A 37-year-old diabetic, male visits his family physician because his joints have recently become achy. A month ago, he had a bad sore throat. Treatment was not sought at that time. Physical examination reveals he is febrile (100°F) and has a heart murmur which was not evident in the past. No signs of a throat infection are seen, and a rapid strep test was negative. A throat culture was taken. His skin appears normal.

A 37-year-old diabetic, male visits his family physician because his joints have recently become achy. A month ago, he had a bad sore throat. Treatment was not sought at that time. Physical examination reveals he is febrile (100°F) and has a heart murmur which was not evident in the past. No signs of a throat infection are seen, and a rapid strep test was negative. A throat culture was taken. His skin appears normal.

Curren'S Math For Meds: Dosages & Sol

11th Edition

ISBN:9781305143531

Author:CURREN

Publisher:CURREN

Chapter15: Adult And Pediatric Dosages Based On Body Weight

Section: Chapter Questions

Problem 11SST

See similar textbooks

Similar questions

A 51-year-old man with diabetes mellitus and who is on oral hypoglycemics, recently underwent surgery to remove his appendix after being diagnosed with acute appendicitis and was discharged after two days. Three days later, he notices increasing pain, redness, and swelling around the surgical incision site. He has a fever of 37.9°C and a foul odor emanating from the wound, in addition to some pus discharge. He decides to seek medical attention and is diagnosed as having acute wound infection.a. Discuss the infection prevention and control practices that should be incorporated to decrease the risk of spreading infection when providing care.b. Discuss the teaching strategies that should be implemented with the client and family to help control and eliminate the infection and potential reservoirs where pathogens can liveHere are two subpartsof the same ques, keep that in your mind. answer on your own, don't copy from ai. Otherwise be prepared for downvote
"Imagine you are a young oral hygiene student about to see your dental patient who turns out to have carious lesions on their teeth, the patient informs that the problem runs in the family. Patient X (20 years old, identifies as other) complains of dull pain on the posterior teeth. They describe the pain as sharp but sometimes dull. The pain comes and goes depending on the weather. Patient is asthmatic, lactose intolerant, allergic to penicillin and pollen, uses corticosteroid inhaler, the last asthma attcack was last month triggered by flu. On examination patient has plaque index of 80% and bleeding index of 95%, gingiva appears edematous, red, stippled and consistency is firm. Hard tissue examination- questionable caries on 46, carious lesion involving the dentine (not painful) on 37 and painful 26 with deep and large carious lesion. Deep fissures on 16, 25, 47, 44. The question is how would you approach the problem highlighted in the scenario and how would you manage (treatment…
A 43-year-old patient complains of pain in the right hypochondrium, periodic body temperature rises of up to 38°C, periodic icteric skin color changes, heartburn, nausea. Ultrasound examination revealed an increase in the size of the liver and gall bladder. Multiple small stones were found in the lumen of the gall bladder and bile ducts, Questions: 4. Describe the disorders of pigment exchane. 5. Can skin itching be typical for this kind of jaundice? 6. Explain the most likely mechanism of possible dyspeptic disorders in the patient. 7. What changes in the cardiovascular system are typical for this type of jaundice.
A 58-year-old homeless man with long-standing insulin-treated type 2 diabetes has been diagnosed with right lower extremity cellulitis. He has taken a prescribed oral antibiotic for the past week but has not noticed much improvement. For the past 2 days, he has complained of intermittent fevers and chills, nausea with poor oral intake, and proximally spreading erythema over his right leg. On the evening of admission, a friend notices that he is markedly confused and calls 911. In the emergency room, he is oriented only to his name. The patient is tachypneic, breathing deeply at a rate of 24/min. He is febrile at 38.8°C. He is normotensive, but his heart rate is elevated at 112 bpm. On examination, this patient is a delirious, unkempt man with a fruity breath odor. His right lower extremity is markedly erythematous and exquisitely tender to palpation. Serum chemistries reveal a glucose level of 488 mg/dL, potassium of 3.7 mEq/dL, and sodium of 132 mEq/L. Urine dipstick is grossly…
A 58-year-old homeless man with long-standing insulin-treated type 2 diabetes has been diagnosed with right lower extremity cellulitis. He has taken a prescribed oral antibiotic for the past week but has not noticed much improvement. For the past 2 days, he has complained of intermittent fevers and chills, nausea with poor oral intake, and proximally spreading erythema over his right leg. On the evening of admission, a friend notices that he is markedly confused and calls 911. In the emergency room, he is oriented only to his name. The patient is tachypneic, breathing deeply at a rate of 24/min. He is febrile at 38.8°C. He is normotensive, but his heart rate is elevated at 112 bpm. On examination, this patient is a delirious, unkempt man with a fruity breath odor. His right lower extremity is markedly erythematous and exquisitely tender to palpation. Serum chemistries reveal a glucose level of 488 mg/dL, potassium of 3.7 mEq/dL, and sodium of 132 mEq/L. Urine dipstick is grossly…
