內科網路繼續教育試題解析-BN9600502 | atypical lymphocyte意義
... than 10% atypical lymphocytosis was reported and infectious mononucleosis ... 且不典型淋巴球(atypical lymphocyte)超過10％，即可診斷為傳染性單核球過多 ...☆網路內科繼續教育☆有效期間：民國96年05月16日至96年05月31日止 CaseDiscussion A28-year-oldmansoughtmedicalattentionbecauseofprolongedfeverfor2weeks.Hehadbeeningoodstateofhealthuntil2weeksago,whenhebegantohavehighfevers;histemperaturecouldbeashighas39.5℃whichwassometimesaccompaniedbychills,profoundfatigue,andmalaise.Thefeverscouldberelievedtemporarilybyacetaminophen.Therewasnodiurnalornocturnalpattern.Therewasnosorethroat,rhinorrhea,cough,dyspnea,nausea,vomiting,dizziness,photophobia,diarrhea,constipation,abdominalpain,jointpain,nightsweatsorweightloss.Becauseofprolongedfever,hevisitedourclinicforhelp. Hewasapharmaceuticalrepresentativeanddeniedanyotherdisease.Therewasnohistoryofsmoking,alcoholdrinking,allergy,animalcontact,recenttravel,transfusion,tattoo,illicitdruguse,commercialsexorhomosexuality. Onphysicalexamination,hehadclearconsciousnessbutwasill-looking.Hisheightwas175cmandweightwas75kg.Thetemperaturewas38.3°C,thepulseratewas113beatsperminuteandtherespiratoryratewas16breathsperminute.Hisbloodpressurewhileinsupinepositionwas136/77mmHg.Hisconjunctivaewerepink,andthescleraewereanicteric.Thepupilswereisocoricwithpromptlightreflexes.Therewasnooralthrushororalulcersintheoralcavity.Theneckwassupplewithoutlymphadenopathy,engorgedjugularveins,palpablethyroidglandorcarotidbruits.Thechestwallexpansionwassymmetric,andbreathsoundswerebilaterallyclear.Theheartbeatswereregularwithoutaudiblemurmur.Theabdomenwassoft.Bowelsoundswerenormoactiveandliverandspleenwereimpalpable.Hisextremitieswerefreelymovablewithoutedema.Therewasnocyanosis,petechiae,purpuraorpigmentation.Thegenitaliawerefreeofulcersanddischarge.1.CBC/DCWBCHBPLTSegMonoLymAty.lymK/μLg/dLK/μL%%%%3.413.41724683610 2.BCS+e-ALBTPT-BilASTALTALPγ-GTg/dLg/dLmg/dLU/LU/LU/LU/L4.07.00.626852619053UNCRENa+K+CRPGlucoseLDHmg/dLmg/dLmmol/Lmmol/Lmg/dLmg/dLU/L10.10.71384.20.91101