A 42-year-old male has fatigue, pale skin,and shortness of breath with exercise.Blood test shows a macrocytic,hyperchromic anemia with hyper-segmented neutrophils and normal folatelevels. The patient has been takingomeprazole for over 3 years to treat gastricreflux disease. One method to treat thispatient is to do which one of the following?AGive injections of vitamin B6Give injections of intrinsic factor ØCGive injections of vitamin B12DGive oral folic acidEGive oral intrinsic factor

The presenting feature is of megaloblastic anaemia which is caused by deficiency of Vitamin B12 or…

Answered: A 42-year-old male has fatigue, pale…

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter17: Drugs And Dissection

Section: Chapter Questions

Problem 1M

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An old patient suffers from difficulty in evacuation process and lose of weights. During the diagnostic procedures, the physician examine his bowel sounds and identify the presence of mild ascites. He also noted the following symptoms and signs: Phlebitis, Aphthous ulcer, episcleritis and spider naevus. His total bilirubin is 1.5 mg/dl , albumin is 4 g/dl and prothrompine time is 3 sec. laboratory measured In addition, skip lesions between healthy areas diagnosed during the study of the inside of view of the entire colon. A) Calculate and explain the scoring for the Child-Pugh Grading with this case and identify his class. B) Identify the specific types of diseases he is suffering from and the physical examination that used in this case.
A 40-year-old woman complains of fatigue and nausea of 3 months in duration. Physical examination reveals splenomegaly and | hepatomegaly. Laboratory studies show hemoglobin of 6.3 g/dL and platelets of 50,000/mL. A peripheral smear shows malignant cells with Auer rods (arrow). The patient develops diffuse purpura, and laboratory features of disseminated intravascular | coagulation (DIC). Which of the following genes is most likely found at the translocation site in this patient? O bc-1 О тус O abl • Retinoic acid receptor
A 22-year-old comes to the emergency department with light-headedness, diarrhea and fatigue during the past 6 months. She has a 2-year history of gluten-sensitive enteropathy. Her pulse is 100/min. Physical examination shows generalized pallor and glossitis. A peripheral blood smear shows macroovalocytes and hypersegmented neutrophils. Her hemoglobin concentration is decreased, serum homocysteine concentration is increased, and serum methylmalonic acid concentration is within the reference range. This patient most likely has a deficiency of which of the following vitamins? a) Folic acid b) Niacin c) Vitamin B1 (thiamine) d) Vitamin B6 (pyridoxine) e) Vitamin B12 (cobalamin)
A female who is 36-year-old, experienced a recent weight loss. Her tongue was red and fissured. She also complained of chronic fatigue and shortness of breath upon exertion. Physical examination suggested signs of jaundice and increased numbness and a tingling sensation of fingers and toes. She was hospitalized with the general diagnosis of moderate anemia, jaundice, and neurological symptoms. Her admitting CBC demonstrated the following laboratory results: RBC: 2.5 X 1012/L WBC: 4.5 X 109/L Hb: 10.0 g/dL Hct: 31% MCV: 124.0 fL MCH: 40.5 pg/dL MCHC: 32.7 gm/dL RDW: 21.2 PLT: 155 X109/L WBC Differential Lymphs: % 36.0 Monos: % 3.8 Neutrophils: % 59.4 Eosinophils: % 1.0 Basophils: % 0.0 NRBCs/100WBCs: 5 The blood film shows anisocytosis and Poikilocytosis in which moderate hyper-segmented neutrophils and abnormal erythrocyte morphology was reported: Macrocytes, Ovalocytes with presence of basophilic stippling and occasional Howell-Jolly bodies. Also, 50 pg/mL (Low) Folate 10.3…
Clindamycin 5 mg/kg/day IV QID for infection is ordered. You have Clindamycin 150 mg/mL. The child weighs 44#. a. How many mg per dose will the child receive?
Choose one (1) drug for pedia patients (pre term or full term) and apply the 10 R’s of medication. Choices: Vitamin K Hepatitis B Erythromycin
From the table above, which patient has probably just eaten some sugar? How do you know? From the above table, which patient is most likely experiencing capsular failure? How do you know? From the above table, which patient has probably eaten a meal with a high protein content? How do you know?
A 10-year-old girl has exhibited increasing sluggishness with poorer performance in school over the past year. She has not had increased numbers of infections. The child now complains of headaches. A physical examination shows no hepatosplenomegaly or lymphadenopathy. A CBC shows: Hgb 11.8 g/dL, Hct 33.9%, MCV 71 fL, platelet count 293,000/microliter, and WBC count 8160/microliter. Examination of her peripheral blood smear shows basophilic stippling of erythrocytes. The serum haptoglobin is 5 mg/dL. Which of the following laboratory test findings is most likely to be present in this girl Elevated free erythrocyte protoporphyrin Increased osmotic fragility . Decreased serum iron Positive direct Coombs test Hemoglobin S. on electrophoresis
A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds).Diagnosis: Liver Disease Provide strong evidence of the diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.
A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds). What is the most likely diagnosis? Support your answer. How can the PT result support your diagnosis? Can this be considered a vitamin k deficiency? Why or why not? Provide strong evidence of your diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.
your client was admitted to surgical ward complaining of severe abdominal pain to rule out appendicitis. I.V. fluid NS 2000ml/24 hours was started and kept on I.V Rocephine 2 gm OD. On the 2nd day of I.V therapy, he complained of burning pain along iv site and staff nurse noticed a sluggish flow of IV fluid. His arm looks like the below picture. e Answer Identify the complication of I.V therapy that your cleint has developed. x X, & For the toolbar, press ALT+F10 (PC) or ALT+FN+F1O (Mac). Arial 工 0 Q 14px BIUS Paragraph
A 65-year-old m a n with a 5-year history of alcoholic cirrhosis comes to the physician for a follow-up examination. Physical examination shows palmar erythema, gynecomastia and moderate ascites. Laboratory studies show an increased prothrombin time. Replacement of which of the following coagulation factors is most likely to improve this patient’s prothrombin time ?A) Factor VII (proconvertin)B) Factor VIII (antihemophilic factor)C) Factor IX (plasma thromboplastin component) D) Factor X (Stuart factor)E) Factor XI (plasma thromboplastin antecedent) F) Factor XII (Hageman factor)

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