Pathophysiology reply to peer discussion
Question Description
- You should respond by extending, refuting/correcting, or adding additional nuance to their posts.
- All replies must be constructive and use literature where possible.
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Module? ?2? ?Discussion? ?Celica? ?L.? ?McKinnon? ?St.? ?Thomas? ?University? ???? ?Module? ?2? ?discussion??The? ?contributing? ?factors? ?on? ?J.D.? ?that? ?might? ?put? ?her? ?at? ?risk? ?to? ?develop? ?iron? ?deficiency? ?anemia? ?she? ?is? ?in? ?her? ?child? ?bearing? ?years? ?and? ?has? ?a? ?history? ?of? ?two? ?month? ?on? ?inter? ?menstrual? ?bleeding.? ?Her? ?menstrual? ?period? ?occurring? ?every? ?28? ?days? ?with? ?six? ?of? ?those? ?days? ?complaints? ?of? ?heavy? ?flow? ?and? ?cramping.? ?Slow? ?chronic? ?blood? ?loss? ?within? ?the? ?body? ?from? ?peptic? ?ulcers,? ?from? ?regular? ?use? ?of? ?ibuprofen? ?use? ?due? ?to? ?osteoarthritis? ?pain? ?in? ?the? ?left? ?knee? ?due? ?to? ?a? ?motor? ?vehicle? ?accident.? ?J.D.? ?is? ?currently? ?on? ?hypertension? ?drugs? ?which? ?are? ?correlated? ?with? ?reducing? ?hemoglobin? ?mass.? ?J.D.? ?currently? ?taking? ?a? ?diuretic? ?due? ?to? ?fluid? ?retention? ?in? ?the? ?anemia.? ? ?Within? ?the? ?case? ?study? ?J.D.? ?might? ?be? ?presenting? ?constipation? ?and? ?or? ?dehydration.? ?Because? ?when? ?one? ?is? ?iron? ?deficient? ?the? ?body? ?works? ?to? ?increase? ?absorption.? ?It? ?slows? ?down? ?peristalsis,? ?which? ?in? ?return? ?restricts? ?bowel? ?movements? ?so? ?that? ?stool? ?expelled? ?much? ?more? ?slowly,? ?causing? ?constipation.? ?Dehydration? ?frequently? ?follows? ?anemia.? ?Consuming? ?plenty? ?of? ?fluids,? ?especially? ?water? ?will? ?keep? ?the? ?body? ?hydrated.? ?Erythropoiesis? ?is? ?the? ?process? ?in? ?which? ?new? ?erythrocytes? ?are? ?produced.? ?Human? ?body? ?requires? ?folate? ?in? ?order? ?to? ?produce? ?healthy? ?RBCs? ?and? ?prevent? ?anemia,? ?while? ?Vitamin? ?B12? ?plays? ?an? ?important? ?role? ?in? ?supplying? ?essential? ?methyl? ?groups? ?for? ?protein? ?and? ?DNA? ?synthesis.? ? ?Vitamin? ?B12? ?and? ?the? ?folic? ?acid? ?deficiency? ?may? ?cause? ?megaloblastic? ?anemia? ?on? ?the? ?red? ?blood? ?cells? ?that? ?when? ?the? ?bone? ?marrow? ?produces? ?large? ?and? ?abnormal? ?cells.? ? ?The? ?gynecologist? ?is? ?suspecting? ?that? ?J.D.? ?is? ?experiencing? ?iron? ?deficiency? ?anemia? ?the? ?positive? ?signs:? ?extreme? ?fatigue? ?and? ?weakness,? ?lack? ?off? ?energy,? ?Hgb? ?10.2? ?g/dl,? ?osteoarthritis,? ?pep? ?-? ?tic? ?ulcers.? ?To? ?treat? ?J.D.? ?for? ?iron? ?deficiency? ?you? ?may? ?recommend? ?iron? ?supplements,? ?while? ?also? ?treating? ?the? ?underlying? ?cause? ?of? ?J.D.? ?iron? ?deficiency.? ?Instruct? ?J.D.? ?to? ?take:? ?iron? ?tablets? ?on? ?a? ?empty? ?stomach,? ?avoid? ?taking? ?iron? ?tablets? ?with? ?antacids? ?(medication? ?that? ?relieve? ?heartburn),? ?take? ?iron? ??tablet? ?2? ?hours? ?before? ?or? ?4? ?hours? ?after? ?you? ?take? ?omeprazole? ?