Purdue University HI253-255 UNIT 3 LAB QUIZ. Full-140 Pages

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Sadie Thompson, an 18-month-old female, was born with TAR syndrome (thrombocytopenia with absent radius). Sadie is brought in today by her mother with the complaint of excessive bruising without si... gnificant trauma. After an examination and the laboratory tests are completed, Dr. Dotson diagnosis Sadie with congenital thrombocytopenia purpura. Tilley Cabe, a 9-month-old female, is brought in to see Dr. Peterson, her pediatrician. Tilley has had a persistent low-grade fever for 4 days that has not diminished. Dr. Peterson notes a temperature of100.2 and splenomegaly. Tilley is not thriving. Dr. Peterson admits her to the hospital. The laboratory results reveal Tilley has a low natural killer cell activity and cytopenia, which confirm the diagnosis of hemophagocytic lymphohistiocytosis (HLH). Ivory Presnell, a 75-year-old female, comes in today complaining of fever, chills, and night sweats. She says she feels tired and has lost 5 lbs. within a week. Dr. Shirley notes nail clubbing and completes an in-house CBC test; results: hemoglobin of 7.9 g/dL. Ivory is admitted to Weston Hospital, where a tissue biopsy is taken, returning a positive reading for extra-pulmonary tuberculosis. Ivory is diagnosed with anemia due to tuberculosis. Antonio Scott, a 47-year-old male, presents today with the complaint of a cough, runny nose, and a sore throat. Dr. Benton completes an examination and reviews the results of the CBC test and diagnoses Stanley with lymphocytopenia. Arthur Hylton, a 45-year-old male, presents today with the complaint of general weakness and overall tiredness. Arthur works for an industrialfactory and has been exposed to a large quantity of benzene. Dr. Burger completes an examination, noting an irregular heartbeat and hand tremors. Arthur is admitted to the hospital. The results of the bone marrow biopsy confirm a diagnosis of aplastic anemia due to accidental poisoning by benzene. Billy Stevenson, a 10-year-old male, is brought in by his father to see Dr. Loveichelle. Billy has developed a cough and fever. Billy says he feels really tired. Mr. Stevenson also stated they can’t get Billy to eat. Dr. Loveichelle completes an examination and an in-house CBC. Billy’s hemoglobin is 7.4 g/dL. Billy is admitted to the hospital for a full workup. Once all the laboratory results have been reviewed, Billy is diagnosed with hookworm anemia. Juanita Ilderton, a 41-year-old female, received a blood transfusion 12 hours ago; now she is experiencing fever, chills, and dizziness. A direct Coombs’ test is performed, which confirms a diagnosis of acute Rh blood transfusion incompatibility after a transfusion. Glenn Carballero, a 15-year-old male, presents today with the complaint of weakness and generalized muscular pains. Dr. Douglass notes an erythematous periorofacial macular rash. After a thorough examination and laboratory tests are completed, Glenn is diagnosed with biotinidase deficiency Lindsey Williams, a 33-year-old female, has not been feeling well and is seen by Dr. Goldburg, who notes jaundice. Lindsey admits to feeling weak and being dizzy. Blood tests return a hemoglobin of 6.3 g/dL. Lindsey is admitted to the hospital for a blood transfusion; while there, a peripheral blood smear was performed that showed echinocytes, confirming a diagnosis of pyruvate kinase deficiency anemia. Pt is a 69-year-old female who was admitted to the hospital with hematuria, nausea, and vomiting. A routine ECG is taken today in preparation for the surgical removal of the stones, which is scheduled for tomorrow. Julio Yearlin, MD—9513 The patient is a 23-year-old male who was stabbed in the right hand during a street fight. Examination showed a sensory deficit of the thumb and index finger due to an injury to the common digital nerve and a tendon laceration involving the abductor pollicis and first dorsal interosseous. He was taken immediately to the OR for repair. Pt is a 53-year-old female who comes in today complaining of fainting, chest pain, and difficulty breathing of approximately 1 week duration. Patient was diagnosed 3 years ago with hypertension. Hypertension has been under control with diet and exercise. This 61-year-old male returns today to review the results of his blood tests, ordered last week. Patient had come in with complaints of hyperactive deep tendon reflexes, muscle cramps, and carpopedal spasm. Pathology report shows abnormally decreased blood calcium levels. I discussed the details of this condition and reviewed treatment options. He wants to discuss this with his wife, and he will call within the next few days. [Show More]

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