KROK 1 2016 – Question 45 · KROK (Medicine) · Pathophysiology
A 59-year-old woman has been hospitalized in a surgical ward due to exacerbation of chronic osteomyelitis of the left shin. Blood test: leukocytes - 15,0 · 10⁹/l. Leukogram: myelocytes - 0%, metamyelocytes 8%, stab neutrophils - 28%, segmented neutrophils - 32%, lymphocytes - 29%, monocytes - 3%. Such blood count would be called:
- A. Right shift
- B. Regenerative left shift
- C. Regenerative-degenerative left shift
- D. Degenerative left shift
- E. Hyperregenerative left shift
Hint
Count which immature neutrophil stages are present in the differential and which are absent, then judge how the marrow is responding to the infection.
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