Question

Allison, a 17-year-old girl has had a headache, chills, malaise, and fatigue for the past week. She complains that her throat is very sore. Her leukocyte count is very high at 18,000/HL of blood. On physical examination, she has an enlarged spleen, and she has increased lymph nodes in the anterior and posterior chains of her neck. Allison tells you that three of her friends have missed school with similar symptoms a. Explain why her immune system is reacting this way including both the blood count and the physical exam b. She tells you she is afraid she will die because one of her friends said, "We are going to have this all our lives." Summarize what the nurse should say to relieve her fears.

Answer 1

A)patients signs and symptoms explicate ,she has Non-Hodgkin lymphoma.enlarged lymph nodes are seeing most ccommonly in patient with lymphoma.Moreover,she has fever,malaise,fatigue most importantly her leukocytes are very high.these lymph nodes are seen in sides of neck.Moreover,this disease orginatez from white blood cells called lymphocytes.this is the part of immune system of body.these lymphoma can occur from any where from the body where lymph tissues seen.Thus,spleen also get enlarged in these case.

B)Make her understand she fell down with sick not because of her friends.this is due to infection in lymphnodes.this can be treated now days.all facilities are available here to get better care for you.these can reliever her fear to some extend.tell her follow the doctors oreders correctly.tell the family members to be with her and give psychological support to get rid of her anxiety.