Alterations of Hematology and Cardiovascular system.(Case Studies)

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Health Medical

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Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

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.


Case Study 2


Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.


Question


Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:


Describe your approach to care.


Recommend a treatment plan.


Describe a method for providing both the patient and family with education and explain your rationale.


Provide a teaching plan (avoid using terminology that the patient and family may not understand).

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Explanation & Answer

Answers posted please confirmKindly go through the work and let me know in case of any question,problem or clarificationIf the answer is okay,looking forward to work with you again.Thanks

Topic: Case Studies


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Running Head: CASE STUDY

1

Case Studies
Name
Institutional Affiliation

CASE STUDY
Alterations of Hematology and Cardiovascular system- Case Studies
Case Study 1
The symptoms described for Ms. A which include shortness of breath, low energy levels
and a lack of enthusiasm. According to Ms. A, the symptoms seemed worse during her
menstruation period. She also admitted to suffering from Menorrhagia and a dysmenorrheal
problem for 10-12 years which she treated by taking 1000 mg of aspirin, particularly during her
menses. Following the produces laboratory report on her physical examination the following
concerns were identified.
Laboratory values
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.
Considering the results from the preliminary workup, it is clear that Ms. A is suffering
from aplastic anemia. Anemia takes the form of seven different types of each having
differentiated symptoms and causes. However, given the symptoms experienced by Ms. A
aplastic anemia seems to be the one she suffers. Overall, people with anemia suffer reduced
hemoglobin in their blood and therefore have fewer red blood cells. It is important to note that

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CASE STUDY

3

for anemia that has not a...


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