Question

1) Patient with leukocyte count >50000 and high alkaline phosphatase score, and greater proportion of late neutrophil precursors

2) Patient with leukocytes >100000, low alk phos score, and less mature precursors.

Answer 1

The patient's leukocyte count and alkaline phosphatase score suggest an infection and/or inflammation, making it necessary for the healthcare team to evaluate the condition before proceeding with chemotherapy treatment.

Step-by-step explanation:

Based on the patient's leukocyte count of >50000 and high alkaline phosphatase score, along with a greater proportion of late neutrophil precursors, it can be inferred that the patient has an infection and/or inflammation, particularly triggered by bacteria. The high alkaline phosphatase score suggests large bile duct obstruction or intrahepatic cholestasis. This information indicates a serious condition that should be evaluated by the healthcare team before proceeding with chemotherapy treatment.