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 reviews that he’s wants dialysis. He was recognized with continual kidney illness four years in the past and HIV 5 years in the past. He’s presently taking antiretroviral remedy for his HIV an infection and reviews 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 rely 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 Price 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: Gentle and nontender, energetic bowel sounds. No peritoneal indicators.
Pores and skin: heat, dry and pale.
Rectal examination: stool is brown, no rectal lots
Lab End result
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
Whole Iron Binding Capability 150 mcg/dL
Ferritin 450 ng/ml
Glucose 124 mg/dL
Questions
1. The scientific state of affairs is most in keeping with which kind of anemia? It’s possible you’ll merely record your reply beneath utilizing a bullet level format. This doesn’t should be in an entire sentence. A quotation shouldn’t be required.
2. What information within the scientific state of affairs helps your prognosis? It’s possible you’ll merely record your solutions beneath utilizing bullet level format. This doesn’t should be in an entire sentence. A quotation shouldn’t be required.
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Chronic Disease Anemia Discussion 6 Anemia Of Chronic Disease Discussion 6
Mr. X is a 34-year-old Hispanic male who went to the emergency room with signs of exhaustion, dyspnea, and chest ache that started yesterday morning. He has been having nausea and vomiting, and he reviews that he want dialysis. He was recognized with continual kidney sickness 4 years in the past, and he was recognized with HIV 5 years in the past. He’s now receiving antiretroviral medicine for his HIV an infection and states that he’s compliant. He was evaluated at a free clinic for HIV care two weeks in the past and has no thought what his present CD4 rely or viral load is. He has been on compassionate dialysis for eight months and not excretes urine. He had his final dialysis 5 days in the past.
