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Team-based questions for in-class session on October 30, 2015
Work with your team to answer these questions. These questions are open book.
Open case one
Clinical Case One
A 20 year-old homeless man with a history of intravenous drug use by his girlfriend, who is also homeless, to be unconscious. He is transported by ambulance to Yale-New Haven Hospital. On arrival to the emergency department, the man's girlfriend tells the physicians that he has been losing a lot of weight lately and has had a cough for several months. Physical examination reveals prominent lymphadenopathy in his cervical, supraclavicular, axillary, and inguinal regions, along with a white coating on his tongue and a diffuse rash on his body.
A CBC is done, which shows the following:
WBC 3,400/mcL (normal 4-10,000)
Hemoglobin 11.3 g/dL (normal 13.5-17.5)
Platelets 100,000/mcL (normal 150-350,000)
The WBC differential reveals 80% neutrophils, 10% lymphocytes, 5% monocytes, 3% eosinophils, and 1% basophils.
Which of the following results most likely belongs to him?