Anemia Of Chronic Disease Discussion 6
Mr. X is a 34y/o Hispanic male who introduced to the emergency room for a fatigue, dyspnea and chest ache which began yesterday morning. He has been experiencing some nausea, vomiting, and studies that he’s wants dialysis. He was identified with power kidney illness four years in the past and HIV 5 years in the past. He’s at present taking antiretroviral remedy for his HIV an infection and studies compliance. He was final seen at a free clinic for his HIV care 2 weeks in the past and doesn’t know his present CD4 depend or viral load. He has been receiving compassionate dialysis for eight months and not produces urine. He was final dialyzed 5 days in the past. His previous medical historical past is important for HIV, Chronic Kidney illness stage 5, Anemia, hypertension, pneumonia, hyperlipidemia
Previous surgical historical past is constructive for less than a permacath placement eight months in the past.
Bodily examination:
Vitals: 38.1-97-18-183/139
Normocephalic.
Alert & Oriented x3. Effectively developed.
Eyes: PERL. No nystagmus
Neck: Supple, no cervical lymphadenopathy
Cardiovascular: Regular Fee and rhythm. No murmur, gallops. 2+/four+ radial, brachial, dorsalis pedis pulses bilaterally. 2+ pitting edema of bilateral decrease extremities.
Pulmonary: Dyspneic. Lungs are clear.
Stomach: Delicate and nontender, lively bowel sounds. No peritoneal indicators.
Pores and skin: heat, dry and pale.
Rectal examination: stool is brown, no rectal lots
Lab Outcome
Sodium 133 mEq/L
Potassium 6.zero mEq/L
Creatinine 19.95 mg/dL
BUN 114 mg/dL
CO2 14 mEq/L
Anion hole 26 mEq/L
WBC 10,000
Hematocrit 25.four%
Hemoglobin eight.four g/dL
MCV 85 fL
Platelets 154,000
Serum Iron 70 mcg/dL
Complete Iron Binding Capability 150 mcg/dL
Ferritin 450 ng/ml
Glucose 124 mg/dL
Questions
1. The medical situation is most according to which sort of anemia? Chances are you’ll merely listing your reply under utilizing a bullet level format. This doesn’t need to be in an entire sentence. A quotation just isn’t required.
2. What knowledge within the medical situation helps your prognosis? Chances are you’ll merely listing your solutions under utilizing bullet level format. This doesn’t need to be in an entire sentence. A quotation just isn’t required.
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Anemia Of Chronic Disease Discussion 6
Anemia Of Chronic Disease Discussion 6
Mr. X is a 34y/o Hispanic male who introduced to the emergency room for a fatigue, dyspnea and chest ache which began yesterday morning. He has been experiencing some nausea, vomiting, and studies that he’s wants dialysis. He was identified with power kidney illness four years in the past and HIV 5 years in the past. He’s at present taking antiretroviral remedy for his HIV an infection and studies compliance. He was final seen at a free clinic for his HIV care 2 weeks in the past and doesn’t know his present CD4 depend or viral load. He has been receiving compassionate dialysis for eight months and not produces urine. He was final dialyzed 5 days in the past. His previous medical historical past is important for HIV, Chronic Kidney illness stage 5, Anemia, hypertension, pneumonia, hyperlipidemia
Previous surgical historical past is constructive for less than a permacath placement eight months in the past.
Bodily examination:
Vitals: 38.1-97-18-183/139
Normocephalic.
Alert & Oriented x3. Effectively developed.
Eyes: PERL. No nystagmus
Neck: Supple, no cervical lymphadenopathy
Cardiovascular: Regular Fee and rhythm. No murmur, gallops. 2+/four+ radial, brachial, dorsalis pedis pulses bilaterally. 2+ pitting edema of bilateral decrease extremities.
Pulmonary: Dyspneic. Lungs are clear.
Stomach: Delicate and nontender, lively bowel sounds. No peritoneal indicators.
Pores and skin: heat, dry and pale.
Rectal examination: stool is brown, no rectal lots
Lab Outcome
Sodium 133 mEq/L
Potassium 6.zero mEq/L
Creatinine 19.95 mg/dL
BUN 114 mg/dL
CO2 14 mEq/L
Anion hole 26 mEq/L
WBC 10,000
Hematocrit 25.four%
Hemoglobin eight.four g/dL
MCV 85 fL
Platelets 154,000
Serum Iron 70 mcg/dL
Complete Iron Binding Capability 150 mcg/dL
Ferritin 450 ng/ml
Glucose 124 mg/dL
Questions
1. The medical situation is most according to which sort of anemia? Chances are you’ll merely listing your reply under utilizing a bullet level format. This doesn’t need to be in an entire sentence. A quotation just isn’t required.
2. What knowledge within the medical situation helps your prognosis? Chances are you’ll merely listing your solutions under utilizing bullet level format. This doesn’t need to be in an entire sentence. A quotation just isn’t required.
