wenty year old Kelly has a sore throat, fever, weight loss, no appetite, and is very lethargic. Her periods are mild, without much bleeding. She sleeps all night and most of day. She admits to having several boyfriends this semester at college. Her hematocrit is 44%, Hemoglobin 12. Diabetes runs in her family, so the Doctor also ordered a fasting glucose, which was80 mg/dl, and a Hemoglobin A1C, which was 4.9%, Finally her CBC with differential revealed neutrophils of 30%, lymphocytes of 60% , basophils of less than 1% and an elevated monocyte count. First address each blood test and explain if it is normal or not. Then provide a few possible diganosis for Kelly.

Intro To Health Care
4th Edition
ISBN:9781337338295
Author:Mitchell
Publisher:Mitchell
Chapter21: Emergency Procedures
Section: Chapter Questions
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Twenty year old Kelly has a sore throat, fever, weight loss, no appetite, and is very lethargic. Her periods are mild, without much bleeding. She sleeps all night and most of day. She admits to having several boyfriends this semester at college. Her hematocrit is 44%, Hemoglobin 12. Diabetes runs in her family, so the Doctor also ordered a fasting glucose, which was80 mg/dl, and a Hemoglobin A1C, which was 4.9%, Finally her CBC with differential revealed neutrophils of 30%, lymphocytes of 60% , basophils of less than 1% and an elevated monocyte count. First address each blood test and explain if it is normal or not. Then provide a few possible diganosis for Kelly. Explain why you chose these possibilities.
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ANSWER: INTRODUCTION

Infection occurs when the body's natural mechanism are incapable to protect. Micro - organism such bacteria, viral, or fungus invade the susceptible host especially if the person is having weaker immune system. Infection prolong the longitivity ad healing of the person.  

Breaks in the integrity of the skin, soft tissue or organs like lungs, throat can be the site for infections. 

 

Given case:

  • 20 years old female
  • Symptoms - sore throat, fever, weight loss, no appetite , lethargic
  • Menstrual history- mild, and without much blood
  • Family history- Diabetic
  • Lifestyle history- Sleeps all night, and most of the day
  • Sexual history - She do not admit to have oral or sexual intercourse, but she admitted to have several boyfriend in recent past months.
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