Author Question: A 25-year-old black woman presents with fever and severe pain in her lower back and legs. She ... (Read 44 times)

chandani · **on:** Jul 11, 2018

A 25-year-old black woman presents with fever and severe pain in her lower back and legs. She reports being upset and having flown a long distance yesterday. Tests reveal that she is anemic. Which is the first diagnosis you might consider?

a. Infection
b. Sickle cell anemia
c. TIA
d. None of the above

Question 2

In black men 15 to 34 years old, the leading cause of death is

a. AIDS
b. Homicide
c. Stroke
d. Accidents

leahm14 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Sickle cell anemia is a chronic inherited disease in which structurally defective hemoglobin molecules lead to hemolysis, anemia, and pain in areas of the body where the defective red blood cells block normal blood flow. It occurs mostly in blacks and in some people from the Mediterranean region. In people with sickle cell anemia, a crisis may be triggered by changes in altitude, dehydration, and infection. The patient's ethnicity, symptoms, and laboratory test results should suggest the possibility of sickle cell anemia more than TIA or infection.

Answer to Question 2

B
The leading cause of death in black men 15 to 34 years old is homicide. Black men in general, including older black men, have higher rates of coronary heart disease, prostate cancer, and AIDS than white men.