Ms Goya is a healthy 19-year-old female university student who regularly attends the gym. Ms Goya. Question
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Asked by SuperHumanTurtlePerson1114
Ms Goya is a healthy 19-year-old female university student who regularly attends the gym. Ms Goya has noted increased shortness of breath and decreased energy during the past four months, exacerbated during her menses. Her GP noted tachycardia on an electrocardiogram trace, but physical and laboratory examinations two months ago were otherwise fine. The GP suggested that her symptoms were caused by either premenstrual syndrome or stress from her study but assured her that there was nothing physically wrong.
Current status
Today, at the gym, Ms Goya light-headed, suffering a temporary loss of consciousness, and was taken by ambulance to the local hospital.
On admission to the emergency department the following were noted
Temperature 37°C
Heart rate140 BPM and regular
Respiration 28 breaths/min
Blood pressure 120/80 mmHg.
Slender female, 170cm, 55kg. Resting quietly, slightly nervous, no acute distress. Skin is warm; conjunctiva is pale ; tongue is smooth, mild cracking of the lips.
Lungs are clear. Neurologic pathways were intact, despite subjective complaint of weakness.
The initial laboratory blood results are as follows:
Haemoglobin 80g/L (115 – 165 g/L)
Haematocrit 30% (37 – 47 %)
Mean Corpuscle Volume (MCV) 35 fl (80 – 100 fl)
Mean Corpuscle Haemoglobin Concentration (MCHC) 22g/dL (30 – 36 g/dL)
Serum iron 31 µg/dL (50 – 150 µg/dL)
Serum Iron Total iron binding 590 µg/dL (240 – 450 µg/dL)
Ferritin 10 ng/mL (20 – 400 ng/mL)
Questions:
2a. From the laboratory results provided, describe the size and colour of Ms Goya’s red blood cells. 2 marks
2b. What type of anaemia Ms Goya is most likely to have given the laboratory results, provide rationale for your answer 2 marks
Iron deficency anemia
2c. Explain how the body compensates for anaemia and identify which of Ms Goya’s clinical signs reflects this? 3 marks
2d. People that have haemolytic anaemia often develop jaundice. Discuss why this occurs 3 marks
SCIENCE
HEALTH SCIENCE
NURSING
NURSING C33
Ms Goya is a healthy 19-year-old female university student who regularly attends the gym. Ms Goya
