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12 Feb 2018

Please if you don't know all the answer with datials don't respond buz this is third time I sent it I didn't get a good answer .
Clinical case:
Review the case below and answer the following questions. Full credit includes answering each question fully with more than a one sentence answer.

40-year-old male has just completed chemotherapy for colon cancer following tumor removal. You note that he is tired, pale and complains of nausea and vomiting and is unable to keep much down including food and water. He is to remain in the hospital for a couple of days for observation.

1. Following chemotherapy, what are some concerns you would have when thinking of his hematological status?

2. What would be the cause for his pallor and lethargy?

3. Why would the patient be placed in isolation with a limited number of visitors and a restriction on plants and even food being brought to the patient?

4. What hormone could be used to improve his hematological condition following chemotherapy especially for the lethargy and pallor?

5. If the nausea and vomiting continued and electrolyte and fluid balance was an issue, what hormones would you consider playing a role in the body attempting to maintain homeostasis?


On the second day of your patient’s stay, you notice that they spiked a fever and experienced night sweats and felt “chilled”. You review the lab results and note that he has leukopenia (3,000/microliter of blood)

6. Was the leukopenia expected? Would it be expected in a normal person?

7. What is a concern with your patient displaying the symptomology detailed above?

You begin antibiotic treatment and ask for blood samples to be taken to the lab for possible identification of any pathogens. That evening you notice bruising on the left side of the patient, the same side they were resting on.

8. What is causing the bruising? What could you do to prevent that from occurring?


The patient responds to the antibiotics and treatment for the bruising and is no longer febrile and appears to be feeling better. You decide to discharge the patient to their home with instructions to return immediately to the e.r if they do not feel well or if they have a fever. You also schedule a follow up to review their blood work. Due to your patients slow recovery from chemotherapy, you decide to do a bone marrow biopsy to look at the red bone marrow.

9. Where can you find redbone marrow in an adult?

10. Is that different from where it is located in an infant?

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Nelly Stracke
Nelly StrackeLv2
13 Feb 2018

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