KROK 1 2009 – Question 145 · KROK (Medicine) · Pathophysiology
Examination of a patient admitted to the surgical department with symptoms of acute appendicitis revealed the following changes in the white blood cells: the total count of leukocytes is 16 · 10⁹/l. Leukocyte formula: basophils - 0, eosinophils - 2%, juvenile forms - 2%, stabnuclear - 8%, segmentonuclear - 59%, lymphocytes - 25%, monocytes- 4%. The described changes can be classified as:
- A. Neutrophilia with hyperregenerative left shift
- B. Neutrophilia with right shift
- C. Neutrophilic leukemoid reaction
- D. Neutrophilia with degenerative left shift
- E. Neutrophilia with regenerative left shift
Hint
Compare the band and juvenile percentages with normal values and with the segmented cells, to grade how strongly the bone marrow is responding.
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