Hematology Case StudiesCase Study 1Patient: Jane F.Age: 70Sex: FHistory: Complains of trouble breathing after mild physical activity and easily fatigued. Denied hemoptysis, GI,or vaginal bleeding. Claimed diet was good, but appetite varied.Physical Exam: Other than pallor, no significant physical findings were noted. Occult blood was negativeСВС3.71 x 1012/L5.9 g/dLRBCHGBНСТ20.9%MCV56.2 fL15.9 pg28.3 g/dLМСНМСНСWBC5.9 x 10/LN seg82%L131EВPLT425 x 10%LFurther Laboratory StudiesIron StudiesPatient Values<10 ng/mL24 ug/dL729 ug/dLRISerum Ferritin12-86Serum Iron65-175TIBC250-410Saturation3%20-55

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Answered: Hematology Case Studies Case Study 1…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Case study: Acute Coronary Syndrome non ST elevation MI Possible diagnoses (differential diagnosis) (50 points). After analyzing the patient’s case, you need to make 3 (minimum) to 4 (maximum) possible diagnoses (rank by the most possible to the least possible). You need to be specific: e.g. a diagnoses of anemia is not specific enough, you need to elaborate: which type of anemia. If you make less than 3 differential diagnosis, your points will bededucted. Explanation of Pathophysiology of each of differential diagnoses (30 points). You need to write all of the pathophysiology thoroughlyof each of your differential diagnoses you write on the first part. This has to be detail enough so that you can explain all the signs, symptoms, patient’s history and all diagnostic tests results. There are no minimum or maximum number of pages you need to write, but comprehensive pathophysiology shouldsuffice. Your suggestions of what extra work-up/laboratory/diagnostic tests/information needed to…
Please answer the case study below.Case Study 3:An 18-year-old man with no significant past medical history presented to the emergencydepartment with a history of cough and shortness of breath with exertion, along withsubjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly patterninvolving both central lung fields. The patient reported a history of IV drug use, with frequentsharing of needles.Case study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year) 5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. References
Case Study: Sarah's Immune Challenge Background: Sarah is a 35-year-old nurse who recently started experiencing unusual fatigue, joint pain, and frequent infections. She decided to consult her healthcare provider for a thorough evaluation. Medical History: Chronic sinus infections Family history of autoimmune diseases Recent exposure to a patient with tuberculosis (TB) Vital Signs: BP: 120/80 mm Hg Heart rate: 90 bpm Temperature: 100.4\deg F - Respiratory Rate: 20 breaths/min Lab Tests: Elevated white blood cell count Positive PPD skin test for TB Elevated levels of autoimmune markers Diagnosis: Sarah was diagnosed with an autoimmune disorder as well as latent TB. Interpret the graph: How do innate and adaptive immune responses vary over time? Immune Response Level Immune Response Over Time 15- 10- Days C Immune Type Adaptive Immunity Innate Immunity
Patient C., 32 y/o, complains of excessive weight, shortness of breath, defective memory, performance decrement, feeling cold, emotional retardation. It is known from the case history that the patient is suffering from primary hypothyroidism. Objectively: the skin is dry, waxlike, swollen, periosteal reflexes are lowered, body mass index: 33.5 kg/cubic meter, TSH (thyroid-stimulating hormone) – 25 µU/dL (norm 0.5 -5.0). Obesity is homogenous. Arterial pressure: 150/100 mm column ob mercury. What type of obesity can be suspected?A. Endocrine hypothyroidB. Endocrine accompanying dysfunctions of hypothalamopituitary systemC. Alimentary constitutionalD. HypothalamicE. Androidal with the developed symptoms of metabolic syndrome
Question: Can you make a list of Nursing Diagnosis related to the given Case Scenario below? INFANT WITH TETRALOGY OF FALLOT Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days. The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more frequent after feeding. The patient currently appears comfortable,with no signs of respiratory distress, fever, or…
C. Give the meanings of the following abbreviations 1. TPN - 2. PUD - 3. EGD - 4. IBD - BE - 5. 6. BRBPR - 7. LTFS 8. GERD - 9. HBV - 10. CT-
Patient D: 38 y/o male vegetarian. Complains of mild irritation during urination. Urine volume 1.1 liters/24 hours. Microscopic examination of urine revealed many small pyramid shaped crystals. 1) List the abnormal findings. 2) What is your diagnosis? 3) What might have caused this disease? 4) How does diet affect urine? 5) Have you ever tried drinking 12 large glasses of water in a day? Why would drinking water be helpful to this individual?
Discuss deep vein thrombosis including risk factors and ways to avoid it Discuss deep vein thrombosis treatments including warfarin Discuss side effects and interactions of warfarin therapy. What kind of testing is done? What is the therapeutic range and how often should he test? Discuss diet in relation to warfarin therapy. What goals should be set for him? What other departments or individuals should be included in his plan of care? What other considerations should be considered to make this a comprehensive case study with detailed plan of care?
Provide a possible diagnosis for the following Cardiovascular Case. A 64 year old male was brought to the emergency room due to severe chest heaviness and dyspnea 30 minutes ago upon waking up this morning. He is has diabetes mellitus and hypertension for the past 20 years, but neither takes his medications regularly nor follows up with his internist. He is a banker for the past 40 years and loves to spend his weekend in a drinking spree with his close friends. He also smokes 10 sticks of cigarettes since he was in high school. He usually feels some mild chest heaviness when walking long distances but feels improvement after he rests. For the past week, he is stressed because of the demands of his work and slept in the late hours of night due to his work-from-home set-up. He has a family history of coronary artery disease and myocardial infarction, as well as hypertension and diabetes. At the emergency room, he is restless due to persistent angina and dyspnea. His Blood Pressure is…
Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. 4. What other causes except myocardial infarction can cause this type of TPP? 5. Describe the mechanism of development of this TPP in the patient. STDDO
Case Study, Cardiovascular Disorders Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 1.Explain the rationales for the laboratory tests and ECG stress test. 2. What should the nurse do to prepare for the cardiac catheterization that is scheduled?
29 yo female PTC with a 3 day history of sore throat, fatigue, fever, and swelling in the neck and underarms. Patient denies having been around anyone who was sick. Patient reports reduced appetite but no vomiting Vitals: 116/72, Temp 101.2, RR: 16 rpm, O sat: 99% Pulse: 89 bpm Physical findings reveals an erythematous pharynx with 3+ tonsils with bilateral exudates and palatal petechiae Anterior and posterior cervical lymphadenopathy and axillary lymphadenopathy present Abdominal: no abdominal tenderness or organomegaly 1. What do you want to do next? 2. Using the grading scales how likely is it that this patient has strep throat?

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