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Pulmonary embolism (PE) is a blockage of an artery in the lungs by a substance that has moved from elsewhere in the body through the bloodstream . [6] Symptoms of a PE may include shortness of breath , chest pain particularly upon breathing in, and coughing up blood . [ 1 ]
Pernicious anemia was a fatal disease before about the year 1920; until the importance of the liver in hematopoiesis was recognized, the treatment of pernicious anemia was unsuccessful and arbitrary. It may have motivated George Whipple , who had a keen interest in liver diseases , to investigate the liver's role in hematopoiesis.
Main symptoms that may appear in anemia [20] The hand of a person with severe anemia (on the left, with ring) compared to one without (on the right). A person with anemia may not have any symptoms, depending on the underlying cause, and no symptoms may be noticed, as the anemia is initially mild, and then the symptoms become worse as the anemia worsens.
Remitting seronegative symmetrical synovitis with pitting edema (or sometimes RS 3 PE) is a rare syndrome identified by symmetric polyarthritis, synovitis, acute pitting edema (swelling) of the back of the hands and/or feet, and a negative serum rheumatoid factor. [2]
Supportive treatment is the only proven treatment method. Supplemental oxygen can be given if a person has mild respiratory distress. [ 6 ] However, if a person has severe respiratory distress, either continuous positive pressure ventilation (CPAP), or mechanical ventilation using positive end-expiratory pressure (PEEP) [ 5 ] may be indicated.
In stage 3, anemia (reduced hemoglobin levels) is present but red blood cell appearance remains normal. [4] Changes in the appearance of red blood cells are the hallmark of stage 4; first microcytosis and then hypochromia develop. [4] Iron deficiency begins to affect tissues in stage 5, manifesting as symptoms and signs. [4]
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