Pathophysiology > DISCUSSION POST > NR 283 Week 4 Discussions: Mr. X, age 57, presented to his physician with marked fatigue…) (All)

NR 283 Week 4 Discussions: Mr. X, age 57, presented to his physician with marked fatigue…)

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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 f... eeling 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. [Show More]

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