A 45 y/o female presents to her PCP provider with complaints of excessive fatigue, occasional intermittent fevers, unusual bruises on her lower legs without any known trauma and some sores in her mouth. The symptoms come and go and have been present for about 2 months. She thinks she is going through menopause as well. She has had some irregularities in her period, skipping one every other month for the past 6 months with some hot flashes, headaches and mood swings. Her past medical history is significant for mild HTN, mild anemia and allergic rhinitis. Her medications are hydrochlorothiazide 25 mg q am, ferrous sulfate 325 mg one q daily and claritan 10 mg one q daily. Her last mammogram was 18 months ago and her last pap was 3 1/2 years ago. Her routine labs were due 3 months ago. Her family history is significant for both parents having type II diabetes, her dad had an MI at 65 is deceased, her older sister had a history of breast cancer at age 43.
Her current vital signs are: p= 82 bpm, Resp = 16 rpm, temp = 99.9 and BP is 142/90
Please answer the following questions in complete sentences:
1. What 4 symptoms is she currently presenting with? What is the medical term for the “bruises” that she currently has on her lower leg?
2. What are the possible (differential) diagnoses for this patient with her 4 current symptoms that she is presenting with? What are some of her other current medical issues that are described in her history?
3. What important blood test should be drawn initially to assess the for possibility of diagnosis of Leukemia? What are the different components to that test?
4. What invasive testing will need to be done to gain more information and fully evaluate the patients individual hematopoeisis? What treatment process will need to be done if the diagnosis is cancer?
5. Please define the following groups of words, break the words down into their word components, define each, then give the full definition of the word.
Example: alexia vs ataxia
Alexia = (a- = without, not, no; -lexia = reading); The inability to understand written words
Ataxia = (a- = without, not, no; tax/o = order; -ia = condition); A condition in which one lacks or is without muscle coordination
Please define the following groups of words
Leukocytopenia vs leukocytosis
Thrombocytopenia vs thromocytosis
neutrophilia vs neutropenia
hematopoiesis vs hemostasis vs hemolysis
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