

    Ferritin 100 12-150 ng/ml

    Vitamin B12 482 120-700 pmol/l

    Folate 458 200-600 ng/ml

    Thyroid Function
    Test

    TSH 4.2 0.35-4.94mIU/l

    Free T4 16.1 9.0-19.0pmol/l

    Free T3 4.5 3.25-6.21pmol/l

    How would you interpret these blood results and does it indicate what maybe the diagnosis?

    Your answer

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