196018
14 y.o. F. Dicloxacillin x10 days for knee cellulitis.
- ED symptoms: fever, headache, purpura, epistaxis
- ED assessment: sick, pale, lethargic, swollen & bleeding gums, general petechiae, 5cm spleen
- Normal size of spleen: approximately 3cm thick, 10cm long
- Palpate upper left side of abdomen to locate spleen.
- Blood test, ultrasound, CT scan
- Assessment
- Blood test, ultrasound, CT scan
- Pain may spread to left shoulder
- Symptoms of enlarged spleen:
- Fatigue, easy bleeding, anemia, wt loss, jaundice, frequent infections
- Symptoms of enlarged spleen:
- Enlarged spleen: enlarges if over worked or illness present
- Spleen: removes and destroys red blood cells.
- If overworked, spleen will enlarge as it removes red blood cells
- Leukemia: cancer of the blood cells
- Abnormal WBC's are made and are called leukemia cells)
- Possible causes of leukemia:
- Gene mutation because of genetic and/or environmental
- Symptoms of leukemia
- Fever, headache, easy bleeding, enlarged spleen, infections, tired/weak,
- bone/joint pain, swollen lymph nodes, weight loss/anorexia, enlarged liver
- Assessment:
- Physical exam, blood work (CBC), blood profile (chem-20, SMA-20, etc.)
- Treatment of leukemia is individually based:
- Chemotherapy, radiation therapy, biologic therapy, stem cell transplant
- Chemotherapy, radiation therapy, biologic therapy, stem cell transplant
- Treatment of leukemia is individually based:
- Physical exam, blood work (CBC), blood profile (chem-20, SMA-20, etc.)
- Assessment:
- bone/joint pain, swollen lymph nodes, weight loss/anorexia, enlarged liver
- Fever, headache, easy bleeding, enlarged spleen, infections, tired/weak,
- Symptoms of leukemia
- Gene mutation because of genetic and/or environmental
- Possible causes of leukemia:
- Abnormal WBC's are made and are called leukemia cells)
- Normal size of spleen: approximately 3cm thick, 10cm long
- ED assessment: sick, pale, lethargic, swollen & bleeding gums, general petechiae, 5cm spleen
- Elevated WBC 76,000/cmm
- Decreased Neutrophils 4%
- Elevated Lymphocytes 97%
- Elevated Hgb 65g/dl
- Elevated Blasts 43%
- Elevated Monocytes 28%
- Elevated Eosinophils 8%
- Elevated Eosinophils 8%
- Elevated Monocytes 28%
- Elevated Hgb 65g/dl
- Elevated Lymphocytes 97%
- ABNORMAL LABS
- Decreased Neutrophils 4%
- Cellulits: bacterial infrection under the skin & in tissue
- Bacteria is usually Staph or Strep
- Treated with IV or PO antibiotic
- Treated with IV or PO antibiotic
- Bacteria is usually Staph or Strep
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