The Ideal Quiz On Anemia & Dyscarias

Robert could be suffering from sickle cell anemia. This is suggested by the fact that his RBC is shaped like a c, which is a characteristic of sickle cell disease. Additionally, the symptoms of hematuria and jaundice can be seen in sickle cell anemia. The mention of chronic infections and the family history of similar symptoms further support the possibility of sickle cell anemia.

Based on the given information, Michael has been diagnosed with anemia and his blood panel shows low RBC, Hgb, and Hct levels. This indicates that Michael has iron-deficiency anemia. Iron-deficiency anemia is caused by a lack of iron in the body, leading to a decreased production of healthy red blood cells. This can be caused by poor nutrition, which is mentioned in the question.

The nurse would instruct Sarah to use soft toothbrushes and electric razors because her cells are normocytic, which means they are of normal size. This indicates that Sarah's bone marrow is functioning properly and producing normal cells. However, since she is on immunosuppressive drugs, her immune system may be compromised, making her more susceptible to infections. Therefore, the nurse would also instruct Sarah to treat infections promptly. All of these teachings would help Sarah manage her aplastic anemia effectively.

Keith has pernicious anemia. Pernicious anemia is a type of anemia that occurs when the body is unable to absorb enough vitamin B12 from the gastrointestinal tract. This can be due to an autoimmune disorder that affects the production of intrinsic factor, a protein necessary for the absorption of vitamin B12. As a result, B12 is not properly excreted in the intestines, leading to a deficiency. The macrocytic cells observed in Keith's lab results are a characteristic feature of pernicious anemia.

The symptoms described, such as spoon-shaped fingernails, PICA (craving and eating non-food items), chelitits (inflammation of the lips), glossitis (inflammation of the tongue), fatigue, irritability, and numbness, are all characteristic of iron deficiency anemia. Iron is essential for the production of hemoglobin, which carries oxygen in the blood. When there is a lack of iron, the body is unable to produce enough healthy red blood cells, leading to the symptoms mentioned. Therefore, the nurse would expect these symptoms to be related to iron deficiency anemia.

Doug's symptoms of a non-healing wound, low RBC, WBC, and Plt count, as well as a low RBC indices suggest that he has aplastic anemia. Aplastic anemia is a condition where the bone marrow does not produce enough new blood cells, including red blood cells, white blood cells, and platelets. This can result in symptoms such as fatigue, infections, and easy bleeding or bruising. Given Doug's occupation in demolition, exposure to toxins or chemicals that can damage the bone marrow may be a possible cause of his aplastic anemia.

Based on the given information, Linda's symptoms of nausea/vomiting, sore tongue, and disconnection with reality, along with her family history of anemia, suggest that she may have pernicious anemia. Pernicious anemia is a type of anemia caused by a deficiency in vitamin B12, which can lead to neurological symptoms and affect cognitive function. The symptoms mentioned align with the neurological manifestations commonly seen in pernicious anemia.

Epogen is a medication that is commonly prescribed along with Cetiedil and Butyrate for the treatment of sickle cell anemia. Sickle cell anemia is a type of anemia that is characterized by normocytic cells and leaves white blood cells (WBC) and platelets (Plt) within normal ranges. In addition to medication, non-pharmacological treatments for sickle cell anemia include decreasing crisis, consuming warm fluids, and providing emotional support. Therefore, the given information aligns with the characteristics and treatment options of sickle cell anemia.

When giving an intramuscular (IM) injection of iron (Fe) for anemia, the nurse should make the consideration of using the Z track technique with a dry needle. The Z track technique involves pulling the skin laterally before inserting the needle and then releasing it after the injection. This technique helps to prevent leakage of the medication into the subcutaneous tissue and minimizes potential irritation or staining of the skin. Using a dry needle ensures that the medication is not diluted or contaminated by any residual moisture.

The meds are the key to the answer.

