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Case Study # 5 Lance, a 25-year-old cyclist, has been training his whole life for an upcoming race. In the pre-race screenin Erythropoietin were detected. g Lance was disqualified because elevated levels of 1. 2. Why was Lance using Erythropoietin to boost his performance? Which cell present in large amounts in his blood gave away his secret?
Case Study # 6 Nathaniel is an airline pilot retiring in 2 weeks. He went into the doctor after his last trip (a week stay in Papua New Guinea) with the following symptoms: fever, chills, generally feeling unwell, and muscle cramps. Blood tests confirmed the doctors suspicions that this was more than a cold malaria. 1. His blood tests also revealed elevated bilirubin levels - why?
Case Study # 7 Henry is a young boy suffering from a genetic condition known as hemophilia - a clotting disorder caused from a deficiency of clotting factor X. How does a deficiency in this one protein cause Henrys clotting issue? His mother notices that in addition to bleeding easily and for longer period of time, he also bruises very easily. Is Henrys genetic condition responsible? 1. 2.
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Answer #1

Case study 5)

1.Erythropoitein is necessary for production of red blood cells which carries the oxygenated blood and sides in formation of haemoglobin. An increase in it increase the energy level by increase oxygen supply. It also has a good effect on the heart increasing its function and athletic performance

2.The count of red blood cells (RBC) are significantly elevated.The blood looks dark coloured and thicker and coagulates faster.

Case study 6)

1.In malaria, hemolysis is a major cause for increase in the bilirubin level simultaneously increasing the SGOT level.This is also called as Malarial Hepatitis.The bilirubin returns to normal in 3-5 days with effective antimalarial treatment .When there is massive a intravascular hemolysis, heamoglobinurea followed by heamoglobinemia .There is also methemoglobinuria and albuminuria.Kidney functions are affected causing increased creatinine and urea. Liver are affected leading to increased conjugated and unconjugated bilirubin level.

Case study 7)

1.The deficiency of this protein affects the clotting mechanism by lack of vitamin K responsible for clotting ,leading to cessation or slowing down in  the thrombos formation resulting in bleeding.

2.Bruises are also very common in heamophilia ,mild compression or pressure may lead to injuries resulting in bruises.His genetic condition is also responsible For the bruises.

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