Patient / Symptoms
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Lab Results
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Dx with Explanation
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Rx with Eplanation
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Patient 1:
52 year old male
BP = 160/95
Headaches
Heart palpitations
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RBC = 8.2
Hct= 59%
Hb = 21
Platelets = 175,000
WBC = 9,500
Diff: normal
PT = 12
Iron = 155
Bilirubin = 0.9
Fasting Glucose = 85
Hb A1-C = 1.5
Urea = 9
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Lab result show an elevetated RBCC, hematocrit and hemoglobin. We can also see an elevetated % of hemoglobin A1-C this could indicate that our patient suffers from diabetis mellitus. Although his glucose level seem to be within normal range, his A1-C indicates that his glucoses has been high prior to the test. The patient also has high blood presrure, due to the increased levels of glucose blood viscosity increases as well and it harder for the heart to pump it through the body wich is why his blood preasue is increased.
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We can recommend a change in lifestyle to lower his A1-C. Increasing physical activity and a diet change.
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Patient / Symptoms
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Lab Results
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Dx
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Rx
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Patient 2:
24 year old male
Motor cycle accident
Unconscious
BP 80/30
Pulse 120
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RBC = 3.1
Hct= 32
Hb = 7.2
Platelets = 300,000
WBC = 7,000
Diff= Normal
PT = 13
Iron = 150
Bilirubin = 0.6
Glucose = 85
Hb A1-C = 3
Urea = 9
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Lab results show a low RBC count, as well as a low hematocrit and hemoglobin. She also has a low blood pressure and a pulse of 120. He was in a motorcycle accident. I believe he has hemorrhage anemia due to rapid blood loss from an injury. When the body looses blood quickly pulls water from tissue outside the blood stream, this dilutes blood and causes the hematocrit to be reduce. As a result of blood loss, blood flow isreuce to vital organs, this causes a week pulse and low blood pressure as well as dizines or unconciousnes.
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To treat this we need to stop the hemorrage. We can do a redblood cell transfusion and maybe iron supplement to increase the RBC production.
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Patient 3
27 year old female
Low grade fever
Extreme fatigue
Aches & pains
Upset stomach
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RBC = 5.1
Hct= 43
Hb = 13.5
Platelets = 280,000
WBC = 17,500
Diff= 45% N, 25%, L, 26% M, 3% E, 1% B
PT = 12
Iron = 150
Bilirubin = 0.6
Glucose = 90
Hb A1-C = 0.5
Urea = 21
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This patients lab result seem for the most part normal, with the exeption of an increased % level of monocytes. Along with her symptoms I believe this patient might have a viral infction.
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Since this is a viral infection there is not much we can prescribe the patient. We can recommend tyleno to reduce the five and help with the aches and pains.
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Patient 4
57 year male
Lethargy
Headaches
Pallor
Poor diet
Chronic upset stomach
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RBC = 4.0
Hct= 36
Hb = 11.5
Platelets = 290,000
WBC = 4,500
Diff: normal but
RBCs enlarged
PT = 13
Iron = 135
Bilirubin = 0.4
Fasting Glucose = 81
Hb A1-C = 2.5
Urea = 13
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Patient 5
37 year old female
Ovarian CA patient Undergoing chemotherapy Receiving Procrit / EPO
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RBC = 4.2
Hct= 37
Hb = 13.5
Platelets = 150,000
WBC = 2,000
Diff =
10% Neu
65%, Lymp
25% Mono
8 % E
2% B
PT = 14.5
Iron = 110
Bilirubin = 0.6
Fasting Glucose = 95
Hb A1-C = 2
Urea = 18
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Patient / Symptoms
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Lab Results
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Dx
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Rx
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Patient 6
47 year old female
Has developed rheumatoid arthritis, Sjorgens syndrome & Lupus
Lethargiy
Pallor
Upon blood draw, plasma shows a reddish hue
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RBC = 3.8
Hct= 33
Hb = 11
Platelets = 235,000
WBC = 10,200
Diff = normal
PT = 13
Iron = 70
Bilirubin = 2.1
Fasting Glucose = 90
Hb A1-C = 3
Urea = 7
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Patient 7
42 year old male
Obese
BP 125 / 90
Polyuria
Frequenc thirst
Symptoms recently became more noticable
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RBC = 5.2
Hct= 45
Hb = 15.5
Platelets = 290,000
WBC = 8,000
Diff = normal
PT = 13
Iron = 160
Bilirubin = 0.4
Fasting glucose = 135
Hb A1-C = 9
Urea = 19
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Patient 8
68 year old male
Fatigue
Hematuria
Proteinuria
Polyuria
Chronic hypertension
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RBC = 4.5
Hct= 39
Hb = 11.5
Platelets = 240,000
WBC = 8,000
Diff: normal
PT = 13
Iron = 67
Bilirubin = 0.4
Fasting Glucose = 81
Hb A1-C = 2.5
Urea = 41
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Patient 9
63 year old male
Lung CA patient Undergoing chemotherapy Receiving Procrit / EPO
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RBC = 4.6
Hct= 44
Hb = 14.5
Platelets = 50,000
WBC = 8,000
Diff = normal
PT = 13
Iron = 160
Bilirubin = 0.7
Fasting glucose = 95
Hb A1-C = 3
Urea = 19
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Patient / Symptoms
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Lab Results
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Dx
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Rx
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Patient 10
29 year old male
Losing weight
Occasional diarrhea
Just returned from South America
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RBC = 5.4
Hct= 42
Hb = 14
Platelets = 300,000
WBC = 18,500
Diff =
53% Neu
20%, L,ym
10% Mono
15% Eos
1% Baso
PT = 20
Iron = 160
Bilirubin = 0.6
Fasting glucose = 90
Hb A1-C = 2
Urea = 3
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Patient 11
44 year old female
Fatigue
Pallor
Heavy and prolong periods
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RBC = 3.5
Hct= 33
Hb = 9.5
Platelets = 300,000
WBC = 7,000
Diff= Normal – RBCs are pale and small
PT = 13
Iron = 35
Bilirubin = 0.6
Glucose = 85
Hb A1-C = 3
Urea = 9
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Patient 12
52 year old female
Occaional pain ain in the right scapula
Trip to ED promted by inense scapular pain and GI upset after eating 18 chicken wings and an ice cream cone
Icteric sclera
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RBC = 4.7
Hct= 41
Hb = 13.5
Platelets = 325,000
WBC = 10,500
Diff= Normal
PT = 16
Iron = 65
Bilirubin = 7
Glucose = 85
Hb A1-C = 3
Urea = 22
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