A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament…
a and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. There is no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Ms. A’s case and the clinical results give very symptomatic indications of the type of anemia she may be suffering from at the moment. In the first place, it is important to establish that Ms. A currently is privilege to both symptoms of her anemia in general and signs pointing to the type of anemia she is suffering from. It is important to establish these two clear distinctions because of the rationale that a problem well identified is a problem that can get good management and subsequent cure. Firstly, quoting from various sources, Annette (2003) observes that “anemia refers to red blood cell (RBC) mass, amount of hemoglobin, and/or volume of packed RBCs less than normal.” The predetermined conditions for measuring the normalcy or otherwise of the red blood cell as given by Annette (2003) is “either as a hematocrit or hemoglobin concentration > 2 standard deviations below the normal mean for age (Abshire, 2001; Cohen, 1996; Korones & Cohen, 1997; Walters & Abelson, 1996). From this definition, it could be observed that symptoms such as shortness of breath, low levels of energy and lowered enthusiasm are actually symptoms ...
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