Case Study

Module 02 Case Study: Hematology and Cardiovascular Systems

Each question is worth 1 point, unless otherwise noted.

It’s All Greek To Me: Part I—"Something’s Not Right" Questions

1. What are the symptoms of anemia?

Easy fatigue and loss of energy, unusually rapid heartbeat, particularly with exercise, Shortness of breath and headache, particularly with exercise, Difficulty concentrating, Dizziness, Pale skin Leg cramps, and Insomnia.

2. Why did the parents change Nikoleta’s formula to a high iron baby formula?

They felt that this would raise nikoleta’s iron levels because she appeared anemic.

It’s All Greek To Me: Part II—"The Test Results" Questions

1. Are the lab results of the CBC normal? Which values are normal and which are not? Why are there different normal values for hemoglobin levels and RBC count in males and females?

The results are abnormal. Hemoglobin, MCV, and WBC are abnormal RBC and platelet count are normal. Males have a higher testosterone which is a very potent anabolic which causes hemoglobin counts to be higher than that of their female counterparts.

2. Why was an analysis of Mr. and Mrs. Stamos’ blood ordered? Would a picture of Mr. Stamos’ red blood cells look like Nikoleta’s red blood cells?

To check for family history of the same blood condition. No it would not because his counts for hemoglobin and RBC would be different so a sample from the mother is required for a comparison.

3. Do red blood cells normally have nuclei? What is erythroblastic anemia?

No in mammals there is not normally a nucleus. Erythroblastic anemia is a condition in which the blood cells are slightly enlarged and discolored.

It’s All Greek To Me: Part III—"The Family Returns" Questions

1. What is the most likely diagnosis for Nikoleta?

The most likely diagnosis is beta-thalassemia.

2. What are the general features of this disease?

The beta protein is functioning incorrectly causing oxygen to not bond...