Reference no: EM133502743
Assignment: Nursing
Scenario: 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF.
Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.
Physical exam revealed pale, anxious female appearing older than stated years.
HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.
Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.
Task
In your Case Study Analysis related to the scenario provided, explain the following:
Question 1. The factors that affect fertility (STDs).
Question 2. Why inflammatory markers rise in STD/PID.
Question 3. Why prostatitis and infection happens. Also explain the causes of systemic reaction.
Question 4. Why a patient would need a splenectomy after a diagnosis of ITP.
Question 5. Anemia and the different kinds of anemia (i.e., micro and macrocytic).
Read these sections which are the explanation of each required point and what the instructor need for each point to include in the paper
Question 1. Explain the factors that affect fertility (STDs)
Question 2. Explain why inflammatory markers rise in STD/PID
Self-explanatory
Question 1. Explain why prostatitis and infection happen. Also explain the causes of systemic reaction.
Question 2. This needs to be answered as it is not relating specifically to the case study but in general. Make sure to explain the systemic reaction to prostatitis as well as what is prostatitis and why it happens.
Question 3. Explain why a patient would need a splenectomy after a diagnosis of ITP.
Self-explanatory
Question 1. Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).
Question 2. Explain what is anemia and then the two types micro and macro. Which one did this patient have and why?