Running head: M4 CASE STUDY 1
M4 Case Study
The University of Texas at Arlington College of Nursing
In partial fulfillment of the requirements of
N5315 Advanced Pathophysiology
John D. Gonzalez DNP, RN, ACNP-BC, ANP-C
, M4 CASE STUDY 2
Case Study
Mr. X is a 34 years old Hispanic male who presented to the emergency room for a
complaint of left leg pain which started yesterday morning. He has had some chills and fevers.
He denies any injury to his leg and he simply woke up yesterday with the pain. He has been
experiencing some nausea, vomiting, shortness of breath and reports that he is in need of
dialysis. He was diagnosed with chronic kidney disease four years ago and HIV five years ago.
He is currently taking antiretroviral therapy for his HIV infection and reports compliance. He
was last seen at a free clinic for his HIV care two weeks ago and does not know his current CD4
count or viral load. He has been receiving compassionate dialysis for the last eight months and
no longer produces urine. He was last dialyzed five days ago. His past medical history is
significant for HIV, chronic kidney disease stage 5, anemia, hypertension, pneumonia,
hyperlipidemia. Past surgical history is positive for only a permacath placement eight months
ago.
Questions
1. The clinical scenario is most consistent with which type of anemia?
• Anemia of chronic disease
2. What data in the clinical scenario supports your diagnosis?
• Chronic kidney disease stage 5 and history of HIV Infection
• History of anemia and anemia symptoms: nausea, fatigue, dyspnea, chest pain, and
pale skin.
• Normal mean corpuscular volume (MCV) of 85 fL
• Hematocrit is low at 25.4%
M4 Case Study
The University of Texas at Arlington College of Nursing
In partial fulfillment of the requirements of
N5315 Advanced Pathophysiology
John D. Gonzalez DNP, RN, ACNP-BC, ANP-C
, M4 CASE STUDY 2
Case Study
Mr. X is a 34 years old Hispanic male who presented to the emergency room for a
complaint of left leg pain which started yesterday morning. He has had some chills and fevers.
He denies any injury to his leg and he simply woke up yesterday with the pain. He has been
experiencing some nausea, vomiting, shortness of breath and reports that he is in need of
dialysis. He was diagnosed with chronic kidney disease four years ago and HIV five years ago.
He is currently taking antiretroviral therapy for his HIV infection and reports compliance. He
was last seen at a free clinic for his HIV care two weeks ago and does not know his current CD4
count or viral load. He has been receiving compassionate dialysis for the last eight months and
no longer produces urine. He was last dialyzed five days ago. His past medical history is
significant for HIV, chronic kidney disease stage 5, anemia, hypertension, pneumonia,
hyperlipidemia. Past surgical history is positive for only a permacath placement eight months
ago.
Questions
1. The clinical scenario is most consistent with which type of anemia?
• Anemia of chronic disease
2. What data in the clinical scenario supports your diagnosis?
• Chronic kidney disease stage 5 and history of HIV Infection
• History of anemia and anemia symptoms: nausea, fatigue, dyspnea, chest pain, and
pale skin.
• Normal mean corpuscular volume (MCV) of 85 fL
• Hematocrit is low at 25.4%
