Unknown CBC 4_3_23

Examine the CBC and white blood cell differential below:

True or false: the patient’s leukopenia argues strongly against an infectious etiology.

a
True
b
False
Leukopenia is a poor prognostic finding in patients with sepsis.

The patient’s PT, aPTT and fibrinogen levels are shown in the graphic:

See infographic on DIC.

Click here for information on the ISTH score.

The patient, previously well, presented with abdominal pain and was found to be hypotensive and tachycardic with a temp 102.3 F. There was no history of liver disease and her blood counts were all normal 4 months prior. Blood cultures grew E. coli.

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