4:14 9< ВackBlood Case 3.docxBlood Case 3:Jenny is an African-American girl who was referred to a doctorfor lethargy and pale skin. Jenny is breastfed and takes infantformula with iron and is eating foods like rice and vegetables.Physical exam reveals enlarged spleen.СВСNormal Range3.5-5.5 million/uLPatient ValueRBCS3.3 million/uL· Hb10.4 g/dL13 - 18 g/dL- НСТPLTS30 %45% to 52%210 K/uL150-400 K/uLWBCS7.5 K/uL4.5-11 K/uL•N61 %40-69%· L· M28 %20-40%6.5%2-8%E2 %1-4%· Bpatient is below:0.5 %.5 - 1%Blood smear from theWhat is the diagnosis and advice/treatment?DashboardCalendarTo DoNotificationsInbox因

In the above case , the patient is suffering from anemia as is evident from the complete blood cell…

Answered: Blood Case 3: Jenny is an…

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter5: Compliance

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Problem 5.5.1C

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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?
Ben is seen by local physician for routine preoperative exam prior to dental surgery. His physical exam revealed enlarged spleen. He is found a large left upper quadrant mass (in the abdominal region by ultrasound). CBC Patient Value Normal Range RBCs 2.5 million/uL 3.5-5.5 million/uL · Hb 14.7 g/dL 13 - 18 g/dL · HCT 44 % 45% to 52% PLTs 260 K/uL 150-400 K/uL WBCs 9.3 K/uL 4.5-11 K/uL · N 42 % 40-69% · L 46 % 20-40% · M 10 % 2-8% · E 1.4 % 1-4% · B 0.6 % .5 - 1% What is the diagnosis for this patient?
Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /l Hb 71 g/l PCV 24% Plt 8.0 X109/l WBC 1.2 X109/l Differential Segmented Neutrophils 2% Lymphocytes 94% Monocytes 4% Reticulocyte count 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…
Case #3Mr. C is a 60-year-old male who lives in his 1994 Toyota Corolla. He earns money by collectingaluminum cans along the roadside and from trash dumpsters. He states that he has been coughing up about ¼ cup of white sputum each morning for the past 20 years. About 1 week ago, he noticed a sudden onset of shaking chills, fever, sweating, malaise, chest pain, and shortness of breath at rest. He also begancoughing up rust-colored sputum that was thicker than his normal sputum production. Mt. C admits to current consumption of two packs per day of cigarettes (ie 70 pack-year smoking history). He admits to occasional alcohol use but denies having orthopnea, ankle edema, nausea, vomiting, diarrhea, weight loss,dysuria, wheezing, or hemoptysis.Lab results on room air:ABGpH 7.47PaCO2 32 mmHgPaO2 44 mmHgHCO3 23 mEq/lSaO2 75%BE -2Hb 12 g/dlPB 760 mmHgETCO2 10 mmHgPart 1: Interpret the ABGPart 2: Calculate Mr. C’s PaO2 and A-a gradient
(43) A 43 year old man with a long standing history of asthma comes to the physician because of progressive shortness of breath during the past 24 hours. his pulse is 100/min, respirations are 24/min, and blood pressure is 122/80 mm Hg. Physical examination shows diffuse wheezes, and rhonchi are heard on auscultation of the chest. An x-ray of the chest shows diffuse infiltrates. His leukocyte count is 14,000/mm3( 30% segmented neutrophils, 50% eosinophils, and 20% lymphocytes). WHich of the following mediators is most directly related to the develOPMENT of eosinophilia in this patient? (A) Interferon alpha (B) Interferon- Beta (C) Interferon-gamma (D) Interleukin-2(IL-2) (E) IL-5 (F) IL-10
3. A 63-year-old male is complaining of severe chest pain that radiated down his left arm. His vital signs showed a blood pressure of 165/95 mmH, pulse 110 beats per minute. Sweaty and visibly anxious, he reported a history of hypertension, high cholesterol, and a smoking habit of 30 years. EKG positive for for wide Q-T duration. Soap note including all system with Icd code and diagnosis and Reflection
28. A nurse is caring for a client who has just delivered her first newborn. The infanthas been diagnosed with hyperbilirubinemia. While providing education to the client onthis condition, the nurse should include which of the following as potential causes ofthis condition? (SATA)A. Allergy to breast milkB. Biliary atresiaC. Prenatal alcohol consumptionD. ABO incompatibilityE. Rh isoimmunization
Patient is wearing a CGM with a BG of 99, sensor says 112 and has two arrows down. He is about to go to gym class. What is your next course of action? a) Call parentb) Call supervisorc) Give student 15 gm of carbs and follow the DMAF
Mr. McMillan, a 92-year old male, presents to the Emergency Department (ED) with urinary hesitancy and burning and a fever at home of 101.6°F. His caregiver states “he just doesn’t seem like himself”. Upon further assessment, Mr. McMillan is weak, his face is flushed, his skin is warm and dry. He is oriented to person and place, but states the year is 1952. His vital signs were as follows: BP 99/60 mmHg Ht 170.2 cm HR 92 bpm and regular Wt 60 kg RR 28 bpm SpO2 93% on Room Air Temp 38.9°C What do you think is going on with this patient? What diagnostic tests would you consider? Which would you implement first? Why? What nursing actions would you take? Why? What topics would you include in the discharge instructions for this client?
Mr. McMillan, a 92-year old male, presents to the Emergency Department (ED) with urinary hesitancy and burning and a fever at home of 101.6°F. His caregiver states “he just doesn’t seem like himself”. Upon further assessment, Mr. McMillan is weak, his face is flushed, his skin is warm and dry. He is oriented to person and place, but states the year is 1952. His vital signs were as follows: BP 99/60 mmHg Ht 170.2 cm HR 92 bpm and regular Wt 60 kg RR 28 bpm SpO2 93% on Room Air Temp 38.9°C Please discuss the following, feel free to also add questions? What do you think is going on with this patient? What diagnostic tests would you consider? Which would you implement first? Why? What nursing actions would you take? Why? What topics would you include in the discharge instructions for this client?
A 28-year male was brought to the Accident and Emergency with acute symptoms offever, chills, severe headache, vomiting, confusion, irritation, stiff neck & petechiae. Hehas had all immunizations and is a normal healthy adult.Physical Examination reveals:-Temp: 39.9°C, Pulse: 124/min, BP: 71/54 mm Hg-Unable to answer a question and cannot follow instructions/conversation-Stiff neck & PetechiaeBased on the symptoms,a) Identify the likely disease and the pathogen associated b) What sample do you request for culture and sensitivity analysis? c) How would you process your sample and identify the pathogen? d) How would you report to the clinician?
29) A 23-year-old man presents with diffuse bruising. He otherwise feels well. He takes no medications, does not use dietary supplements and does not use illicit drugs. His medical history is negative for any prior ilnesses. He is a college student and works as a Batista in a coffee shop. A blood count reveals an absolute neutrophil count of 780/ uL, hematocrit of 18% and platelet count of 21,000/uL. Bone marrow biopsy reveals hypocellularity with a fatty marrow. Chromosome studies of peripheral blood and bone marrow cells are performed that exclude Fanconi's anemia and myelodysplastic syndrome. The patient has a fully histocompatible brother. Which of the following is the best therapy? A Antithymocyte globulin plus cyclosporine B Glucocorticoids C Growth factors D Hematopoietic stem cell transplant E Red blood cell and platelet transfusion

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