NR 283 Week 4 Discussions: Mr. X, age 57, presented to his physician with marked fatigue…
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(NR 283 Week 4 Discussions, NR 283 Week 4 Discussions)
Mr. X, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately, he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are mega oblasts, and a … number of leukocytes, including many large, hyper … cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia.
- Relate the pathophysiology of pernicious anemia to the manifestations … above.
- Discuss how the gastric abnormalities contribute to vitamin B12 and iron deficiency and how vitamin B12 deficiency causes complications … with pernicious anemia.
- Discuss other tests that could be performed to diagnose this type of anemia.
- Discuss the treatment available and the limitations.
- Discuss the contributing factors to shock in this case and the pathophysiologic changes causing the changes in vital signs.
- Discuss the signs and symptoms of shock, including the rationale for each, as seen in the early stage, and as compensation mechanisms respond.
- Discuss emergency and follow-up treatment for shock and for complications that may arise if not …
- Compare the types of shock, giving a specific cause, classification, and any significant changes in onset or manifestations.