UNIT 3 LAB QUIZ
Sadie Thompson, an 18-month-old female, was born with TAR syndrome
(thrombocytopenia with absent radius). Sadie is brought in today by her
mother with the complaint of excessive bruising without significant trauma.
After an examination and the laboratory tests are completed, Dr. Dotson
diagnosis Sadie with congenital thrombocytopenia purpura.
Q87.2
D69.42
Lindsey Williams, a 33-year-old female, has not been feeling well and is seen
by Dr. Goldburg, who notes jaundice. Lindsey admits to feeling weak and
being dizzy. Blood tests return a hemoglobin of 6.3 g/dL. Lindsey is admitted
to the hospital for a blood transfusion; while there, a peripheral blood smear
was performed that showed echinocytes, confirming a diagnosis of pyruvate
kinase deficiency anemia.
D55.2
Victor Motts, a 6-month-old male, is brought in by his mother to see his
pediatrician, Dr. Stewart. Victor experienced a type of spasm. Dr. James notes
skeletal abnormalities and cyanosis as well as some hearing difficulties and
admits him to Weston Hospital. A fluorescence in situ hybridization (FISH) blood
test confirms a diagnosis of Di George’s syndrome.
D82.1
Tilley Cabe, a 9-month-old female, is brought in to see Dr. Peterson, her
pediatrician. Tilley has had a persistent low-grade fever for 4 days that has
not diminished. Dr.
Peterson notes a temperature of 100.2 and splenomegaly. Tilley is not
thriving. Dr. Peterson admits her to the hospital. The laboratory results reveal
Tilley has a low natural killer cell activity and cytopenia, which confirm the
diagnosis of hemophagocytic lymphohistiocytosis (HLH).
D76.1
Mark Hennecy, a 32-year-old male, presents today with the complaints of
feeling tired all the time, difficulty concentrating, and abdominal pain. Dr.
Mather notes mild jaundice. After a thorough examination and review of the
laboratory results, Mark is diagnosed with Gilbert’s syndrome.
E80.4
Pauline Allyson, a 2-week-old female, is brought in by her mother to see her
pediatrician, Dr. Goldburg. Pauline is having feeding difficulties with vomiting.
She also has diarrhea. Dr. Goldburg notes the child is failing to thrive, as well
as hepatosplenomegaly and abdominal distention. Pauline is admitted to the
hospital, where lab tests confirm the absence of lysosomal lipase acid (LIPA).
Pauline is diagnosed with Wolman’s disease.
E75.5
Loretta Sims, a 14-year-old female, presents today with the complaint of
,abdominal bloating and cramps with vomiting. Mrs. Sims, her mother, says this
usually occurs shortly
,after Loretta has drunk milk or eaten yogurt. Dr. Albany completes an
examination and the hydrogen breath test confirms the diagnosis of primary
lactose intolerance.
E73.9
Dr. Masters administered general anesthesia to Ashton Hopkins, an otherwise
healthy 32- year-old firefighter. Dr. Woody performed a third-degree burn
excision, followed by a skin grafting on Ashton’s chest, where 9% of his body
surface was burned while he was rescuing a little girl from a house fire.
01952-P1
Martha Gantt, a 76-year-old female with a history of hypertension and diabetes
mellitus, is brought into the OR for Dr. Brunson to perform a corneal transplant.
Dr. Williams, the anesthesiologist, administers the anesthesia.
0144-P2-AA
99100
Dr. Billingsworth administered anesthesia to Ralph Skipper, a 7-month-old
male requiring a hernia repair in the lower abdomen. Dr. Sims, the
neonatologist, noted that, without the surgery, Ralph was not expected to
survive.
00834-P5
99100
Gerry Sherman, a healthy 28-year-old male, plays professional basketball and is
given anesthesia by Dr. Wallace before having a diagnostic arthroscopy of his
right knee by Dr. Hook.
01382-P1
Sue Pittman, a 46-year-old female, presents today with the complaints of
tiredness and numbness. Sue was diagnosed with hypertension 2 years ago.
Dr. Charmers notes muscle weakness with slight paralysis. Sue is admitted to
the hospital, where blood tests reveal a high level of calcium. After a
complete workup, Sue is diagnosed with familial aldosteronism, type I.
E26.02
I10 - HTN
Vanessa Dostoimov, a 67-year-old female, had a pericardiotomy 6 weeks ago.
Dr. Baker last saw Vanessa 2 weeks ago for a fever and chest pain. Today, Dr.
Baker notes patient is experiencing similar symptoms today and documents a
pericardial rub, tachycardia, and hepatomegaly. Vanessa is admitted to the
hospital for a possible pericardiocentesis. After a thorough examination and
review of the test results, Vanessa was diagnosed with postcardiotomy
syndrome.
I97.0 – page 694
Gary Allen, a 59-year-old male, presents today with chest pain and cough.
Upon examination, Dr. Rogers documents a low-grade fever, dyspnea,
, tachypnea, and a pleural friction rub. The decision is made to admit Gary to
Weston Hospital, where he is diagnosed with a saddle embolus of pulmonary
artery with acute cor pulmonale.
