3.13 Learning Activities

Hematological Case Study (Case Study answers are located in the Answer Key at the end of the book.)^[1]

Mia, a 16-year-old high school student, had always been an active and vibrant teenager. Lately, though, she found herself struggling with a variety of symptoms that seemed to be taking a toll on her daily life. As she navigated through her busy schedule of classes, extracurricular activities, and social engagements, she couldn’t shake off the persistent fatigue that had settled upon her like a heavy fog.

In her English class, Mia’s friends noticed that her once rosy complexion had given way to a subtle pallor. They remarked on how her usually energetic demeanor had been replaced by a general sense of weariness. However, Mia attributed it to the stress of exams and her packed schedule, not giving it much thought. During physical education class, Mia’s usual enthusiasm for sports had waned. As she attempted to participate in a simple jog around the track, she found herself becoming short of breath much sooner than usual. Her classmates, unaware of the subtle changes, joked about how she must have been slacking off during the weekend.

One afternoon, Mia sat in the cafeteria with her friends, absentmindedly picking at her lunch. As she bit into an apple, she winced, realizing that her gums felt a bit sore. Unbeknownst to her, her friends noticed her reluctance to eat the iron-rich foods on her plate. They exchanged concerned glances, wondering why Mia seemed disinterested in the hearty meals she used to enjoy.

As the weeks passed, Mia’s symptoms persisted. She began experiencing frequent headaches and dizziness, often needing to sit down to regain her composure. In class, she found it challenging to concentrate, and her grades started slipping, causing her additional stress.

One day, Mia’s friend, Emma, gently approached her about the changes she noticed and asked if everything was okay. Mia, trying to dismiss the worries, insisted it was just a phase and that she would bounce back soon. Emma encouraged Mia to make an appointment with her health care provider for a check-up.

Questions:

1. Which symptoms is Mia exhibiting that make you concerned about her hematological system?
2. Which assessments and diagnostic tests do you anticipate the health care provider would initially do for Mia?
3. What modifications to Mia’s routine and lifestyle could assist her in symptom management?