The patient has pancytopenia with low white blood cell count, red blood cell count, hemoglobin, and platelet count. Possible underlying causes include bone marrow failure and hematologic malignancies. Main complications include infection due to low white blood cells and anemia.

1. LABORATORY DATA IN
EXAMES

2. Patient normal
WBC 1.4 x10°/L 4-11 x10°/L
RBC 3 x10¹²/L 4.5-6.5 x10¹²/L
HB 5 gm/100mL 11-15 gm/100mL
MCH 27 pg 27-32 pg
MCV 80 FL 80 –100 FL
PLATELETS 40 x10°/L 150-400 x10°/L
1-What is the diagnosis?
2- what are the possible underlying causes?
3-what are the main complications?

3. Patient Normal
Urea 96 mg /100mL 20 - 40 mg /100mL
Creatinine 3.5 mg /100mL 0.6 – 1.5 mg /100mL
Hemoglobin 9 g/dl 13-15 g/dl
Sodium 135 mmol/L 135 -145 mmol/L
Potassium 7.5 mmol/L 3.0 -5.5 mmol/L
1. Interpret data, what is the diagnosis?
2. What it is important immediate investigations?
3. Outline steps of management?

4. Ascitic fluid
Apperenance
Protein
gm /dl
Glucose
mg / dl
WBC
/µL
Normal Clear < 3.O 70 - 120 < 250
Patient ascitic
fluid
Clear 4.5 gm /dL 40 mg /dL
560
Mainly
lymphocytes
1-What is the type of the fluid?
2- What is the diagnosis?
3- Mention 2 investigations to confirm diagnosis?

5. Patient Normal
Glucose 500 mg /100mL 65 – 110 mg /100mL
Urea 50 mg /100mL 20 - 40 mg /100mL
Creatinine 1.2 mg /100mL 0.6 – 1.5 mg /100mL
Sodium 122 mmol/L 135 -145 mmol/L
Potassium 3 mmol/L 3.0 -5.5 mmol/L
urine sugar +++ negative
Urine acetone +++ negative
PH 7.10 7.35-7.45
HCO3 12 22-26 mmol/L
PCO2 25 mmHg 38-42 mmHg
PO2 100 mmHg 92-100 mmHg
1-What is the diagnosis?
2-What are the precipitating factors?
3- outline the management?

6. Normal value
Patient
-
90 mg/dl
Fasting blood
glucose
135- 145 meq/l
136
Serum sodium
3.5- 4.5 meq/l
7
Serum potassium
1- Interpret this lab result. What is the diagnosis?
2- What is the most appropriate next investigation, mention
2 causes of this condition.
3- Outline steps of management

7. Normal value
Patient
12- 15
6
Hemoglobin (g/dl)
4- 11 x 103/ml
5 x 103/ml
WBC
150- 450 x 103/ml
250 x 103/ml
Platelets
80- 96 fl
64
MCV
33- 36 g/dl
24
MCHC
40- 155 mcg/dl
6
Serum Iron
12- 150 ng/ml
7
Serum ferritin
1- Interpret this lab result. What is the diagnosis?
2- What are the 2 common causes?
3- Mention 2 investigations to diagnose the underlying cause?

8. Patient normal
WBC 1.4 x10°/L 4-11 x10°/L
RBC 3 x10¹²/L 4.5-6.5 x10¹²/L
HB 5 gm/100mL 11-15 gm/100mL
MCH 27 pg 27-32 pg
MCV 80 FL 80 –100 FL
PLATELETS 40 x10°/L 150-400 x10°/L
1-What is the diagnosis?
2- what are the possible underlying causes?
3-what are the main complications?

9. Cerebrospinal fluid
Appearance RBC//µL WBC/µL Glucose
mg/dL
Protein
mg/dL
Normal - 0 < 5 Lymph
0 PMN
45-85 15-45
Patient Cloudy 0 100
Lymphocyte
40 60
1) What is the diagnosis? How to confirm it?
2) Outline treatment?
3) What are the possible complications?

10. Normal value
Patient
7.35- 7.45
6.9
PH
22- 28 meq/l
8
Bicarbonate
80- 100 mmHg
100
PaO2
35-45 mmHg
55
PCO2
1-What is the diagnosis?
2-Mention 4 underlying causes?
3- Mention 4 clinical features?
ABG

11. Normal value
Patient
Thyroid function test
12- 15
0.001
TSH
1 -2.6 nmol /L
9
Free T3
10-27 pmol/L
55
Free T4
1- Interpret this lab result. What is the diagnosis?
2- Mention 4 causes?
3- Mention 4 clinical features of the condition.

12. THYROID FUNCTION TEST
FREE T4 T3 TSH
Normal 10-27 pmol/L 1 -2.6 nmol /L 0.15-3.5 mU/L
Patient 5 pmol /L 0.8 nmol/L 15 mU/L
1-What is the diagnosis? List four causes?
2-list four important clinical manifestations?
3- order two further relevant tests and indicate reason?

13. patient normal
Conjugated bilirubin 2 mg/dL 0.1-0.3 mg/dL
Unconjugated bilirubin 5 mg/dL 0.2-o.7 mg/dL
SGOT (AST) 500 IU/L 5-30 IU/L
SGPT (ALT) 450 IU/L 5-30 IU/L
ALKALINE PHOSPHATASE 100 IU/L 30-115 IU/L
SERUM ALBUMIN 3 g/100mL 3.4-4.7 g/100mL
URINE BILIRUBIN ++ NEGATIVE
1) What is the type of jaundice?
2) List causes?
3) List complications of viral hepatitis?