Question

In: Nursing

Case study 2 – disorders of haemopoietic system Louise is a 57-year-old lady that has presented...

Case study 2 – disorders of haemopoietic system

Louise is a 57-year-old lady that has presented to her GP with •fatigue, weight loss, sweating, easy bruising, discrete ecchymosis, feeling of abdominal fullness’ and re recurrent mild upper respiratory tract infections (URTI) On examination she was found to have an enlarged spleen and small diffuse petechiae.

Lab test show the following results

  • Haemoglobin 90 g/L (115 – 165 g/L)
  • Platelet count 58 x 109/L (150 – 450 109/L)
  • White blood cell count 1.4 x 109/L ( 4.5 – 11 x 109/L)
  • Hct 0.61mL/L (61%) L ( 37 -47mL/dL)
  • Peripheral Blood smear WBC 76% are blasts

2a. Explain the possible causes of the abnormalities.                3 marks (1 mark for each abnormality)

  • Haemoglobin
  • Platelets
  • Peripheral blood smear

2b.     What history or clinical presentation can be linked to the abnormal haematological findings, support with rationale / explanation.                                                                                            3 marks (0.5 per CM 0.5 for explanation)

2c.       Describe and discuss the differentiation between Acute Myeloid Leukaemia and Acute Lymphocytic Leukaemia

Solutions

Expert Solution

2) a. Decreased hemoglobin and platelets because in marrow blasts infiltration has occured

Peripheral smear - blasts are present because blasts spiller into blood .

2)b. Clinical presentation - she presented with fatigue, weight loss, sweating, easy bruising,( due to low platelets ) discrete ecchymosis( due to low platelets ) feeling of abdominal fullness ( due to splenomegaly ) and recurrent mild upper respiratory tract infections (URTI) and on examination she was found to have an enlarged spleen and small diffuse petechiae( low platelets )

2)c.

Nightingale answered 8 months ago
Next > < Previous

Related Solutions

Case study An An 80 year old lady named Mary presented admitted to a unit came...
Case study An An 80 year old lady named Mary presented admitted to a unit came in with a fractured leg. She is 5 foot 7 and 165 pounds. Vital signs on arrival are is: Blood pressure: 162/84 Heart rate: 92 Respiratory rate: 24 Temperature taken orally: 99.2 SpO2: 96% on room air (RA) Document sings of physical examination What information is missing from the situation? And ask patient. What concerns would you have with the patient? What nursing interventions...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department with second-degree burn caused by a direct contact to boiling water. The right thigh was the most affected part of his body where he sustained severe redness and multiple blisters. Salem complained of severe pain and his skin was very wet and angry-looking. Salem is known to have asthma since his childhood and has been diagnosed with cystic fibrosis for 2 years. He has...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department with second-degree burn caused by a direct contact to boiling water. The right thigh was the most affected part of his body where he sustained severe redness and multiple blisters. Salem complained of severe pain and his skin was very wet and angry-looking. Salem is known to have asthma since his childhood and has been diagnosed with cystic fibrosis for 2 years. He has...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department with second-degree burn caused by a direct contact to boiling water. The right thigh was the most affected part of his body where he sustained severe redness and multiple blisters. Salem complained of severe pain and his skin was very wet and angry-looking. Salem is known to have asthma since his childhood and has been diagnosed with cystic fibrosis for 2 years. He has...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department...
Case Study Salem is a 57 year-old male who has been brought to the Emergency Department with second-degree burn caused by a direct contact to boiling water. The right thigh was the most affected part of his body where he sustained severe redness and multiple blisters. Salem complained of severe pain and his skin was very wet and angry-looking. Salem is known to have asthma since his childhood and has been diagnosed with cystic fibrosis for 2 years. He has...
UNFOLDING CASE STUDY 2-ETHAN Ethan is a 50-year-old patient who has presented to the emergency department...
UNFOLDING CASE STUDY 2-ETHAN Ethan is a 50-year-old patient who has presented to the emergency department (ED) with a blood glucose result of 160 and a blood pressure of 180/100. He has no complaints of pain or shortness of breath. His lower extremities have 1 pitting edema, and a right-arm dialysis graft with a positive bruit and thrill. He has a history of hypertension and diabetes mellitus for 10 years and chronic renal failure, and he receives hemodialysis treatment 3...
Gastrointestinal Disorders. T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild...
Gastrointestinal Disorders. T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he...
An 80 year old lady named Mary presented admitted to a unit came in with a...
An 80 year old lady named Mary presented admitted to a unit came in with a fractured leg. She is 5 foot 7 and 165 pounds. Vital signs on arrival are is: Blood pressure: 162/84 Heart rate: 92 Respiratory rate: 24 Temperature taken orally: 99.2 SpO2: 96% on room air (RA) 1. Document sings of physical examination 2. What information is missing from the situation? And ask patient. 3. What concerns would you have with the patient? 4. What nursing...
The patient in this case is a 57 year old female that has experienced joint pain...
The patient in this case is a 57 year old female that has experienced joint pain for ~ 5 years. Her joints are becoming progressively deformed with swelling. Her physician decides to order a synovial fluid analysis, including a cell count, differential, RF, protein, glucose, LDH, and crystal analysis if indicated. He also orders blood work: Rheumatoid Factor and glucose level. Her results are as follows: Synovial Fluid Analysis Serum Results Appearance Yellow/Cloudy Protein 3.7 g/dL Glucose 81 mg/dL 100...
Case Study 5 – Neurological disorders – chronic Tegan Bailey is a 28-year-old woman with a...
Case Study 5 – Neurological disorders – chronic Tegan Bailey is a 28-year-old woman with a past medical history of generalised Tonic Clonic seizures following a traumatic brain injury 6 years ago. The seizures have been well controlled up until now with Carbamazepine (Tegretol) 500 mg daily. After participating in a fitness class at her local gym she was found in the change rooms lying on the ground unconscious.   Questions: 5a.       Discuss the difference between a Tonic Clonic seizure and...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT