Philosophy

A 64-year-old male presents with easy bruising, fatigue, and generalized weakness. The perseverings symptoms go for been progressing during the past 3 weeks. He denies having all other symptoms. He has no significant past medical history, and he denies any recent travel, tobacco use, or use of illicit drugs. The diligent is retired from an office administration position. He is admitted to the hospital for evaluation of his weakness and easy bruising. On admission, a chest radiograph is obtained, provided no abnormalities are noted. An initial complete blood cellular telephone count (CBC) is ordered, which shows thrombocytopenia, with a platelet count of 12.0 × 103/?L (12.0 × 109/L), and anemia, with a hemoglobin 6.8 g/dL (68 g/L) and a packed cell volume of 19% (0.19). His peripheral blood smear demonstrates 12% blasts. The persevering undergoes a subsequent work up marrow biopsy, which confirms acute myelocytic leukemia. He then receives induction chemotherapy with cytarabine and daunorubicin. Following induction, the patient becomes pancytopenic, with a 21-day bone marrow biopsy showing chemotherapeutic effect. The patients hospital manakin is then complicated by febrile neutropenia and vancomycin-resistant Enterococcus bacteremia from a central venous catheter infection.

He is treated with intravenous linezolid, which clears his bacteremia based on repeat blood cultures; however, he fluent suffers persistent fevers. On day 30 postinduction, the patient develops precipitance of breath and complains of a progressive, nonproductive cough. On physical examination, the patient has a blood pressure of 136/60 mm Hg. His shopping centre rate is 92 bpm, he is febrile, with a temperature of 101.2°F (38.4°C), has a respiratory rate of 28 breaths/min, and his pulse oximetry reading is 93% on a nonrebreather face mask. The patient appears to have change magnitude respiratory effort and diminished breath sounds; additionally, rhonchi are sight in the right upper lung field. He also has minimally decreased breath sounds at the... If you want to get a full essay, order it on our website: Ordercustompaper.com

If you want to get a full essay, wisit our page: write my paper