Reference no: EM133843325

Question

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 history of hypertension or congestive heart failure.

vital signs: temperature 98.7 F, pulse 118, Respirations 22, Blood pressure 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 rugue

Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.

Cardiac- regular rate and rhythm with soft II/VI systolic murmur.

Respiratory-lungs clear with no adventitious breath sounds

Abdomen- soft, nontender with positive bowel sounds.

Liver edge palpated two finger breaths below right costal margin.

Lab data- hemoglobin, reticulocyte count, serum B12 level low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TiBc are normal.

In your case study analysis related to the scenario provided, explain the following as it applies to the scenario you were provided.

1-The factors that affect fertility (STDS).

2-Why inflammatory markers rise in STD/PID

3- Why prostatitis and infection happens. Also explain the causes of systemic reaction.

4- Why a patient would need a splenectomy after a diagnosis of ITP.

5- Anemia and the different kinds of anemia (that is micro and macrocytic.