Chapter 6, Problem 40R

N.S. is a 32-year-old female who had been sick with a cold virus for 10 days. She states that she had flu symptoms of cough, sore throat, and fatigue. It has been 3 weeks since the cold, and she continues to be fatigued and finds it hard to get enough energy to do things. NS says she has noted that she has been bruising easily. She hit her arm accidentally on the edge of a counter, and now she has a large bruise. She has also noted little purple spots all over her hands and chest. On exam it is noted that she does have a large bruise on her right arm and petechiae and purpura over her chest and hands. Lab work comes back with a platelet count of 40,000mm3. Select a potential diagnosis for N.S. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain N.S.’s physical exam and lab findings?

Are there specific foods/nutrients that should be avoided by an individual afflicted with rickets

Thirty-six-year-old Mr. Clark keeps his appointment for a physical examination. He presents with subtle symptoms of fatigue and concern about his weight gain of 14 pounds in the last year. Friends and family have told him that his color looks “funny” (bronze-tinted) and have noticed that his face and hands look puffy. He admits to feeling depressed and is worried about missing too much work over the past several months because of “being sick a lot.” He states that he has less interest in having marital relations with his wife.   According to Mr. Clark’s history he is a fragile asthmatic since adolescence and takes lots of medication to control his asthma, including prednisone and a steroid inhaler. Upon physical examination Mr. Clark exhibits the following: moderate muscle weakness, noticeable weight gain, particularly around the abdominal area which is striated. Fat pads are noted in the posterior neck and back (known as buffalo humps). His face is abnormally rounded, a condition…