15 Aug MACROCYTIC ANEMIA
answer to each classmate
MACROCYTIC ANEMIA
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Give the etiology of the disorder.
Macrocytic anemia is almost always due to a deficiency of folate or vitamin B-12.
classmate 2
Atrial septal defect (ASD)
What exam, studies you would order.
Chest radiography may reveal enlargement, especially of the right atrium and right ventricle. The main pulmonary artery may be dilated, and pulmonary vascular markings increased. The ECG shows right axis deviation with right atrial enlargement. Lead V1 usually shows a right bundle branch block with an rSR pattern. P wave may be tall, showing right atrial enlargement, the PR interval may be prolonged. However, the ECG can be normal in small left to right defects. The ECG should be assessed for AV prolongation. Cardiac catheterization is rarely necessary unless the diagnosis is in doubt, the sit of pulmonary venous return is questionable or when transcatheter device closure is planned (Burns et.al,2017).
classmate 3
Idiopathic Thrombocytopenic Purpura.
Specific assessment related to the disorder.
- Specific assessment should include a skin assessment for any acute onset of bruising over the legs, looking into the mouth and noticing hemorrhage of gums and lips, any reports of nosebleeds, menorrhagia in a teenager, and bone pain.
If you refer to neurologist to evaluate and help manage this condition, how are you going to work with the neurologist in a co-management of this patient with a chronic neurologic problem?
I would make sure that I follow up with the neurologists office to have the patients records faxed to me so that I can review the visit summary and treatment plan. At every visit with the patient, I would ask the patient how the management is going with the neurologist and answer any questions they may have. If they are unhappy with the management, I would give them another referral to a different neurologist for better care. I would review and reconcile the medications at every visit to ensure there are no potential drug interactions.
