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Symptoms & History
Physical Findings
Stop & Think
Lab and X-Ray
Differential Diagnosis
The Disease
Treatment
Conclusions
Quiz & Evaluation
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There are several problems to be considered.
- Obviously her arthritic
symptoms.
- She has an
anemia
.
- Her white count is technically
normal, but with a chronic inflammatory problem one might expect it to be
higher.
Concerning the arthritic symptoms:
- Get a physical therapy
consult and
- Have a
resting splints
made for her to use at night.
- Start her on aspirin.
Her anemia, could be anemia
of chronic disease, the lab will help:
- Get a baseline
iron and iron binding
and possibly a ferritin.
- Follow her to see if
treatment with aspirin improves things once the inflammatory reaction cools
down.
Could this
white count be a bother
?
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