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CLINICAL CASE 1 BLOOD Clinical Case 1 Alan Forsythe, a middle-aged college profe

ID: 147478 • Letter: C

Question

CLINICAL CASE 1 BLOOD Clinical Case 1 Alan Forsythe, a middle-aged college professor from Boston, is in the Swiss Alps studying astronomy, during his 1 year sabbatical leave. In the first few days he notices: 4 He is short of breath, when he walks up stairs, Tires easily with any physical activity His symptoms gradually disappear Upon returning to the US he has a complete physical exam, and is told that his erythrocyte count is higher than normal. Questions 1. What is the term used to name this disorder? 2. What are the cause and the mechanism behind this finding? 3. Is this a disease or a normal physiological response? 4. Will his RBC count remain at this higher-than-normal level? 5. What complication might happen to a person diagnosed with Primary polycythemia Why? 6. How can be treated? 7. Why must the saline be isotonic?

Explanation / Answer

1- this condition is called polycythemia

2- beacuase he work at high altitude , he developed chronic hypoxia for which his rbc count increased as a response.

3-this is physiologic response.

4- his rbc count will be back to normal level once he reaches the ground level , and his hypoxic condition improves , his rbc count will be back to normal level.