Nurs 6501 advanced pathophysiology

Nurs 6501 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).

Answer preview

The selected case study of a 14-year-old-girl reveals the importance of blood chemistry tests since they enable health professionals to diagnose a patient’s health condition. When looking at advanced practice nurses, Sargsyan (2020) informs that these professionals should understand the blood count and how the immune response works to determine the prevalence of disorders. As seen in the scenario, the patient had abnormal bruises and red splotches on her legs while her gums bled slightly when she brushed her teeth. Lab tests showed that the girl had low platelets, and blood oozed at the venepuncture site for a few minutes. The patient’s symptoms revealed the possible prevalence of immune thrombocytopenia purpura (ITP).

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