A 65 year old man comes to the physician because of a one month history of an itching, red lesion on his left forearm that has become enlarged and ulcerated during the past two weeks. He has had no fever, chills, or weight loss. He recently returned from a six week trip to Suriname, China, and the Philippines. He has type two diabetes, mellitus that is well controlled with diet. His temperature is 37.2 C, pulse 84/min, and blood pressure 150/80 mmhg. Examination of the left upper extremity shows a 3 cm, non purulent ulcer with the raised borders over the forearm. Laboratory studies show a leukocyte count of 10,000 mm3. and the fasting serum glucose of 120mg/dl. Which of. the following is the most likely causal organism? A) Bruga malayi B) leishmania tropica C) schistosoma japonicum D)toxoplasma gondii E) trichinella spiralis
22-year-old woman has had recurrent episodes of diarrhea, crampy abdominal pain, and slight fever over the last 2 years. At first the episodes, which usually last 1 or 2 weeks, were several months apart, but recently they have occurred more frequently. Other symptoms have included mild joint pain and sometimes red skin lesions. On at least one occasion, her stool has been guaiac-positive, indicating the presence of occult blood. Colonoscopy reveals several sharply delineated areas with thickening of the bowel wall and mucosal ulceration. Areas adjacent to these lesions appear normal. Biopsies of the affected areas show full-thickness inflammation of the bowel wall and several noncaseating granulomas. 1. What is the most likely diagnosis? 2. What are the common complications of this disease?
A 63-year-old woman presented with increasing darkening of the skin, dizziness, and easy fatigability, nausea with occasional vomiting and progressive weight loss over eight months prior to presentation. There were no headaches, blurred vision, and neither loss of consciousness nor change in her bowel habit. The medical history and systemic review revealed no abnormality and were not significant as to the likely cause of her disease state. Physical examination revealed an elderly lady, pale, asthenic with generalized hyperpigmentation especially on the face, oral mucosa, palmar creases and knuckles. No features of malnutrition or hypovitaminosis. There was no significant peripheral lymphadenopathy. Main findings in the systemic examination were a pulse of 106 bpm, regular and small; blood pressure 100/60 mmHg supine and 70/40mmHg sitting. She could not stand on account of severe postural dizziness. The apex beat was normal. Fundoscopy revealed a normal fundus. All other systems were…
A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the lesion The incision can be filled with yarn One-stage suture of the incision Make a "++" incision
A 38-year-old woman came in the outpatient department because of headache.She has no vomiting, fever, changes in sensorium and nuchal rigidity. Shedescribed the headache as ”band-like” and has been occurring intermittentlyespecially during stressful situations. Vital signs and physical examinations areall normal. The physician diagnosed her as having tension headache andprescribed Acetaminophen 1g/ tab PO q6H for 3 days. The pharmacy only hasthe 250mg tablet preparation. How many tablets does she need to take perdose? How many tablets should the pharmacist give her to complete the entiretreatment regimen?
The Alaska Department of Public Health was notified that foodborne illness had occurred in fishermen aboard a fishing boat off the Alaska peninsula. The fishermen had eaten steamed clams and mussels, boiled rice, boiled potatoes, and green salad. No alcohol was consumed. Symptoms experienced by the fishermen included numbness of the lips, tingling of the extremities, uncoordinated movements, incoherent speech, and nausea. Identify the etiologic (causative) agent of this outbreak of food poisoning. How did the food get contaminated, and what item was contaminated? What is the treatment, if any? How could this illness have been prevented?
A 62 year old man was "found down" in his home by a family member earlier this AM. Per the paramedics bring him into the ER, family members state that he's a diabetic and a chronic alcoholic. Additionally, he'd been having bouts of fairly severe diarrhea for about 3 days prior to admission. On presentation to the ER, the gentlemen is nonresponsive and slightly blue. The paramedics tried to intubate but were unsuccessful, so they have been "bagging" him as best as they could en route. Labs taken upon entrance to the ER: ABG: 7.1/49/120/14 135 | 100 | 54 / 265 6 | 14 | 2.4 \ What do you think, by history and by labs and presentation, do you think is happening, at least in reference to his ACID/BASE STATUS; additionally, you may want to think about what underlying processes may be contributing to his overall condition.