Posted: March 21st, 2022

Anemia Of Chronic Disease Discussion 5

Anemia Of Chronic Disease Discussion 5

Mr. X is a 34y/o Hispanic male who presented to the emergency room for a fatigue, dyspnea and chest pain which started yesterday morning. He has been experiencing some nausea, vomiting, and reports that he is needs dialysis. He was diagnosed with chronic kidney disease 4 years ago and HIV 5 years ago. He is currently taking antiretroviral therapy for his HIV infection and reports compliance. He was last seen at a free clinic for his HIV care 2 weeks ago and does not know his current CD4 count or viral load. He has been receiving compassionate dialysis for 8 months and no longer produces urine. He was last dialyzed 5 days ago. His past medical history is significant for HIV, Chronic Kidney disease stage 5, Anemia, hypertension, pneumonia, hyperlipidemia

Past surgical history is positive for only a permacath placement 8 months ago.

Physical exam:

Vitals: 38.1-97-18-183/139

Normocephalic.

Alert & Oriented x3. Well developed.

Eyes: PERL. No nystagmus

Neck: Supple, no cervical lymphadenopathy

Cardiovascular: Normal Rate and rhythm. No murmur, gallops. 2+/4+ radial, brachial, dorsalis pedis pulses bilaterally. 2+ pitting edema of bilateral lower extremities.

Pulmonary: Dyspneic. Lungs are clear.

Abdomen: Soft and nontender, active bowel sounds. No peritoneal signs.

Skin: warm, dry and pale.

Rectal exam: stool is brown, no rectal masses

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Anemia of Chronic Disease Discussion 5 Anemia of Chronic Disease Discussion 5 Anemia of Chronic Disease Discussion 5

Mr. X is a 34-year-old Hispanic male who went to the emergency room with symptoms of exhaustion, dyspnea, and chest pain that began yesterday morning. He has been having nausea and vomiting, and he reports that he need dialysis. He was diagnosed with chronic kidney illness four years ago, and he was diagnosed with HIV five years ago. He is now receiving antiretroviral medication for his HIV infection and states that he is compliant. He was evaluated at a free clinic for HIV care two weeks ago and has no idea what his current CD4 count or viral load is. He has been on compassionate dialysis for 8 months and no longer excretes urine. He had his last dialysis 5 days ago.

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