LABORATORY RESULTS:
WBC = normal with a normal differential and platelet count
Hct = 29%; MCV = normal, MCHC = slightly decreased; RDW = markedly increased; reticulocyte count < 2%
Smear with mixed microcytic/hypochromic and macrocytic/normochromic red blood cells; WBC and platelets appear normal
PT/PTT, liver function tests, electrolytes, and amylase normal
Upper endoscopy with 2 cm. duodenal ulcer with evidence of recent but no acute hemorrhage
AIDITIONAL LABORATORY RESULTS:
Serum iron, total iron binding capacity, saturation, and ferritin all reduced
Bone marrow biopsy with megaloblastic changes and low iron stores
Ø Serum folate and red blood cell folate low; B12 normal
Discussion questions part three:
Based on these findings, what are the diagnoses for this patient?
How should this patient be managed?
This needs to be in APA Format with 3-5 scholarly articles to back up each part (1, 2, 3). Also information in answer needs to be referenced with APA in text citations.
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https://www.npr.org/sections/ed/2018/04/25/605092520/high-paying-trade-jobs-sit-empty-while-high-school-grads-line-up-for-university Click on the link above. Read the entire link and answer the questions below…
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