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20 Jan 2019

Please please please answer all the questions with datials this is the third time I sent and I didn't get all the answer . If you don't know them all please don't respond
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.
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)

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

2.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.

3.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.

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

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

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Irving Heathcote
Irving HeathcoteLv2
20 Jan 2019

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