Case study 3 and 4 (Combined in one)

76 y/o Hispanic female patient, who has been dealing with financial constraints in last years, has not been able to eat properly due to her economic situation, comes to your practice c/o that over the past 3 months she has felt increasingly tired. She states sleeping well at night. Her vital signs are B/P 135/74, R: 16; HR: 80, T 96.8. Pt denies dyspnea or palpitations. You order some blood work. Your patient’s chemistry panel comes back all WNL, and the fecal occult
blood test negative. All the other results are shown below:
WBC: 7600/mm3
Hematocrit: 27.3%
Hemoglobin: 8.3 mg/dL
Platelets: 151,000 /mm3
RED BLOOD CELL (RBC) indices
MCV 65mm3
MCH 31.6 pg
MCHC 35.1%
RDW 15.6%
Fe 30 mcg/dL
TIBC 422 mcg/dL
Ferritin 8 mg/dL
Vit B12 414 pg/mL
Folate 188 ng/mL
Answer the following questions:
a) Which lab values are normal, and which are abnormal?
b) Explain the significant of each abnormal value.
c) Based on these results and her history. What would be your patient’s diagnosis?
d) Epidemiologically speaking, what individuals are at risk for this condition?
e) What other signs and symptoms of this condition would you assess for in this case?
f) Which question would best help you determine the impact of fatigue on her activities of
daily living?
a. Are you upset about feeling more tired?
b. Do you sleep more now that you used to?
c. How far can you walk until you get SOB?
d. Have you been able to do what you would like to do?
g) Discuss the treatment option for her diagnosis
h) What diet you would recommend her:
a. Whole-wheat pastas and skim milk
b. Lean cuts of poultry, pork and fish
c. Beans and dark green, leafy vegetables
d. Cooked cereals, such as oats and bananas.
i) What would be your initial supplement for this patient? (be specific about the name,
dose, frequency, etc.)
j) What teaching you would you provide your patient about the supplement you just
prescribed above.

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Study 3 & 4 change every semester. Topics will be delivered at due time.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students\’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. \”No Straight forward / Simple answer will be accepted\”.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have the references cited \”in the text\” for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case Study

SAMPLE SOLUTION

Patient diagnosis is an important step that can help to improve the response to a person’s health condition. Diagnostic results carried out using lab tests is often an indicator of the condition a person is suffering from. This task looks at how such results can be used to underscore the condition a patient has.

Abnormal Results Some of the results that can be regarded as abnormal include the hematocrit 27.3%. For the female patient presented in this case study, the normal value is expected to be 36 to 48%. Therefore, the low value indicates that there is something unusual about the results. Another lab result which can be classified as not being normal is the Haemoglobin 8.3 mg/dL which is expected to be between 12.3 to 15.3 gm…