Homework HELP

  1. I'm not a nurse, I'm just in pre-requisite classes at the moment and I have an assignment I need help with. I believe the answer is anemia but I need reassurance. Answers to chose from:
    Anemia, Cholelithiasis, Glomerulonephritis, HEALTHY, Hemochromatosis, Hepatitis B, Hypertension, Hyperthyroidism, Hypothyroidism, Metabolic Acidosis, Nephrotic Syndrome, Thrombocytopenia, Tuberculosis

    Patient: 24y F c/o fatigue, headache, and insomnia

    B/P= 105/65 TEMP= 37.3C

    Blood Cells
    WBC 8.8
    RBC 3.8 (L)
    HGB 8 (L)
    HCT 32 (L)
    MCV 82
    MHC 28.1
    MCHC 35
    RDW 12
    PLTS 225
    MPV 8.2
    NEUT% 56.9
    LYMPYH% 33.7
    MONO% 6.2
    BAS% 1.7
    EOS% 1.6

    Chemistry
    SODIUM 136
    POTASSIUM 4.2
    CHLORIDE 110
    CO2 18 (L)
    BUN 16
    CREATINE 0.9
    GLUCOSE 86
    CALCIUM 8.9
    T PROTEIN 7.2
    ALBUMIN 4.7
    GLOB 3.2
    ALK. PHOS 75
    ALT 46
    AST 36
    T BILIRUBIN 0.8
    URIC ACID 3.3
    CHOLESTEROL 179
    TRIG 98
    HDL 110
    LDL 76
    CHOL/HDL 1.6
    NON-HDL CHOL 69

    Thyroid
    FREE T4 1.12
    TSH 2.7

    URINE PREGNANCY TEST- NEG

    Urinalysis- Normal
    Yellow, Clear
    Sp Gr 1.027
    pH 5.9
    G, B, K, B, P, N, L= Neg
    WBC/HPF 3.8
    RBC/ HPF 1.4
    BAST/HPF 189.0
    EPI/LPF 16.2
    CAST/LPF 0
    CRYSTALS/HPF 0
    YEATS/HPF 0

    So the only abnormal numbers are the ones with (L) indicating Low which are the RBC, HGB, HCT, and CO2; all others fall within range.
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  2. 4 Comments

  3. by   leslie :-D
    yes, anemia.
    definitely.

    leslie
  4. by   tsade
    Quote from earle58
    yes, anemia.
    definitely.

    leslie
    I have the same issue its for a class so far i think she has Glomerulonephis or she is healthy the patient is 34 years old, her blood pressure is normal 116/82 her temperture is fine 37.1. In her lab everything is fine except her urinalysis the color is reddish, apperance is cloudy, she has blood in her urine but no protein, RBC/HPF is 8, and EPI/LPH is 49. I know that cloudy urine can mean bacteria,crystals, or blood which she does have. she is cramping - monthy period Im confused either she is comming off a period or she has Glomerulonephris.
  5. by   Daytonite
    hi, shuronj, and welcome to allnurses!

    i can look up all these labs and determine the answer for you, but you will learn more by doing it yourself. if you will go to this thread on allnurses
    you will find a listing of weblinks which you can use to find this information. use the links for "lab" to find the normal levels of the various lab tests and to tell you what the abnormal high or low levels might indicate. you can also use the "physician sponsored sites", "the merck manuals", or the a.d.a.m. health encyclopedia link to look up information about the various medical diseases that you have to choose from.

    this way you will learn something about these diseases and the labs involved. have fun! you will be doing this throughout the rest of your nursing career.
  6. by   PsychNurseWannaBe
    Quote from tsade
    i have the same issue its for a class so far i think she has glomerulonephis or she is healthy the patient is 34 years old, her blood pressure is normal 116/82 her temperture is fine 37.1. in her lab everything is fine except her urinalysis the color is reddish, apperance is cloudy, she has blood in her urine but no protein, rbc/hpf is 8, and epi/lph is 49. i know that cloudy urine can mean bacteria,crystals, or blood which she does have. she is cramping - monthy period im confused either she is comming off a period or she has glomerulonephris.
    i am confused.

    you believe she either has glomerulonephritis or she is healthy? even with the cloudy bloody urine?... i think you can definitely say she is not healthy.

    secondly, what does having a menstrual period have anything to do with blood in the urine and glomerulonephritis?

    i am not trying to come across as condescending... i am just really confused with your conclusions.

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