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).
67-year-old
female presents with 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.
Physical exam revealed 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.