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1. You are the FNP for a 43-year-old female patient who has complaints of weakness and fatigue that has been occurring for the last 4 weeks. The patient states that she was training for her latest marathon (she has already completed three of them) and she is having difficulty keeping up with her training schedules. The patient is also a vegan. You decide to run labs for this patient and receive the following results: Hgb- 9 g/dl RBC- 2.5 mL/Kg Ca 9 mg/dl Hct 32% K- 3.7 mEq/L MCV 60 µm Na- 140 mEq/L Fe 25 mcg/dl MCHC 28 BUN 12 mg/dl TIBC 550 mcg/dl RDW 20 Mg 2 mg/dl TSH 3.2 µU/ml Does the patient have anemia? If so, what is the name of the cell size and color? What type of anemia does this patient have? How would you treat this anemia?
2. A 16-year-old Asian American male presents to the clinic with the FNP and states that he seems to feel more tired than usual. The patient states that he has always been tired, but more so now. He also reports that people say that he seems "pale" compared to his family members. Patient has never had.
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