Sadie Thompson, an 18-month-old female, was born with TAR syndrome
(thrombocytopenia with absent radius). Sadie is brought in today by her
mother with the complaint of excessive bruising without significant trauma.
After an examination and the laboratory tests are completed, Dr. Dotson
diagnosis Sadie with congenital thrombocytopenia purpura.
Q87.2
D69.42
Lindsey Williams, a 33-year-old female, has not been feeling well and is seen
by Dr. Goldburg, who notes jaundice. Lindsey admits to feeling weak and
being dizzy. Blood tests return a hemoglobin of 6.3 g/dL. Lindsey is admitted
to the hospital for a blood transfusion; while there, a peripheral blood smear
was performed that showed echinocytes, confirming a diagnosis of pyruvate
kinase deficiency anemia.
D55.2
Victor Motts, a 6-month-old male, is brought in by his mother to see his
pediatrician, Dr. Stewart. Victor experienced a type of spasm. Dr. James notes
skeletal abnormalities and cyanosis as well as some hearing difficulties and
admits him to Weston Hospital. A fluorescence in situ hybridization (FISH) blood
test confirms a diagnosis of Di George’s syndrome.
D82.1
Tilley Cabe, a 9-month-old female, is brought in to see Dr. Peterson, her
pediatrician. Tilley has had a persistent low-grade fever for 4 days that has
not diminished. Dr.
Peterson notes a temperature of 100.2 and splenomegaly. Tilley is not
thriving. Dr. Peterson admits her to the hospital. The laboratory results reveal
Tilley has a low natural killer cell activity and cytopenia, which confirm the
diagnosis of hemophagocytic lymphohistiocytosis (HLH).
D76.1
Mark Hennecy, a 32-year-old male, presents today with the complaints of
feeling tired all the time, difficulty concentrating, and abdominal pain. Dr.
Mather notes mild jaundice. After a thorough examination and review of the
laboratory results, Mark is diagnosed with Gilbert’s syndrome.
E80.4
Pauline Allyson, a 2-week-old female, is brought in by her mother to see her
pediatrician, Dr. Goldburg. Pauline is having feeding difficulties with vomiting.
She also has diarrhea. Dr. Goldburg notes the child is failing to thrive, as well
as hepatosplenomegaly and abdominal distention. Pauline is admitted to the
hospital, where lab tests confirm the absence of lysosomal lipase acid (LIPA).
Pauline is diagnosed with Wolman’s disease.
E75.5
Loretta Sims, a 14-year-old female, presents today with the complaint of
,abdominal bloating and cramps with vomiting. Mrs. Sims, her mother, says this
usually occurs shortly
,after Loretta has drunk milk or eaten yogurt. Dr. Albany completes an
examination and the hydrogen breath test confirms the diagnosis of primary
lactose intolerance.
E73.9
Dr. Masters administered general anesthesia to Ashton Hopkins, an otherwise
healthy 32- year-old firefighter. Dr. Woody performed a third-degree burn
excision, followed by a skin grafting on Ashton’s chest, where 9% of his body
surface was burned while he was rescuing a little girl from a house fire.
01952-P1
Martha Gantt, a 76-year-old female with a history of hypertension and diabetes
mellitus, is brought into the OR for Dr. Brunson to perform a corneal transplant.
Dr. Williams, the anesthesiologist, administers the anesthesia.
0144-P2-AA
99100
Dr. Billingsworth administered anesthesia to Ralph Skipper, a 7-month-old
male requiring a hernia repair in the lower abdomen. Dr. Sims, the
neonatologist, noted that, without the surgery, Ralph was not expected to
survive.
00834-P5
99100
Gerry Sherman, a healthy 28-year-old male, plays professional basketball and is
given anesthesia by Dr. Wallace before having a diagnostic arthroscopy of his
right knee by Dr. Hook.
01382-P1
Sue Pittman, a 46-year-old female, presents today with the complaints of
tiredness and numbness. Sue was diagnosed with hypertension 2 years ago.
Dr. Charmers notes muscle weakness with slight paralysis. Sue is admitted to
the hospital, where blood tests reveal a high level of calcium. After a
complete workup, Sue is diagnosed with familial aldosteronism, type I.
E26.02
I10 - HTN
Vanessa Dostoimov, a 67-year-old female, had a pericardiotomy 6 weeks ago.
Dr. Baker last saw Vanessa 2 weeks ago for a fever and chest pain. Today, Dr.
Baker notes patient is experiencing similar symptoms today and documents a
pericardial rub, tachycardia, and hepatomegaly. Vanessa is admitted to the
hospital for a possible pericardiocentesis. After a thorough examination and
review of the test results, Vanessa was diagnosed with postcardiotomy
syndrome.
I97.0 – page 694
Gary Allen, a 59-year-old male, presents today with chest pain and cough.
Upon examination, Dr. Rogers documents a low-grade fever, dyspnea,
, tachypnea, and a pleural friction rub. The decision is made to admit Gary to
Weston Hospital, where he is diagnosed with a saddle embolus of pulmonary
artery with acute cor pulmonale.
