levels.
levels.
A review of her medical record indicates that she has had a functional decline with development of venous stasis ulcer to RLE. She suffers from dementia which is in the advanced stages. She also suffers from co-morbidities of anemia which is chronic, HTN which is stable and osteoporosis which is chronic.…
This patient was admitted for shortness of breath, fever and chills. He has a history of cystic fibrosis, with secondary diabetes.…
Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…
With full-thickness skin destruction, the appearance is pale and dry or leathery and the area is…
The patient was brought to my office by her daughter on the day of admission. She appeared dehydrated and weakened. There were periumbilical ecchymosis and…
Symptoms of Anemia includes - easy fatigue and loss of energy, tachycardia -particularly with exercise, shortness of breath and headache, difficulty concentrating, dizziness, pale skin/pallor, leg cramps, insomnia, hypoxemia, low urine output, cool to touch, intolerance of cold temps.…
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.…
She became lethargic within one hour. She was immediately treated with “10mg activated charcoal, 3 h post ingestion”. The patient then went unconscious but did not need any tubes or extra ventilation. On arrival, her pulse was 110, blood pressure was 106/60, RR (melatonin level) was 20, body temperature 98.3, pOx 98 (RA). She had a disconjugated gaze. Her skin appeared dry, pink, and warm. Bowel sounds were decreasing. An ECG with 12-lead showed a sinus curve of 110. She was in stable condition with consistent vital signs and slowly awakened throughout a 24-hr period. On the second day, she slept for excessive periods at a time. She also suffered “truncal ataxia” while in the sitting position, which still existed during walking and standing up the next day. On the fourth day, she showed trouble with fine motor skills, but was discharged. The girl was monitored for seven days as symptoms receded and no abnormal condition resulted…
Patient is 63 year old African American/Black male. Patient was brought in emergency department. The patient wife said he has been complaining of unusual stomach pains. According to the patients wife before bringing him in to the emergency room he was vomiting blood.…
Anemia is a disease state that is characterized by a reduction of hemoglobin (Hb) or volume of red blood cells (RBC’s). The reduction in Hb or RBC’s leads to diminished oxygen carrying ability of the blood. Many forms of anemia exist – the anemias discussed will be relevant to our patient, JJ, based on her signs/symptoms and past medical history (PMH). Anemia can be classified based on the appearance or size of the RBC. The size of the RBC can be determined by either calculating the mean corpuscular volume (MCV) of the RBC based on hematocrit and…
The patient is a 36 year old male who came to the hospital because of an episode of hematemesis. The patient stated that for the past few days he had had anorexia and epigastric pain, which was worse if he tried to eat. An NG tube was placed and drained a small amount of bright red blood, as well as some coffee-ground material. Hemoccult test showed dark, tarry stool and positive for occult blood.…
1. Identify the etiologies and clinical manifestations common to all types of anemia. (See Table 42-1 p 870 and Chart 42-1 p 871)…
Most of the extreme symptoms he exhibited on admission had mostly been resolved. He did however still have moderate edema in his lower extremities. His lungs sounds were also drastically improved although they were slightly decreased with coarse crackles in the bases. He complained of shortness of breath. His oxygen saturation was 95% on 2 liters oxygen via nasal cannula. The patient complained of exertional fatigue and dizziness upon sitting up. He had full sensation in his upper extremities, but some numbness in his feet due to long standing diabetic neuropathy. He was alert and oriented to time, place, person. Pupils were equal and reactive to light and accommodated. Bowel sounds were present in all four quadrants. His abdomen was slightly distended, and he complained of a loss of appetite. He stated he was having mild myalgia but within his pain comfort goal of 3/10. Peripheral pulses were strong in upper extremities with thready pedal pulses bilaterally. Capillary refill was appropriate in all extremities. He has normal heart sounds with a systolic murmur. Vital signs taken by the PCT were reported as: BP 107/56, HR 75, RR 16, Temp 36.9C, SaO2 90% 2L O2 via nasal…
In this first scenario I think that Lily has Pernicious Anemia or else identified as Vitamin B12 anemia. Several of the signs that Lily is encountering are similar to anemia which are Fatigue, pale appearance, and weakness. Pernicious anemia is usually initiated by poor eating regimen. B12 vitamin is necessary in the making of red blood cells; a Red blood cell holds oxygen throughout the body. The analysis pernicious anemia is reasonably straightforward. The physician does a bodily examination as well as blood test to decide the quantity of B12 and Folic Acid in the body. A lot of the warning signs of pernicious mimic that of an individual with a folic acid anemia also. An individual that is analyzed with pernicious anemia would need to request that their doctor speak to them concerning being monitored for abdominal cancer, the cause for this is pernicious anemia positions the individual at higher jeopardy for abdominal cancer. This remedy of pernicious anemia is fairly easy as well. A B12 enhancement may be all that is required to re-establish the appropriate amounts of B12 in the body. This enhancement is taken as an injection into the muscles or in a capsule structure. To make sure the B12 is being immersed into the body your physician possibly will do blood work every a month. If the amount of B12 is not improving to satisfactory amounts a blood transfusions may be necessary.…
She thought that her lifestyle was causing that , and she didn't think that there was an underlying medication condition. Before diagnosis she was just abundantly tired. Her skin was not good. She have a couple of spells where she found that she was dizzy. And she was also pretty sad and depressed. She was chewing ice like it was going out of style. Her dentist was the one that identified that that could be an indication of anemia. The doctors thought that she must have been on disability. She started to get counseling on what to do to better improve her overall wellness, focused on anemia . It took long time for the body to absorb iron. She took an iron supplement, along with a multivitamin. The supplement was great, but it was more the lifestyle that really help her to improve her…