Anna was diagnosed with SCA, severe anemia and splenic sequestration (sickling in the splenic vein causing blood in the spleen to collect and enlarge). Anna was treated with intravenous hydration, administration of pain medication, RBC transfusion, and prescribed antibiotics.
Type 1 Diabetes
Anna is 14 years old and fairly active. Anna weighs 103 lbs and is 5'0" . Anna went to the hospital because she's very fatigued, constantly thirsty, urinates more than usual and lost 10lbs even though her diet and level of exercise hasn't changed. Her activity level has decreased because of how lethargic she's become.
There's family history of high cholesterol and heart disease. Everything in her physical exam appears to be normal. there's occasional tingling in her feet. The Lab Analysis shows that there no abnormalities in the RBC, WBC or platelet count, she doesn't have strep throat and that there's glucose in the blood. Anna was sent for GTT and tested positive for diabetes.
Anna was diagnosed with Type 1 diabetes and hyperglycemia.
Heart disease
37 years old, 5'4'', and a blood pressure of 140/72. Anna went to the hospital for a full cardiac evaluation after two self-resolved chest pain incidents. Anna doesn't smoke, eats a diet high in fats and calories, she consumes 3 glasses of wine each day after work, and has no formalized exercise. anna takes daily aspirin and at home Yoga as needed to cope with stress and work.
Tests and Results:
Anna had blood work done, a cardiac stress test with EKG and a echocardiogram. Anna then took an agiiogram after seeing the results. The physical exam showed that Anna's heart
rate is 90-105 , her blood pressure valves averaged 142/85,she has a slight heart murmur and her waist is 33 inches. In the cardiac testing it revealed that after only 8 minutes of walking at a speed of 3.5mph Anna's blood pressure boiled to 190/110. The EKG showed heart murmur. The Echocardiogram revealed that the left ventricle is slightly enlarged but within normal limits and that her mitral valve doesn't close tightly.
Lab. Analysis
Total cholesterol is 389 mg/dl , LDL is 243 mg/dl ,FDL is 60 mg/dl , Triglycerides is 145 mg/dl. Her CBC results are still normal. Her fasting blood sugar is 85 mg/dl and Hemoglobin A1c is 7.1%
Anna was diagnosed with a slight heart murmur, hypertension, and heart disease, hypercholestermia, and pre ventricular contractions
Infection
Anna was 38, blood pressure of 140/90 and weighed 165 lbs.
After a painful stay in the hospital for sickle cell disease. She reported pain in her lower extremities.During her stay, the pain in her lower legs was so severe that she was confined to her bed and used a urinary catheter. She tested positive for serratia marcescens, and has a UTI