Reference no: EM133861090
Assignment:
In recent years the U.S. Government Accountability Office, food safety advocates, and legislators have documented problems resulting from the fragmented nature of the nation's food safety system. At least a dozen federal agencies, implementing at least 30 different laws, have roles in overseeing the safety of the nation's food supply. Advocates have recommended that all food safety activities be consolidated into a single federal agency with a unified mission.
1. What investigations are necessary to exclude secondary polycythaemia?
2. What is the management plan in a patient with secondary polycythaemia presenting with transient ischaemic attacks (TIA)?
3. Why do patients with polycythaemia vera have a tendency to bleed, even though 50% of them have an elevated platelet count?
4. In hyposplenic patients, what precautions are necessary for patients who intend to travel to Saudi Arabia for the Haj?
5. What is the mechanism of development of splenomegaly in chronic leukaemia?
6. In idiopathic thrombocytopenic purpura (ITP), thrombocytes are mainly destroyed in the spleen owing to an immune mechanism. Why, therefore, is there no splenic enlargement as there is with other diseases?
7. Where exactly is the Traub's space? How exact is the percussion of the Traub's space as a sign indicating the size of the spleen?
8. Can you please tell me the indications and complications of blood transfusion.
9. Several times I have read the phrase 'white blood cells elevated with a left shift'. I am wondering what 'left shift' or 'left deviation' stands for.
10. What is the clear definition of 'bleeding time' and 'clotting time'? And what are the applied differences between them?