Christina's Case Study PDF

Running head: HAEMATOLOGY
CHRISTINA’S CASE STUDY
Name of the Student
Name of the University
Author not

1
HAEMATOLOGY
Answer 1
It has been mentioned that Christina is a vegetarian that means she is lacking nutrients
like iron or few vitamins, which are can be obtained from animal source in bulk amount. On top
of that her daughter complained about weakness and fatigue that are considered to be the
symptom of anaemia. However, if there is less iron in the blood the blood is unable to produce
enough haemoglobin (Lopez et al. 2016). Even, Christina is lacking in her vitamin B12 diet as
she is vegetarian. Vita B-12 is mainly present in dairy products and meat. It helps in producing
red blood cells (RBC), therefore lack in Vit B-12 will produce less count of RBCs. Another
strong possible cause of anaemia for Christina might be that she underwent blood transfusion 5
years back.
Figure 1: Mechanism of anaemia (Soofi et al. 2017)

2
HAEMATOLOGY
Answer 2
The report presented by register showed that Christina PCV, MCV, MCH, White cell and
platelet count are normal however her haemoglobin and RBCs count is low. Even the Macrocytic
cell report also showed that it is having hyper segmented neutrophil. Therefore, Christina is
suffering from Anaemia can be concluded and due to this it can be matched with the daughter’s
statement where she mentioned that Christina was feeling weak and tired in last few days. Due to
cell RBC, body cannot supply enough food and oxygen hence an anaemic person feels tired more
often (Alli, Vaughan and Patel 2017). Therefore, the statement made by daughter matches with
the report, hence it cannot be ruled out. The symptoms that are observed by nurses conveys that
Christina is Anaemic without any family history of it. She is anaemic mainly due to for
vegetarian diet that lacks vitamin B-12.
Answer 3
Macrocytosis refers to a blood complication where red blood cells (RBC) are larger than
normal. Macrocytosis is testified as mean corpuscular volume (MCV). It is distributed into two
types, megaloblastic plus non-megaloblastic (Madu and Ughasoro 2017). The megaloblastic
form occurs because of synthesis of impaired DNA from folate as well as from vitamin B12
insufficiencies, while the non-megaloblastic moiety happens on or after multiple processes. This
occurs due to deficiency of vitamin B-12 as well as folate deficiency. The report of Christina
showed that she is suffering from B-12 deficiency hence it is assumed that Macrocytosis
developed due to B-12 insufficiency (Vrahnas et al. 2018). As Christina blood film showed
hypersegmented neutrophil it indicates that she is suffering from Megaloblastic anaemia. Even
her report also showed that the cell size is bigger than normal, hence they cannot exit the bone