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1. A 20 kg child has iron-deficiency

1. A 20 kg child has iron-deficiency anemia and will begin taking an oral iron preparation. a. Please write the prescription for the iron (think about preparation, concentration, dosing, route, frequency, etc.). b. How will you know when the supplement can be stopped? c. True or False. The supplement is best given with food. 2. A 60-year-old female patient has recently lost weight and a physical examination reveals a beefy-red, sore tongue, with no neurological findings. Which type of anemia fits this description? What is the underlying cause of this type of anemia? What are the management strategies for this anemia? 3. A male patient has a history of recurrent epistaxis. Prior to a scheduled surgery, the provider asks about a family history of bleeding disorders. The patient reports no female relatives who had excessive bleeding episodes, but states that a maternal uncle and his maternal grandfather both had post-surgical complications related to bleeding. a. Which diagnosis do you suspect? i. Thombophilia ii. Hemophilia iii. Von Willebrand Disease iv. Thrombocytopenia b. Why do you suspect this disorder? 4. Define Virchow’s triad. 5. A 53 year old female presents for evaluation of calf pain. She recently flew to Florida to visit her daughter and returned 2 weeks ago. She is wondering if she has been dehydrated because her left calf has been cramping. Yesterday she couldn’t zip her boots because her calf was swollen. When she took off her sock, she saw it was also red. History is significant for: hysterectomy at age 40, elevated fasting glucose, essential hypertension Medications: metformin 500 mg PO BID, estradiol 1 mg PO daily, lisinopril 20 mg PO daily NKDA Social history: 1-2 glasses of wine/week, social cigarette use, no illicit drug use Vital signs are within normal limits. Name 3 differential diagnoses based on the information provided. Which components of the patient’s history put her at risk for DVT? Which diagnostics would you perform at today’s visit? Utilizing this case as background, choose 2 classes of anticoagulation medication and briefly discuss

 
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