STD Diagnosis | 67-year-old female presents with a chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet.
She states she feels unsteady when she walks. PMH includes hypothyroidism well-controlled on Synthroid 100 mcg/day. No hx of HTN or CHF. Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air. Physical exam revealed a pale, anxious female appearing older than stated years.
HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.
Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two fingerbreadths below the right costal margin.
Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.
By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
In your Case Study Analysis related to the scenario provided (STD Diagnosis) , explain the following:
We will also evaluate the impact of patient characteristics, including racial and ethnic variables, on physiological functioning within these populations. There is a KC and a case study assignment to complete this week. Be sure to complete all readings and I am available to answer your questions.
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