Hematologic Shadow health Test Selection
Hematologic Shadow health Test Selection
Test Selection : 8 of 8 (100.0%)
In this activity, you were asked to choose the most appropriate, cost effective, least invasive diagnostic tests to order to help rule in or rule out a diagnosis.
Review the list of appropriate tests below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Selected Test | Student Rationale | Model Rationale |
|---|---|---|
Complete Blood Count with Differential
|
The symptoms that Dr. Douglas presents with can be attributed to other diagnosis. Thus to rule them out there is need for a complete blood count to be done. Also Hemoglobin, hematocrit red blood cells and white blood cells with diffrential are useful in ruling out aplastic anemia. Also MCV, MCH hematocirt and hemoglobin will help rule out iron deficiency as well. | Based on her symptoms, Dr. Douglas could be suffering from one or more hematologic conditions. In order to rule them in or out, a complete blood count with differential should be prescribed. |
Complete Metabolic Panel
|
Shortness of breath, low energy, sleepy. The BUN , creatinine will help rule ut other diseases Hematologic Shadow health Test Selection | Because Dr. Douglas’ symptoms could be caused by a metabolic condition, a complete metabolic panel will be important in ruling them in or out as a final diagnosis. |
Ferritin
|
The patient Dr Douglas could be suffering from anemia based on the symptoms she presents with at the clinic. As a resul running the iron tests will help determine her iron status and rule out vitamin B12 or folate deficieny . Also Ferritin is highly specific and sensitive test. | Dr. Douglas may be suffering from anemia based on her symptoms. A ferritin test prescribed with a serum iron and total iron binding capacity test is a high value selection because it helps determine whether or not Dr. Douglas is suffering from an anemia, as well as what type Hematologic Shadow health Test Selection . |
Reticulocyte Count
|
tiredness, shortness of breath and fatigue. This is test is generally specific and sensitive in ruling out vitamin B 12 deficiency Hematologic Shadow health Test Selection | Dr. Douglas may be suffering from anemia based on her symptoms. A reticulocyte count is a high value selection because it helps determine whether or not Dr. Douglas is suffering from an anemia, as well as what type. |
Serum Iron
|
Decreased energy, tiredness, sleepy and shortness of breath . The test will help show the patient’s iron level | Dr. Douglas may be suffering from anemia based on her symptoms. A serum iron test prescribed with a ferritin level and total iron binding capacity test is a high value selection because it helps determine whether or not Dr. Douglas is suffering from an anemia, as well as what type. |
Thyroid Stimulating Hormone
|
The test is specific and sensitive in ruling out hypothyrodism especially as the patient is experiencing fatigue and cold sensitivity whcih are symptomatic of hypothyroidism | Dr. Douglas’ fatigue, dyspnea, and cold sensitivity maybe be symptoms of hypothyroidism. A thyroid stimulating hormone will help in ruling this differential in or out as a final diagnosis. |
Total Iron-Binding Capacity
|
This test sensitive and highly speciific in rurling out vitamin B12 or folate deficiency, | Dr. Douglas may be suffering from anemia based on her symptoms. A total iron-binding capacity test prescribed with a ferritin level and iron serum test is a high value selection because it helps determine whether or not Dr. Douglas is suffering from an anemia, as well as what type. |
Vitamin B12 (Folate) Level
|
Dr. Douglas is on an ovolactovegetarian diet and she is experieincing fatigue , these contribute to decrease iron levels Hematologic Shadow health Test Selection | Dr. Douglas is a vegetarian suffering from fatigue, cold sensitivity, and dyspnea. Based on her symptoms and diet, a vitamin B12 (folate) level test is necessary to reach a final diagnosis. |
www.OnlineNursingExams.com