Why a patient would need a splenectomy after a diagnosis of ITP

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This paper is also attached (Wk 8 6501 Assignment Instruction)

Review Points to Remember about Assignments / Work / Discussions

1. Remember this is an ADVANCED PATHOPHYSIOLOGY course, so it must address the content at the cellular level. This is a requirement in this course.

2. Make sure that all your work is submitted in APA format

a. Review proper quotes, paraphrasing

b. You MUST avoid plagiarism and be sure that you are giving credit to those who provided you with the information. If it’s a quote, then quote it!!

c. You should expect to have citations for almost all your sentences.

3. You must DEVELOP YOUR PARAGRAPHS WELL, 5 sentences each with citations.

4. Provide a minimum of 5 references so that your work is well validated, and your content is supported.

5. READ the instructions and make sure that you are addressing each of the asked-for components and place headings to make it evident to the reader

6. READ the rubric – you must have references to get the points, and if you don’t have the references, you also lose points for analysis and synthesis because you can’t do this without validated content.

7. This paper must contain the following:

a. a title page*

b. an introduction

c. a purpose statement

d. a body

e. and a conclusion

f. all with appropriate citations and references*.

*The title page and reference page(s) do not count in your total of 2 pages. PLEASE review the rubric as well – it will guide you on the needed number of references, formatting, etc.

Module 7 Assignment: Case Study Analysis

An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient.

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

Read and understand the specific case study scenario below:

Week 8 Case Study Scenario

A 67-year-old female presents with chief complaints 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 a 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- lungs 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 as it applies to the scenario you were provided (not all may apply to each scenario):

1. Anemia and the different kinds of anemia (i.e., micro and macrocytic).

2. Why a patient would need a splenectomy after a diagnosis of ITP.