A 52-year-old female is admitted to the hospital with a three day history of nausea and vomiting. She has a past medical history of hypertension,
A 52-year-old female is admitted to the hospital with a three day history of nausea and vomiting. She has a past medical history of hypertension, hyperlipidemia, and obesity currently three months status post Roux-en-Y bypass surgery. Upon initial evaluation of the patient the nurse practitioner learns that the patient is experiencing numbness of her hands and feet, difficulty walking and maintaining balance and weakness. On physical exam the patient is found to have positive Rhomberg and Babinski signs. Initial laboratory studies included a CBC which revealed WBCs of 6.7, hemoglobin 10.5, MCV 115, and platelets 250,000. Given these results in the findings and physical exam the next appropriate laboratory study would be: A. Vitamin B12 level B. Bone marrow biopsy C. Peripheral smear D. Electrolyte panel
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
