ASSIGNMENT | Physical exam revealed pale, anxious female appearing older than stated years.

In Week 10, you will have a case study. For this case study, you will examine a case study and analyze the symptoms presented. You will identify the elements that may be factored in the diagnosis, and you will explain the implications to patient health. 

In particular, explain the following:

           Pernicious Anemia

• Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Assignment (1- to 2-page case study analysis)

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.

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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.

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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.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

SAMPLE SOLUTION

There are different symptoms that have been highlighted in the case study. A differential diagnosis based on these symptoms could indicate various possible healthcare conditions for ORDER YOUR PAPER AT WRITTASK.COM of the 67-year-old female patient is having shortness of breath, fatigue, weakness and unintentional weight loss. Although these conditions are associated with different chronic healthcare conditions, the fact that the client feels unsteady when walking suggests that she has ORDER YOUR PAPER AT WRITTASK.COM this paper is to critically explore Pernicious Anemia based on the diagnosis of the condition the client presents. The implications to patient’s health will be evaluated as well.

What is Pernicious Anemia? Pernicious Anemia is a type of vitamin B12 deficiency which comes up as a result of the impaired uptake of vitamin ORDER YOUR PAPER AT WRITTASK.COM of these vitamins is due to the lack of an intrinsic factor (IF) produced by the stomach lining. Vitamin B12 is known to help reduce the risks of macular degeneration and support bone heath by preventing osteoporosis. Additionally, vitamin B12 can help to provide an energy…