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A patient with long-standing bronchiectasis also has pneumonia. Which of the following hematology test results would be expected?1. Decreased red blood cell (RBC) count2. Decreased white blood cell (WBC) count3. Elevated WBC count4. Increased hemoglobin and hematocrit3Group of answer choices

Question

A patient with long-standing bronchiectasis also has pneumonia. Which of the following hematology test results would be expected?1. Decreased red blood cell (RBC) count2. Decreased white blood cell (WBC) count3. Elevated WBC count4. Increased hemoglobin and hematocrit3Group of answer choices

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Solution

The expected hematology test result for a patient with long-standing bronchiectasis and pneumonia would be 3. Elevated white blood cell (WBC) count.

Here's why:

  1. Bronchiectasis is a chronic condition where the walls of the bronchi are thickened from inflammation and infection. People with bronchiectasis have periodic flare-ups of breathing difficulties, called exacerbations.

  2. Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing.

  3. Both bronchiectasis and pneumonia are conditions that involve inflammation and infection. In response to infection, the body typically produces more white blood cells to fight off the invading bacteria or viruses. Therefore, an elevated WBC count would be expected in these cases.

  4. A decreased red blood cell (RBC) count or increased hemoglobin and hematocrit would not typically be associated with these respiratory conditions. These changes could indicate other conditions such as anemia or polycythemia.

  5. A decreased WBC count could occur in certain situations such as a severe, overwhelming infection, immunosuppression, or bone marrow disorders, but it is not typically associated with bronchiectasis or pneumonia.

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