Considering the circumstances and the preliminary workup
Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”
Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.
Considering the circumstances and the preliminary workup, what type of anemia does Ms. Amost likely have? In an essay of 500-750 words, explain your answer and include rationale.
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I found some additional material on the subject.
The disease has to show signs and symptoms before the diagnosis. It is a procedure that requires high levels of knowledge and expertise regarding the disease’s observable signs. Therefore, it is important to carry out thorough research on the matter whereby primary sources are used to arrive at the right conclusion. Medical and nursing references are also incorporated as secondary sources so that the right diagnosis is done and the right medication administered. Per the symptoms displayed by Ms. A, a diagnosis and conclusion will be reached ad analyzed according to her conditions. In most cases, some factors have to be considered to facilitate the analysis. These factors include age, routine activities, health status and the time the disease has been recurring. Moreover, the living conditions that could be the major contributor to the thriving of the disease are also considered.