Question

A 26 yo Female patient complaining of severe fatigue and shortness of breath for the last 2 weeks. In addition to this finding the patient tells the doctor that her hands and feet feels unusually cold. During the physical examination the physician notices discoloration of the lower lid conjunctiva and a pale skin. When you measure her pulse rate you get 108 beats per minute. The patients also complains of a throbbing headache that comes and goes for the last couple of days.

Vitals:

T: 98.6f

P: 108 bpm

R: 22 rpm

BP: 110/70 mm/hg

SPO2% : 88%

1. What medical condition is she suffering from?

2. What are the signs and symptoms of the medical condition mentioned above in question #1

3. Is her pulse normal or abnormal, explain.

4. When you measure her Hemoglobin and Hematocrit levels, you find out that she has a reading of Hb: 9.5 g/dl and Hct: 32%. Are these findings normal? Abnormal? Explain.

5. What are the Normal reference range for Hemoglobin and hematocrit in both males and females?

6. What is the most common cause of anemia?

7. Explain what is pernicious anemia, and what is the name of the vitamin that cannot be absorbed in this type of anemia.

8. In your own words, explain how you measure this patient Hemoglobin and hematocrit levels using the Hemopoint H2 machine.

Answer 1

The patient is suffering from Anemia,

She is having signs of discolourised conjunctiva,pale skin,tachycardia,and symptoms of fatigue,shortness of breath,cold clammy hand and feet,throbbing headache.

She is having tachycardia(Her pulse rate is 108beats /min),due to hypoxia her heart is pumping more to supply adequate oxygen to body.

Normal Hb for female is 12-16gm/dl

Normal hct in female is 36-48%

Main cause for Anemia is Nutritional Deficiency(Iron and Bit B12 )

Vitamin B12 is also called as Cobalamin

A few drop of blood is taken in microcuvette is put under analyser which displays Hb and hct value within a few seconds.