Question 1: NS is a 32-year-old female who had been sick with a cold virus for 10 days. She states that she had flu symp

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Question 1: NS is a 32-year-old female who
had been sick with a cold virus for 10 days. She states that she
had flu symptoms of cough, sore throat, and fatigue. It has been 3
weeks since the cold, and she continues to be fatigued and finds it
hard to get enough energy to do things. NS says she has noted that
she has been bruising easily. She hit her arm accidentally on the
edge of a counter, and now she has a large bruise. She has also
noted little purple spots all over her hands and chest. On
examination it is noted that she does have a large bruise on her
right arm and petechiae and purpura over her chest and hands. Lab
work comes back with a platelet count of 40,000mm3.
Discussion Questions
1.
NS has been diagnosed with immune thrombocytopenic purpura (ITP).
Explain what it is and who can get it.
2.
What symptoms would you expect to see in a patient with ITP?
3.
Treatment for chronic ITP is glucocorticoids. If therapy is
ineffective, what surgery is considered?
Question 2: Discuss how cell size and
content determine classification of anemia. Next, discuss why iron
is important to hemoglobin synthesis, and why is iron deficiency
related to anemia?