A 30-year old radiologist was admitted to the hospital with…
A 30-year old radiologist was admitted to the hospital with a fever and rheumatoid pains. There was generalized lymphadenopathy and slight splenomegaly. The hgb was 6.5 g/dL, hct was 25%, RBC count was 3.0×106/uL, WBC count was 40,000/uL, platelets were 50,000/uL. The predominant cell on the smear was a blast cell. Auer rods were noted. The probable diagnosis is
Read DetailsPatient: Mrs. L, 58-year-old female Past Medical History:…
Patient: Mrs. L, 58-year-old female Past Medical History: Rheumatoid arthritis diagnosed 10 years ago Hypertension controlled with lisinopril Type 2 diabetes mellitus controlled with metformin Vital Signs: Temperature: 100.2 °F (37.9 °C) Heart rate: 92 bpm Blood pressure: 138/86 mmHg Respiratory rate: 18/min Oxygen saturation: 98% on room air Clinical Manifestations: Symmetric swelling and tenderness in wrists, MCP, and PIP joints Morning stiffness lasting >1 hour Fatigue and generalized malaise Difficulty gripping objects and performing fine motor tasks Laboratory Results: ESR: 48 mm/hr (elevated) CRP: 22 mg/L (elevated) Rheumatoid factor: Positive Anti-CCP antibodies: Positive CBC: Mild anemia (Hgb 11.5 g/dL) Serum uric acid: 5.2 mg/dL (normal) Based on the scenario, which nursing diagnosis is most appropriate for Mrs. L?
Read DetailsA patient develops unexpected bleeding and the following tes…
A patient develops unexpected bleeding and the following test results were obtained Prolonged PT and APTT Decreased fibrinogen Increased fibrin degradation products Elevated quantitative D-dimer Decreased platelet count What is the most probable cause of these results?
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