A 25-year-old female presented to her 28 week antenatal appointment with the complaint of lethargy. It was noted the patient appeared pale. A full blood count was taken. Pateints HB,HCT,MCV,MCH was low but RDW was high. i know its microsytic anemia. I am finding it hard to analyse the blood film. Provide a detailed diffrential diagonises refering back to blood film
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A 25-year-old female presented to her 28 week antenatal appointment with the complaint of lethargy. It was noted the patient appeared pale. A full blood count was taken.
Pateints HB,HCT,MCV,MCH was low but RDW was high. i know its microsytic anemia.
I am finding it hard to analyse the blood film.
Provide a detailed diffrential diagonises refering back to blood film
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- A 25-year-old female presented to her 28 week antenatal appointment with the complaint of lethargy. It was noted the patient appeared pale. A full blood count was taken. Pateints HB,HCT,MCV,MCH was low but RDW was high. expalin why it is microsytic anemia and not macrosytic anemia analyse the blood film provided below. Provide a detailed diffrential diagonises refering back to blood film.A 50-year-old man was rushed in the Emergency Room with a history of expelling black covered stools for two day, and recurrent nosebleeds. His complete patient history reveals both a recent as well as historyof ethanol abuse. His coagulations studies reveal: PLATELET COUNT: 60X10^9/LPT: 20secAPTT: 52secTHROMBIN TIME: 11secFIBRINOGEN: 201mg%FDP: >40mg/ml answer the following question- What is the most probable diagnosis?The practitioner ordered an IV anticoagulation bolus of 5,000 units IV folllowed by a continuous drip of the same IV anticoagulation at 1,000 units per hour. The standardard mixture of this medication is 25,000 units/ 500 ml of D5W. At what rate in milliliters per hour should the infusion pump be set?
- A patient presents with pitting, lower extremity edema and has a history of heart failure. The physician orders 0.45%NS at 100ml/hr. What could be the physician's rationale for ordering IV fluid for this patient? Please explain your answer.A Male patient Y who is 40 years old and weighs 60 kg is admitted in the ICU with history of being involved in a motor vehicle accident, he sustained the following injuries;• Spinal injury• Head injury• Multiple fractures• Rib fracturesThe patient is intubated, mechanically ventilated and connected to the multiparameter monitor, chest drains are in situ and draining, intracranial pressure is monitored. No operation has been done because the patient is hemodynamically unstable.The following results and readings are available;ABG’s PH 7. 21 PaCO2 54 mmHg PaO2 60 mmHg HCO3 24 mmol/L SaO2 90% BE 0Vital signs HR 140 bpm BP 80/50 mmHg RR 25bpm ICP 10 mmHgVentilator settings Mode V-SIMV RR 16bpm FiO2 50% Vti 360 ml PEEP 5 cmH2O I:E Ratio 1:2 PPEAK 50 cmH2O1. Evaluate the arterial blood gas and rationalizeA 67 years old female patient. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT of her head and neck. Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. She underwent a CT scan of the head and neck, but the results were normal. the patient was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD This morning patient woke up at 0600 hours with a 5/10 headache. At 0700 hours she began to feel weak in her limbs, and her headache increased to…
- A 12-weeks pregnant woman complains of inability to focus, fatigue, and shortness of breath. On a physical examination, she looks pale and weak. Laboratory results are as follows: Reticulocyte count: 1%, Hematocrit: 27%; Hemoglobin: 6.5 g/dL; MCV: 105 fL, MCHC: 32%. Does this patient need a transfusion? JustifyPt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…
- Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…this patient suffers from Parkinson’s disease and has been admitted with nausea, confusion and a fall. The most recent blood results and observations are shown below:Sodium – 136mmol/LPotassium – 4.0mmol/LCreatinine – 110micromol/LCRP – 25mg/LBp – 110/78mmHgWhich tests would you expect to be conducted in this patient? List below up to 4 patient issues that you have identified, think about who you would speak to about each of these: What are the typical issues associated with the administration of medication for Parkinson’s disease.A 12-weeks pregnant woman complains of inability to focus, fatigue, and shortness of breath. On a physical examination, she looks pale and weak. Laboratory results are as follows: Reticulocyte count: 1%, Hematocrit: 27%; Hemoglobin: 6.5 g/dL; MCV: 105 fL, MCHC: 32%. If the patient's transfusion reactions history suggests anaphylactic reactions, which blood component should be given? Justify your answer.