Thrombocytopenia

Week Eight Journal Mrs. C. C. was a sixty-seven-year-old Caucasian woman who presented to the office with bruises on her left forearm and right hand. She had a history of diabetes, hypertension, atrial fibrillation, peripheral vascular disease, and arthritis. Upon completion of her history and physical exam, large dark purplish irregular patches were noted on the left dorsal portion of bilateral forearms. The areas did not blanch and appeared to be isolated areas to bilateral forearms. There…

The incidence of death from cancer is decreasing, but it will always have a significant impact in nursing practice. Mortality has declined by 66% over the past 30 years, from a 5-year survival rate of less than 50% to approximately 83% today (Barbel & Peterson, 2015). The article, “Recognizing subtle signs and symptoms of pediatric cancer”, discusses the causes and risks, signs and symptoms, details of the different forms of cancer, as well as some nursing implications in regards to pediatric…

occurs in roughly 50% of patients, which consists of jaundice and hepatomegaly that can be felt on examination.[2][6] Other signs and symptoms that may be present throughout infection with the virus include anorexia, malaise, macular rashes, thrombocytopenia, fever, pain localized to the right upper quadrant, and pale urine with dark…

The most common indications for a blood transfusion include acute blood loss, coagulopathy and other anemias.2 The veterinary professional should adhere to a strict transfusion protocol, and utilize blood typing, crossmatching procedures and careful patient monitoring; which minimizes the risk of an adverse reaction and maximizes the benefits of the transfusion.2 Ideally, potential canine blood donor candidates should range in age between 1-year-old to not more than eight years of age, and be…

circulation intravenously. It is used when a patient is suffering from severe blood loss; it can be from an accident or an operation done. Under most circumstances, anyone who is suffering from a deficiency of producing blood, bleeding disorders like thrombocytopenia or haemophilia or an illness that inflicts anemia; such as kidney disease or cancer would most certainly have to undergo blood transfusion due to the risk of it endangering their health. It is mostly utilised in situations in which…

Crohn’s Disease (CD) is an inflammatory bowel disease that is chronic, relapsing, transmural inflammation of uncertain etiology that can affect any portion of the digestive tract from mouth to anus, but is predominantly seen in the terminal ileum and/or colon (Inflammatory Bowel Disease article). The name of the disease came from Dr. Burill Crohn, who first described the disease in 1932. Crohn’s Disease is part of a group called Irritable Bowel Disease (IBD). CD differs from other IBD’s in…

What is HELLP Syndrome? HELLP syndrome is a life-threatening liver disorder that occurs during pregnancy and postpartum. It is characterized by hemolysis (destruction of red blood cells), elevated liver enzymes (which indicate liver damage), and low platelet count. According to Olds’Maternal-Newborn Nursing Tenth Edition, HELLP is usually related to preeclampsia and about 10% to 20% of women who have severe preeclampsia develop HELLP prior to 37 weeks’ gestation 50% of the time. However it may…

nail dystrophy, and oral leukoplakia (white patches in the mouth) (Figure 1) but these symptoms might not always manifest in patients (Dokal, 2000; Fernández García and Teruya-Feldstein, 2014; Kirwan and Dokal, 2009). Other symptoms include thrombocytopenia, anemia and testicular atrophy(Fernández García and Teruya-Feldstein, 2014). Patients with DKC often age prematurely and have…

delaying the inevitable use of wheelchair. Ted only uses wheelchair for longer distances. Though IBM is felt to be a neurodegenerative disorder, there is some association with autoimmune disorders. Systemic lupus erythematosus, Sjögren’s syndrome, thrombocytopenia, and sarcoidosis have been reported in up to 15% with IBM. There is no increased risk of myocarditis, interstitial lung disease, or malignancy in IBM (Amato, A. A., & Barohn, R. J.…

Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain. Mucous membranes are moist. Fingernails trimmed and clean. Toenails were thick and had a yellowish color to…