NRS 410V Module three Case Examine 1 – Alterations of Hematology and Cardiovascular Techniques….6
Ms. A. is an apparently wholesome 26-year-old white lady. For the reason that starting of the present golf season, Ms. A has famous elevated shortness of breath and low ranges of power and enthusiasm. These signs appear worse throughout her menses. At present, whereas enjoying in a golf event at a excessive, mountainous course, she turned light-headed and was taken by her accomplice to the emergency clinic. The attending physicians notes indicated a temperature of 98 levels F, an elevated coronary heart price and respiratory price, and low blood stress. Ms. A states, Menorrhagia and dysmenorrheal have been an issue for 10-12 years, and I take 1,000 mg of aspirin each three to four hours for six days throughout menstruation. In the course of the summer season months, whereas enjoying golf, she additionally takes aspirin to keep away from stiffness in my joints.
Laboratory values are as follows:
Hemoglobin = eight g/dl
Hematocrit = 32%
Erythrocyte rely = three.1 x 10/mm
RBC smear confirmed microcytic and hypochromic cells
Reticulocyte rely = 1.5%
Different laboratory values had been inside regular limits.
Query:
Contemplating the circumstances and the preliminary workup, what sort of anemia does Ms. A almost definitely have? In an essay of 500-750 phrases, clarify your reply.