(antacids),? ?take? ?iron? ?with? ?vitamin? ?c(? ?a? ?glass? ?of? ?orange? ?juice? ?or? ?vitamin? ?c? ?supplement,? ?iron? ?causes? ?constipation? ?and? ?turns? ?black,? ?Colace? ?or? ?stool? ?softener? ?may? ?be? ?prescribed,? ?medications,? ?such? ?as? ?birth? ?control? ?pills? ?via? ?oral? ?route? ?may? ?be? ?prescribed? ?to? ?lighten? ?heavy? ?menstrual? ?flow.? ?ABTs? ?and? ?antacids? ?to? ?treat? ?peptic? ?ulcers? ?surgery? ?to? ?remove? ?any? ?bleeding? ?fibroids,? ?polyps,? ?tumors.? ?If? ?hgb? ?drops? ?below? ?7,? ?IV? ?iron? ?may? ?be? ?given.? ?Blood? ?transfusion? ?may? ?be? ?recommended? ?to? ?replace? ?iron? ?and? ?Hgb,? ?or? ?both? ?depending? ?on? ?the? ?severity.? ? ??Cardiovascular? ?Modifiable? ?risk? ?factors? ?for? ?patients? ?at? ?risk? ?of? ?developing? ?coronary? ?artery? ?disease? ?and? ?patients? ?diagnosis? ?acute? ?myocardial? ?infarct:? ?hypertension,? ?smoking,? ?obesity,? ?diabetes,? ?physical? ?inactivity,? ?high? ?blood? ?cholesterol.? ?This? ?measures? ?can? ?be? ?changed.? ? ?Non? ?-? ?modifiable? ?risk? ?factors:? ?age,? ?family? ?history,? ?ethnicity,? ?gender,? ?(pregnancy/menopause).? ?Top? ?3:? ?age,? ?family,? ?and? ?history? ?(measures? ?you? ?can? ?not? ?change).? ?On? ?Mr.? ?W.G.? ?EKG? ?you? ?would? ?expect? ?to? ?see? ?T? ?-? ?waves? ?tenting? ?or? ?inversion,? ?Non? ?-? ?ST? ?segment? ?elevation? ?myocardial? ?infarction? ?or? ?heart? ?attack? ?(NSTEMI),? ?ST? ?segment? ?elevation? ?myocardial? ?infarction? ?or? ?heart? ?attack? ?(STEMI)? ?and? ?unstable? ?angina.? ? ?The? ?discomfort? ?increasing? ?to? ?a? ?pressure? ?(? ?crushing)? ?sensation? ?in? ?the? ?chest? ?and? ?shoulders? ?with? ?pain? ?radiating into? ?his? ?neck? ?and? ?lower? ?jaw.? ?The? ?pain? ?didnt? ?change? ?with? ?deep? ?breathing.? ?Complaints? ?of? ?nausea? ?and? ?began? ?rubbing? ?chest.? ? ?Having? ?the? ?opportunity? ?to? ?choose? ?the? ?acute? ?myocardial? ?infarct,? ?Cardiac? ?biomarker? ?enzymes? ?would? ?be? ?the? ?chose? ?Troponin? ?-? ?elevated? ?levels? ?of? ?the? ?enzyme? ?is? ?the? ?key? ?diagnosis? ?of? ?a? ??myocardial? ?infarct.,? ?other? ?exist? ?but? ?in? ?this? ?situation? ?troponin? ?level? ?is? ?the? ?most? ?helpful.? ?Plus,? ?this? ?test? ?is? ?recommended? ?by? ?the? ?American? ?Heart? ?association.? ? ?Elevated? ?body? ?temperature? ?may? ?be? ?manifested? ?by? ?the? ?inflammatory? ?reaction? ?following? ?myocardial? ?necrosis? ?which? ?lasts? ?for? ?20? ?minutes? ?or? ?less.? ?Being? ?described? ?as? ?pressure,? ?tightness,? ?knifelike,? ?tearing,? ?and? ?burning? ?sensation.? ?Based? ?on? ?W.G.? ?pathophysiology? ?of? ?the? ?event? ?of? ?(W.G.? ?states)? ?his? ?pain? ?eased? ?slightly? ?in? ?the? ?last? ?15? ?minutes? ?but? ?is? ?still? ?significant? ?was? ?9/10? ?in? ?severity,? ?now7/10.? ?Mr.? ?W.G.? ?is? ?experiencing? ?pain? ?during? ?his? ?myocardial? ?infarct? ?because? ?the? ?build-? ?up? ?of? ?plaque? ?and? ?cholesterol? ?in? ?the? ?coronary? ?arteries? ?causes? ?narrowing? ?so? ?oxygen? ?-? ?rich? ?blood? ?the? ?heart? ?needs? ?cant? ?get? ?through,? ?and? ?the? ?heart? ?muscles? ?becomes? ?starved? ?for? ?oxygen.? ???? ?? ???.? ??.? ??? ? ?References? ?McCance,? ?C,K,? ?Huether,? ?E.? ?S.,? ?Brashers,? ?L.? ?V.,? ?&? ?Rote,? ?S.? ?N.? ?(2019).? ?Pathophysiology:? ?The? ?Biologic? ?Basis? ?for? ?Disease? ?in? ?Adults? ?and? ?Children? ?(8th? ?ed.).? ?St.? ?Louis,? ?MO:? ?Elsevier.? ?Kumar,? ?V.,? ?Abbas,? ?A.? ?K.,? ?&? ?Aster,? ?J.? ?C.? ?(2020).? ?Robbins? ?&? ?Cotran? ?pathologic? ?basis? ?of? ?disease? (10th ed.)? Elsevier.
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