Reference no: EM133608928

Case Study: CG is a 21-year-old female college student who presents with complaints of fatigue. She is a junior in college and thinks that the stress of school and a part-time job are starting to catch up with her. She has been in very good health, exercises, and even follows a vegan diet. Her friends have told her that she does not look very healthy lately. She sleeps well but does not feel rested upon awakening. She has started taking vitamins recently because she is vegan.

Past Medical History: None; Gravida 0; last menstrual period 2 weeks ago, normal

Medications: Over-the-counter multivitamins

Physical Examination: Height: 67 inches; weight: 124 lb; BMI: 19.4; blood pressure: 112/58; pulse: 64; respiration rate: 12; temperature: 97.0 °F; Well-developed female in no distress; pale; chewing on ice cubes during the visit from a large cup of ice; Significant pallor of conjunctivae, palmar creases; Lungs: clear; Heart: regular rate and rhythm; Skin: pale, no bruising

Labs: Hemoglobin: 8.2 g/dL; White blood cell count: 9.4 × 109/L; Platelets: 225,000/µL; Reticulocyte count: 3.5%; Ferritin: 8 ng/mL; Urine pregnancy test: negative

Questions

1. What is causing CG's fatigue? Explain

2. Explain how the clinician should manage CG's condition?