Advanced Pathophysiology
A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and “funny looking red splotches” on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a “bad case of mono” and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning.
Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura.
Please do a 1- to 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):
- The factors that affect fertility (STDs).
- Why inflammatory markers rise in STD/PID.
- Why prostatitis and infection happens. Also explain the causes of systemic reaction.
- Why a patient would need a splenectomy after a diagnosis of ITP.
- Anemia and the different kinds of anemia (i.e., micro and macrocytic).
Requirements: 2-3 pages
Answer preview
Notably, the splenectomy procedure requires the patient to have an adequate blood count and transfusion as a preparation factor if the patient has a low count. This helps mitigate the risk of causing additional health issues like anemia in the patient due to excessive bleeding and iron deficiency (Remiker & Neunert, 2020). The blood generally contains platelets, red blood cells, and white blood cells. When the patient loses excess blood, the red blood cells reduce. However, the health professional needs to determine the type of anemia in a patient. For instance, the prevalence of microcytic anemia is inevitable in a patient with small red blood cells than required due to lacking adequate hemoglobin. Macrocytic anemia is evident in a patient with larger red blood cells than usual, leading to complications if not treated. Therefore, due to the risk health factors associated with ITP, the physician must ensure that the patient receives the recommended treatment.
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Advanced Pathophysiology