Epstein Bar virus (EBV) can be a cause of aplastic anemia. EBV is a common virus that infects a large portion of the population. In some cases, the virus can lead to the destruction of bone marrow cells, resulting in aplastic anemia. This condition is characterized by a decrease in the production of red blood cells, white blood cells, and platelets. Therefore, EBV can be a potential cause of aplastic anemia.

Glenn has Sickle Cell anemia. This is indicated by the fact that he gets fatigued every time he goes snowboarding or gets an infection, as well as the fact that stress triggers his fatigue and shortness of breath. Sickle Cell anemia is a genetic disorder that affects the shape of red blood cells, causing them to become sickle-shaped and less able to carry oxygen. Resting, avoiding stress and crisis, and managing pain are common strategies for managing Sickle Cell anemia. The fact that Glenn has not been able to give up his favorite soft drink, Mountain Dew, does not provide any information about the type of anemia he has.

John could have aplastic anemia. Aplastic anemia is a condition where the bone marrow does not produce enough new blood cells. This can lead to a decrease in the number of red blood cells, white blood cells, and platelets in the body. Symptoms of aplastic anemia can include fatigue, paleness, shortness of breath, and increased susceptibility to infections. John's need for regular blood transfusions and his normal stool suggest that he may have a condition affecting his bone marrow's ability to produce enough blood cells, which is consistent with aplastic anemia.

Brad's symptoms of prolonged PTT and low clotting factor VIII indicate a problem with his clotting factors. Specifically, his Factor IX is the issue. This suggests that Brad has Hemophilia B, which is a type of anemia characterized by a deficiency in Factor IX. Hemophilia A is a deficiency in Factor VIII, Von Willebrands is a disorder involving a deficiency in von Willebrand factor, and Sickle Cell is a genetic disorder affecting red blood cells.

Coffee would not be a suitable liquid for a patient to take with iron supplementation for anemia because coffee contains compounds like tannins and polyphenols that can inhibit the absorption of iron. These compounds can bind to iron and form insoluble complexes, making it difficult for the body to absorb the iron effectively. Therefore, drinking coffee with iron supplements may reduce the effectiveness of the treatment for iron deficiency anemia.

Aplastic anemia is a condition where the bone marrow does not produce enough new blood cells. This can lead to a decrease in red blood cells, white blood cells, and platelets. Without treatment, the patient is at risk of bleeding and infection, which can be life-threatening. The 75% mortality rate mentioned in the question suggests that if aplastic anemia is not treated, there is a high likelihood of death. Therefore, the correct answer is Aplastic.

Nick has the most common coagulation disorder, which is hemophilia. This is indicated by his prolonged PTT (partial thromboplastin time) and the need to test his RBC (red blood cells) for antibodies before transfusion. The frequent nose bleeds and the fact that his grandfather on his mother's side also has the same problem further support the diagnosis of hemophilia. Fresh frozen plasma is often used to treat hemophilia, which confirms the diagnosis of Hemophilia A.

Rani most likely suffers from aplastic anemia. Aplastic anemia is characterized by low red blood cell count and low hemoglobin levels. It is caused by the bone marrow's inability to produce enough new blood cells. Chronic alcoholism can contribute to the development of aplastic anemia.

Lisa suffers from Von Willebrand disease, which is a type of anemia characterized by low levels of Factor VIII and prolonged PTT. The symptoms mentioned, such as longer bleed time after trauma and frequent gum bleeding, are consistent with Von Willebrand disease. Additionally, the fact that she receives whole blood plasma when needed and has to have limited injections further supports this diagnosis. Hemophilia A and B are not associated with low Factor VIII levels, and Sickle Cell anemia does not present with prolonged PTT or gum bleeding.

Tim has Hemophilia B. Hemophilia is a genetic disorder that affects the blood's ability to clot properly. Since Tim cannot use a safety razor to shave and lives in fear of injuring himself, it suggests that he has a bleeding disorder. Additionally, the mention of his grandfather having the same anemia indicates a genetic inheritance, further supporting the diagnosis of Hemophilia B.