Psychology Assignment Help| You are assessing a 56 year old male who is complaining of abdominal pains and feeling tired

Heme Case Study #1

You are assessing a 56 year old male who is complaining of abdominal pains and feeling tired, with intermittent vertigo over the past 2-3 weeks. With his history of Crohn’s Disease, he is not sure if this could be the problem. As you examine this patient, you notice that he appears to be a soft spoken and somewhat somnolent individual with pale skin, red shiny tongue, tachycardia (HR=105), and cold extremities . He states that his appetite hasn’t been typical due to nausea. No other abnormalities are readily apparent at this time.

Patient lab results:

TSH=5 micro U/ml (2-10)

WBC=6,000/mm3 (4.5k-10k)

Hct=30% (38-50%)

Hbg=10 g/dL (13.5-17.5 gm/dL)

CRP=3.2 mg/dL (<1.0)

ESR=17 mm/hr (<16)

Patient information:

Crohn’s Disease

Abdominal pain

Pale skin

Red, shiny tongue

Tachycardia

Cold extremities

Fatigue

Vertigo

1. What do these results indiciate?

2. What might be the cause of the anemia?

3. How is Chron’s disease related to pernicious anemia?

4. Describe pernicious anemia.

5. What is intrinsic factor?

6. Why not increase dietary Vitamin B12?

How is Vitamin B12 related to anemia

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