Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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Mr. Johnson, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia.
Discussion Questions
Discuss how the gastric abnormalities contribute to vitamin B12 and iron deficiency and how vitamin B12 deficiency causes complications associated with pernicious anemia. (See Pernicious Anemia—Pathophysiology, Etiology.)
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- Mr. Johnson, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discussion Questions Discuss other tests that could be performed to diagnose this type of anemia. (See Pernicious Anemia—Diagnostic Tests.)arrow_forwardMr. Johnson, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discussion Questions Discuss the treatment available and the limitations.arrow_forwardMr. Johnson, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discussion Questions Relate the pathophysiology of pernicious anemia to the manifestations listed above. (See Pernicious Anemia.)arrow_forward
- Why would a CT scan and Chest x-ray be ordered for a patient with sickle cell anemia?arrow_forwardWhy is a patient given intravenous heparin, as well as anti-platelet and fibrinolytic drugs, with specific reference to a heart attack that resulted in the patient being admitted to hospital?arrow_forwardWhich of the following is not considered a "granulocyte"? neutrophil eosinophil basophil monocytearrow_forward
- Story on hemophilia Part I. The family story Olivia, a blond teen, is resoundingly beating her male tennis opponent, Ned. She is new in town and jokes that her partner went easy on her to make her feel welcome. From nowhere, a tennis ball cuts across their court. The dark-eyed brunette who hit it, Diana, stares at them. Olivia seems stunned into silence. Diana sneers at her and says, “Any day now.” Olivia hits the ball back to her, almost directly into her face. “What was that all about? You know Diana Morrison?” Ned asks. “I used to, back when I lived in Granville the first time,” Olivia answers. “Back then we were friends. It was like a million years ago.” As they walk away, we hear Diana’s tennis coach screaming, “Diana, Diana! Somebody help Diana, please!” “Is she OK? What’s happened?” Olivia gasps after running over. Diana has collapsed to the tennis court, not breathing. “She just dropped unexpectedly,” Diana’s…arrow_forwardDisseminated intravascular coagulation (DIC) is associated with which of the following conditions? Anemia Sepsis Pneumothorax Cystic fibrosisarrow_forwardA nurse is caring for a client whose hemoglobin count is reduced after a history of chronic bleeding. The client wants to know what the hematologic and lymphatic system comprises and how they are affected by this condition. Explain.arrow_forward
- Which of the following disorders decreases the person’s ability to produce a platelet plug? Both von Willenbrand’s disease and Hemophilia Hemophilia Vitamin K deficiency von Willenbrand’s diseasearrow_forwardMr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Question 1 Relate the pathophysiology of pernicious anemia to the manifestations listed above.arrow_forwardMr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discuss the treatment available and the limitations.arrow_forward
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