21-year old woman that has had type 1 diabetes for the past 8 years, was brought to the hospital in a coma. She was prescribed to take 92 units of insulin a day to maintain her sugar levels within normal limits and prevent excess sugar in her urine. Upon admission she was hypontensive, tachycardic and hyperventilating. Her labs show she is acidonic, arterial blood carbon dioxide levels were low, blood oxygen tension is normal, bicarbonate levels are really low indicating metabolic acidosis, low sodium levels, slightly high level of potassium, Chloride level is on the low end of normal, very high levels of blood urea and nitrogen, total carbon dioxide levels are really low, extremely high sugar…
A review of her medical record indicates that she has had a functional decline with development of venous stasis ulcer to RLE. She suffers from dementia which is in the advanced stages. She also suffers from co-morbidities of anemia which is chronic, HTN which is stable and osteoporosis which is chronic.…
She became lethargic within one hour. She was immediately treated with “10mg activated charcoal, 3 h post ingestion”. The patient then went unconscious but did not need any tubes or extra ventilation. On arrival, her pulse was 110, blood pressure was 106/60, RR (melatonin level) was 20, body temperature 98.3, pOx 98 (RA). She had a disconjugated gaze. Her skin appeared dry, pink, and warm. Bowel sounds were decreasing. An ECG with 12-lead showed a sinus curve of 110. She was in stable condition with consistent vital signs and slowly awakened throughout a 24-hr period. On the second day, she slept for excessive periods at a time. She also suffered “truncal ataxia” while in the sitting position, which still existed during walking and standing up the next day. On the fourth day, she showed trouble with fine motor skills, but was discharged. The girl was monitored for seven days as symptoms receded and no abnormal condition resulted…
This patient was admitted for shortness of breath, fever and chills. He has a history of cystic fibrosis, with secondary diabetes.…
Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…
With full-thickness skin destruction, the appearance is pale and dry or leathery and the area is…
The patient was brought to my office by her daughter on the day of admission. She appeared dehydrated and weakened. There were periumbilical ecchymosis and…
Patient is 63 year old African American/Black male. Patient was brought in emergency department. The patient wife said he has been complaining of unusual stomach pains. According to the patients wife before bringing him in to the emergency room he was vomiting blood.…
Symptoms of Anemia includes - easy fatigue and loss of energy, tachycardia -particularly with exercise, shortness of breath and headache, difficulty concentrating, dizziness, pale skin/pallor, leg cramps, insomnia, hypoxemia, low urine output, cool to touch, intolerance of cold temps.…
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.…
The patient is a 36 year old male who came to the hospital because of an episode of hematemesis. The patient stated that for the past few days he had had anorexia and epigastric pain, which was worse if he tried to eat. An NG tube was placed and drained a small amount of bright red blood, as well as some coffee-ground material. Hemoccult test showed dark, tarry stool and positive for occult blood.…
1. Identify the etiologies and clinical manifestations common to all types of anemia. (See Table 42-1 p 870 and Chart 42-1 p 871)…
Many people around the world die from different serious diseases such as cancers and blood diseases. One of severe blood diseases is pernicious anemia. Pernicious anemia starts from gastritis, atrophy of all stomach layers, and loss of normal gastric glands. [1] then develops to the deficiency in vitamin B12, and red blood cells (Erythrocytes). In the late stage, the patient will die; however, if the disease discovers early patient can do well in treatment. To clarify the stages of developing pernicious anemia, this essay will explain the changes that occur in the body in each step.…
In this first scenario I think that Lily has Pernicious Anemia or else identified as Vitamin B12 anemia. Several of the signs that Lily is encountering are similar to anemia which are Fatigue, pale appearance, and weakness. Pernicious anemia is usually initiated by poor eating regimen. B12 vitamin is necessary in the making of red blood cells; a Red blood cell holds oxygen throughout the body. The analysis pernicious anemia is reasonably straightforward. The physician does a bodily examination as well as blood test to decide the quantity of B12 and Folic Acid in the body. A lot of the warning signs of pernicious mimic that of an individual with a folic acid anemia also. An individual that is analyzed with pernicious anemia would need to request that their doctor speak to them concerning being monitored for abdominal cancer, the cause for this is pernicious anemia positions the individual at higher jeopardy for abdominal cancer. This remedy of pernicious anemia is fairly easy as well. A B12 enhancement may be all that is required to re-establish the appropriate amounts of B12 in the body. This enhancement is taken as an injection into the muscles or in a capsule structure. To make sure the B12 is being immersed into the body your physician possibly will do blood work every a month. If the amount of B12 is not improving to satisfactory amounts a blood transfusions may be necessary.…
She thought that her lifestyle was causing that , and she didn't think that there was an underlying medication condition. Before diagnosis she was just abundantly tired. Her skin was not good. She have a couple of spells where she found that she was dizzy. And she was also pretty sad and depressed. She was chewing ice like it was going out of style. Her dentist was the one that identified that that could be an indication of anemia. The doctors thought that she must have been on disability. She started to get counseling on what to do to better improve her overall wellness, focused on anemia . It took long time for the body to absorb iron. She took an iron supplement, along with a multivitamin. The supplement was great, but it was more the lifestyle that really help her to improve her…
