A 3 year old male patient with 103.5 temp presents to your clinic.  You obtain a CBC and find: WBC  22.1 Neutrophils 75% with toxic granulation Bands 15% Lymphocytes 4% The best description of the WBC with differential results is:

Communicating one’s personal and professional needs to others; protecting one’s own rights while respecting those of others.

Indicate High, Low or Normal for the following Lab Value: MCHC 33

Indicate High, Low or Normal for the following Lab Value: Hgb 9.2

Indicate High, Low or Normal for the following Lab Value: Platelets 95

Indicate High, Low or Normal for the following Lab Value: RDW 18.5

A patient gave birth 48 hours ago. She has decided to bottle-fed. During your assessment, you notice that both her breasts are swollen, warm, and tender on palpation. The patient should be advised that this condition can best be treated by: 

Calculate the patient’s Anion Gap with the following CMP results: Glucose 441 Sodium 136 Potassium 3.8 Chloride 102 CO2 9 BUN 10 Cr 1.14 Albumin 4.8 g/dl  (48g/L) Ca 9.2 AST 33, ALT 34, Alk Phos 137

This U.S. Supreme Court decision upheld the right of a man in Dallas to burn the U.S. flag due to the expression of symbolic speech protected by the First Amendment to the U.S. Constitution. 

In what patient population is an elevated Alk Phos considered a normal finding for a wellness visit?