Thecase study involved a woman who was afflicted with dyspnea,dizziness, fatigue and weakness. Past history comprised ofhyperlipidemia, atrial fibrillation and hypertension. The client hadsought medication which was Lisinopril of 10mg, simvastatin 10mgdaily and warfarin 2 milligrams all on daily medication. The labreport indicated the patient had blood pressure of 144/80, temperature of 980 Fahrenheit, oxygen saturation of 98%,irregular cardiac rhythm, wheezing in the lungs. In addition thepatient abdomen was soft, BS+, with epigastric tenderness without anyindication of organomegaly or rectal vault stool.
Explanationfor the differential diagnosis
Differentialdiagnosis was critical to ascertain the specific type of anemia,which affected the patient. Absence of blood in the stool indicatedthat the anemia was not because of blood loss. Moreover,unavailability of organomegaly proved absence of red blood cellsdestruction. The type of anemia as showed in the lab results was dueto fault production of red blood cells (Penninx, et al. 2013).
Roleof patient’s history, physical exams and lab reports
Examinationof the lab reports, physical exam and history of the patient enableclear analysis of the information obtained. History provided vitalinformation concerning blood vessels progress and their impact on theheart that relates to various types of anemia. Physical examinationaid in further examination and anemia in most of the time affectsskin color especially due to massive loss of blood. Lab reportprovided a scientific prove of the perceived kind of anemia foreffective treatment (Begh & Ershler, 2014).
Pathophysiologyof the identified anemia
The identified anemia was due to deformed red blood cells. Itis commonly referred to as Megaloblastic anemia that arises due todeficiency of folate or Vitamin B12 (Vargas-Ruiz, 2008). As a result,the Bone marrow produces immature, unusually large red blood cellswith abnormal structure. The red blood cell produced reducesdelivery oxygen leading to paleness in the skin, fatigue, dyspnea anddizziness.
Supplements are injected to the body of the patients thatare composed of cobalamin which boost production of red blood cells.Appropriate change in diet is recommended to restore the deficiencyof Vitamin B12 such as folate vegetable like kales. Deepening of thedegree of the patients specialized care if imperative as the processtake a long time to recover (Wofford & Singh, 2008).
Beghé,C., Wilson, A., & Ershler, W. B. (2014). Prevalence and outcomesof anemia a systematic review of the literature. TheAmerican journal of medicine, 116(7),3- 10.
Penninx,B. W., Guralnik, J. M., Onder, G., Ferrucci, L., Wallace, R. B., &Pahor, M. (2013). Anemia and decline in physical performance amongolder persons. TheAmerican journal of medicine, 115(2),104-110.
Vargas-Ruiz,A. G., Hernández-Rivera, G., & Herrera, M. F. (2008). Prevalenceof iron, folate, and vitamin B12 deficiency anemia afterlaparoscopic Roux-en-Y gastric bypass. ObesitySurgery, 18(3),288- 293.
Wofford,J. L., Wells, M. D., & Singh, S. (2008). Best strategies forpatient education about anticoagulation with warfarin: a systematicreview. BMChealth services research, 8(1),1