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 hx of HTN or CHF. Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 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 rugae. 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- lungâ€‹â€Œâ€â€Œâ€â€â€Œâ€â€Œâ€Œâ€Œâ€â€â€â€â€Œâ€Œâ€Œâ€Œâ€Œâ€‹s clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal. Assignment ( 2-page case study analysis) In your Case Study Analysis related to the scenario provided, explain the following: 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 (i.e., micro and macrocytic)â€‹â€Œâ€â€Œâ€â€â€Œâ€â€Œâ€Œâ€Œâ€â€â€â€â€Œâ€Œâ€Œâ€Œâ€Œâ€‹.
Students must go through the link above and complete the questions at the end of the case study.To read click on the words above “The Case of Plant Relocation” or copy to your browser.
Questions must be answered fully and completely to receive full points (2 page minimum).
Message from Professor:
For Case Study 6 I am receiving emails on what are the questions students must
use to complete the assignment.
This Case Study is a little unique in that the “questions” does not appear
directly as questions. The questions however will always be found at the end of
the Case Study and I have include them in this message for you and are as
You have to decide how you would like to proceed. Your options are to further
investigate one or more of the overseas sites or to simply continue all
operations within the United States. Examine each possibility and the factors
you will consider in weighing the pros and cons.