Case Study: A 46 yr old healthy Caucasian female has her routine labs done
Task:1 ( 2 pages and 3 references)
1)A forty-nine-year-old healthy Caucasian female has her routine labs done, which reveals the following:
• ALT 381 ↑↑
• AST 184 ↑↑
• ALP 64
• GGT 14
• Alb, INR, plt normal
She has had liver tests in the past and her ALT and AST fluctuate from normal to 300 s.
• Autoimmune markers negative. She is on no meds.
o What is your next best action to take and why? Further history?
o Diagnostics? What are some of your differentials?
2) Mrs. Keppy is a fifty-five-year-old married female who comes to your office because her husband was recently diagnosed with hepatitis C. She wants to know if she should be tested and what she can expect from her husband’s diagnosis. What will you say to her regarding her risk factors and her husband’s treatment and prognosis?
Case Study: A 46 yr old healthy Caucasian female has her routine labs done
Task:2 (2 pages and 2 references)
A patient comes in to see you with new complaints of feeling weak and tired. She also admits to some new palpitations. You get an EKG to assess her heart rhythm and note very tall-peaked T waves.
• In reviewing the endocrine disorders, what are some of your differential diagnosis?
• What would be the most important information to obtain in her history and review of systems?
• What diagnostic tests would you order next?
Tasks: 3 (2 pages and 3 references)
What guidelines are available for the diagnosis and management of anemia? Choose one type of anemia and list 3 sets of guidelines you were able to find. Which of these did you find most helpful for clinical use and why? Which did you find least helpful?
Is anemia a normal finding in the geriatric population? What evidence did you find to back up your answer?
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