QuestionQuestion

Tom is a 47 year old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia with nausea and occasional epigastric pain. So far you only know that he has a history of alcohol abuse. (original 5 differential diagnosis were; CHF, cirrhosis, peptic ulcers and gastritis, anemia, asthma) we need to narrow down now…or possibly change if necessary based on the information below….

LABORATORY RESULTS:
WBC = normal with a normal differential and platelet count
Hct = 29%; MCV = normal, MCHC = slightly decreased; RDW = markedly increased; reticulocyte count < 2%
Smear with mixed microcytic/hypochromic and macrocytic/normochromic red blood cells; WBC and platelets appear normal
PT/PTT, liver function tests, electrolytes, and amylase normal
Upper endoscopy with 2 cm. duodenal ulcer with evidence of recent but no acute hemorrhage

ADDITIONAL LABORATORY RESULTS:
Serum iron, total iron binding capacity, saturation, and ferritin all reduced
Bone marrow biopsy with megaloblastic changes and low iron stores
 Serum folate and red blood cell folate low; B12 normal

Discussion questions:
Based on these findings, what are the diagnoses for this patient?
How should this patient be managed?
list the definitions of the labs and what the particular lab is used for:
For instance, RDW, MCHC, HCT, PT, PTT, serum iron, ferritin and total binding capacity.

Solution PreviewSolution Preview

This material may consist of step-by-step explanations on how to solve a problem or examples of proper writing, including the use of citations, references, bibliographies, and formatting. This material is made available for the sole purpose of studying and learning - misuse is strictly forbidden.

Laboratory Results and Diagnoses For The Patient
    $33.00 for this solution

    PayPal, G Pay, ApplePay, Amazon Pay, and all major credit cards accepted.

    Find A Tutor

    View available Medical Science and Radiofrequency Technology Tutors

    Get College Homework Help.

    Are you sure you don't want to upload any files?

    Fast tutor response requires as much info as possible.

    Decision:
    Upload a file
    Continue without uploading

    SUBMIT YOUR HOMEWORK
    We couldn't find that subject.
    Please select the best match from the list below.

    We'll send you an email right away. If it's not in your inbox, check your spam folder.

    • 1
    • 2
    • 3
    Live Chats