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Pathophysiology Seminar assignments - Hematology Case Studies

John Marsh
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Illinois State University

Pathophysiology & Pharmacotherapeutics Nursing Ii:Prelicensu

Seminar assignments – Hematology case studies

NUR339 Patho II Hematology Case Studies
Case Study A:
Justin Mather, a 23-year-old man, presented to the physician with a long medical history
back to 1983 when, as a 6-year-old, he was referred to a pediatrician by a dentist. At that time,
the dentist was about to administer an anesthetic drug by injection prior to extracting a tooth
when he elicited a history of easy bruising in the boy as well as a history of a brother who died
at age one from an intracranial hemorrhage after falling from a crib. In addition, Justin has
had several instances of severe bruising following minor trauma and progressively worsening
arthritis of both knee joints over the past four years. Interestingly, Justin’s maternal
grandfather died at age 27 of a bleeding complication following an appendectomy. Justin’s
maternal grandmother remarried, and Justin’s mother lost complete touch with her deceased
father’s family. Justin’s mother’s three half-brothers are alive and well.
Lab findings in Justin at that time (1983) were as follows:
-platelet = count 280,000 / mm3 of blood
(normal = 150,000 – 350,000 / mm3)
-bleeding time = 6 minutes
(normal = 3.5 – 10.5 minutes)
-prothrombin time (PT) = 11 seconds
(normal = 10 – 12 seconds)
-partial thromboplastin time (PTT) = 58 seconds



Pathophysiology (NUR 339) Seminar assignments - Hematology Case Studies

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