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I have had Polycythemia vera for 25 years. I was started on hydroxyurea two months ago and recently developed severe petechial hemorrhaging. I was admitted to the hospital with a platelet count of 9,000. I received a six pack of platelets and over seven days (being off the medication) my platelet count had climbed to 74,000. As of Sunday, July 5th, it was at 139,000 (off the medication for ten days). I was given the medication to help prevent the POTENTIAL of developing a blood clot. I have managed my Polycythemia vera pretty well without medication for 25 years (I do take baby aspirin) and wish I had never taken this.
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Teaching topics Explanation of the disorder and treatmentplan Drug therapy Hand washing and covering the mouth andnose when sneezing or coughing Not sharing eating utensils, towels, andbedding until they have been washed anddisinfected Not going to work, school, or other publicplacesTuberculosis Antibiotics to treat bacterial causes ofatypical pneumonia Antivirals General benefit of drug therapy: not determined High doses of corticosteroids to reducelung inflammationTB is an airborne, infectious, communicabledisease that can occur acutely or chronically.
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Generalized anxiety disorder Personality disordersASSESSMENT FINDINGS Anxiety Attempts to mask sex organs Requests for surgery to remove primaryand secondary sex characteristics Cross-dressing Depression Disturbance in body image Dreams of cross-gender identification Fear of abandonment by family and friends Finding ones own genitals disgusting Ineffective coping strategies Peer ostracism Persistent distress about sexual orientation Preoccupation with appearance Self-hatred Self-medication such as hormonal therapy Strong attraction to stereotypical activitiesof the opposite sex Suicide attempts Impairment of social and occupationalfunctionDIAGNOSTIC TEST RESULTS Karyotyping for sex chromosomes (notusually indicated) may reveal an abnormality.
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