Inform the patient he has a recurrent DVT and initiate discussion regarding risks versus benefits of anticoagulation therapy
Bubonic Plague is responsible for the patient's symptoms.
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What is Bubonic Plague?</h3>
- Bubonic plague: The incubation phase typically lasts between two and eight days. Patients experience weakness, one or more enlarged, painful lymph nodes, headache, chills, and fever (called buboes).
- This type typically develops as a result of a flea bite. In a lymph node close to where the bacteria entered the human body, the bacteria grow.
- The germs can spread to other bodily parts if the patient is not treated with the right antibiotics. A particular type of bacterium known as Yersinia pestis is the source of the infectious disease known as plague.
- Both humans and animals can contract Y. pestis, which is primarily carried by fleas. One kind of plague is the bubonic plague. Its name derives from the disease's tendency to swell lymph nodes.
To learn more about Bubonic Plague with the given link
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Answer: the nurse will refer this child to a specialist for a bone marrow biopsy.
Explanation:
From the symptoms which where observed by the primary health care provider, the child had recurrent fevers, bone pain, and a recent loss of weight. While the physical examination revealed scattered petechiae, lymphadenopathy, and bruising. On further Laboratory diagnosis of the blood film, the full blood count revealed:
--> thrombocytopenia ( low platelet level)
--> anemia( lack of red blood cells) and
--> an elevated white blood cell count.
The major importance of full blood count is to evaluate the general health and detect a variety of of disorders. Since the blood picture is not normal, the health care provider should refer the child for BONE MARROW BIOPSY.
This is because the blood cells are produced from the bone marrow. Bone marrow biopsy is a test done to show if the bone marrow is healthy and able to make normal amount of blood cells.
The results of the bone marrow biopsy will help the primary care nurse to determine the cause of the abnormalities seen in the blood picture and will give the best directions to follow for an appropriate diagnosis and treatment.
P wave is the atria “firing”/depolarizing, the QRS complex is the ventricles depolarizing (and the atria are depolarizing while this happens), and the T wave is the ventricles depolarizing. Depolarizing is when it contracts, and repolarizing is when it relaxes and refills.
