Case Study Analysis A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and funny looking red splotches on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a bad case of mono and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning. Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura [ITP]. Part 1 Develop a 12-page analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section): 1. Explain why a patient would need a splenectomy after a diagnosis of ITP. 2. Explain anemia and 2 different kinds of anemia (i.e., micro and macrocytic). Part 2 Write one page explanation of your choice of a nursing specialty within the program [Psychiatric Mental Health Nurse Practitioner]. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.
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