A 67-year-old female presents with a chief complaint of shortness of breath, fat

A 67-year-old
female presents with a chief complaint of shortness of breath, fatigue,
weakness, unintentional weight loss, and mild numbness in her feet. She states
she feels unsteady when she walks. PMH includes hypothyroidism well-controlled
on Synthroid 100 mcg/day. No hx of HTN or CHF.
Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.
A physical exam revealed a pale, anxious female appearing older than
stated years.
HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red
and slightly swollen with loss of normal rugae. Turbinates pale but no
swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.
Cardiac-regular rate and rhythm with soft II/VI systolic murmur.
Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft,
non-tender with positive bowel sounds. Liver edge palpated two finger breadths
below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume,
plasma iron, and ferritin levels high, folate, TIBC are normal.
Case Study
Analysis
An
understanding of the factors surrounding women’s and men’s health, infections,
and hematologic disorders can be critically important to disease diagnosis and
treatment in these areas. This importance is magnified by the fact that some
diseases and disorders manifest differently based on the sex of the
patient.
Effective
disease analysis often requires an understanding that goes beyond the human
systems involved. The impact of patient characteristics, as well as racial and
ethnic variables, can also have an important impact..
An understanding of the symptoms of
alterations in systems based on these characteristics is a critical step in
diagnosis and treatment of many diseases. For APRNs, this understanding can
also help educate patients and guide them through their treatment plans.
In
this Assignment, you examine a case study and analyze the symptoms presented.
You identify the elements that may be factors in the diagnosis, and you explain
the implications to patient health.
To
prepare:
By Day 1 of this week, you will be
assigned to a specific case study scenario for this Case Study Assignment.
Please see the “Course Announcements” section of the classroom for your
assignment from your Instructor.
Assignment
(3 -page case study analysis)
In your Case Study
Analysis related to the scenario provided, explain the following as it applies
to the scenario you were provided (not all may apply to each scenario):
The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.
Why prostatitis and infection happens. Also explain the
causes of systemic reaction.
Why a patient would need a splenectomy after a
diagnosis of ITP.
Anemia and the different kinds of anemia (i.e., micro and macrocytic).
Case Study_Assignment_Rubric

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