You are reviewing the record of Randy Robertson, a child seen by Dr. Carson, a p

Question

You are reviewing the record of Randy Robertson, a child seen by Dr. Carson, a pediatrician. The physician has just determined that the child has hemophilia. In order to reach this decision, the physician ordered a factor assay test. Which blood coagulation factors are found to be deficient in hemophilia? How might the test results in this patient vary from the normal results?

Paula Johnson, a 52-year-old woman, is undergoing a series of thyroid function tests. The physician suspects that Mrs. Johnson may be experiencing hypothyroidism. What hormone tests would the physician order? What results would be expected if Mrs. Johnson did have hypothyroidism?

You are reviewing the record of Russ Walker, a 58-year-old man with a family history of heart disease. He has just been admitted to the hospital with chest pain. Dr. Rupert Wilbert, a cardiologist, has noted and ordered a thallium stress test for Mr. Walker. Why do you think Dr. Wilbert chose this particular test? What is involved with this study? If Mr. Walker cannot complete the treadmill portion of the test, what effect will that have on the test results?

Victoria Schaski, a 68-year-old female patient of Dr. Chabetzi, was diagnosed with Zollinger-Ellison syndrome. Discuss the role of gastric secretion tests in identifying this syndrome. How would the gastric secretions specimen(s) be obtained?

Explanation / Answer

You are reviewing the record of Randy Robertson, a child seen by Dr. Carson, a pediatrician. The physician has just determined that the child has hemophilia. In order to reach this decision, the physician ordered a factor assay test. Which blood coagulation factors are found to be deficient in hemophilia? How might the test results in this patient vary from the normal results?

Ans 1: The blood coagulation factor found to  be deficient in hemophilia are factor VIII, IX and XI.

Factor VIII deficiency known as Haemophilia A

Factor IX deficiency known as Haemophilia B

Factor XI deficiency known as Haemophilia C

The factor level would be low as compared to normal individual. If it is lessthan 1 percent it will be known as severe haemophilia, between 1- 5 is moderate haemophilia and more than 5 - 40 is midhaemophilia. These patients have high tendency of bleeding.

Paula Johnson, a 52-year-old woman, is undergoing a series of thyroid function tests. The physician suspects that Mrs. Johnson may be experiencing hypothyroidism. What hormone tests would the physician order? What results would be expected if Mrs. Johnson did have hypothyroidism?

Ans: The physician ill order thyroid funcion test which involoves T3, T4 and TSH.

To confirm hypothyroidism Mrs. Johnson dshould have high TSH value.that is thyroid stimulating hormone.

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