Posted: April 9th, 2022

Anemia Of Chronic Disease Discussion 6

Anemia Of Chronic Disease Discussion 6

Mr. X is a 34y/o Hispanic male who presented to the emergency room for a fatigue, dyspnea and chest pain which started yesterday morning. He has been experiencing some nausea, vomiting, and reports that he is needs dialysis. He was diagnosed with chronic kidney disease 4 years ago and HIV 5 years ago. He is currently taking antiretroviral therapy for his HIV infection and reports compliance. He was last seen at a free clinic for his HIV care 2 weeks ago and does not know his current CD4 count or viral load. He has been receiving compassionate dialysis for 8 months and no longer produces urine. He was last dialyzed 5 days ago. His past medical history is significant for HIV, Chronic Kidney disease stage 5, Anemia, hypertension, pneumonia, hyperlipidemia

Past surgical history is positive for only a permacath placement 8 months ago.

Physical exam:

Vitals: 38.1-97-18-183/139

Normocephalic.

Alert & Oriented x3. Well developed.

Eyes: PERL. No nystagmus

Neck: Supple, no cervical lymphadenopathy

Cardiovascular: Normal Rate and rhythm. No murmur, gallops. 2+/4+ radial, brachial, dorsalis pedis pulses bilaterally. 2+ pitting edema of bilateral lower extremities.

Pulmonary: Dyspneic. Lungs are clear.

Abdomen: Soft and nontender, active bowel sounds. No peritoneal signs.

Skin: warm, dry and pale.

Rectal exam: stool is brown, no rectal masses

Lab Result
Sodium 133 mEq/L
Potassium 6.0 mEq/L
Creatinine 19.95 mg/dL
BUN 114 mg/dL
CO2 14 mEq/L
Anion gap 26 mEq/L
WBC 10,000
Hematocrit 25.4%
Hemoglobin 8.4 g/dL
MCV 85 fL
Platelets 154,000
Serum Iron 70 mcg/dL
Total Iron Binding Capacity 150 mcg/dL
Ferritin 450 ng/ml
Glucose 124 mg/dL

Questions

1. The clinical scenario is most consistent with which type of anemia? You may simply list your answer below using a bullet point format. This does not have to be in a complete sentence. A citation is not required.

2. What data in the clinical scenario supports your diagnosis? You may simply list your answers below using bullet point format. This does not have to be in a complete sentence. A citation is not required.

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Chronic Disease Anemia Discussion 6 Anemia Of Chronic Disease Discussion 6

Mr. X is a 34-year-old Hispanic male who went to the emergency room with symptoms of exhaustion, dyspnea, and chest pain that began yesterday morning. He has been having nausea and vomiting, and he reports that he need dialysis. He was diagnosed with chronic kidney illness four years ago, and he was diagnosed with HIV five years ago. He is now receiving antiretroviral medication for his HIV infection and states that he is compliant. He was evaluated at a free clinic for HIV care two weeks ago and has no idea what his current CD4 count or viral load is. He has been on compassionate dialysis for 8 months and no longer excretes urine. He had his last dialysis 5 days ago.

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