47. A 56-year-old man is admitted to the hospital because of a 1-week history of progressive nausea, anorexia, dyspnea, and lethargy. He has a 15-year history of type 2diabetes mellitus and hypertension. His respirations are 28/min, and blood pressure is 178/98 mm Hg. Physical examination shows jugular venous distention and pedaledema. Bilateral crackles are heard on auscultation of the chest. His serum creatinine concentration is 7.2 mg/dL. Which of the following is most likely to be decreasedin serum in this patient?A) Alkaline phosphataseB) 1,25-DihydroxycholecalciferolC) Parathyroid hormoneD) PhosphorusE) PotassiumF) Uric acid

Derangement in potassium regulation can lead to neuromuscular, gastrointestinal and cardiac…

Answered: A 56-year-old man is admitted to the…

Microbiology for Surgical Technologists (MindTap Course List)

2nd Edition

ISBN:9781111306663

Author:Margaret Rodriguez, Paul Price

Publisher:Margaret Rodriguez, Paul Price

Chapter22: Emerging, Recurring, And Reappearing Diseases

Section: Chapter Questions

Problem 2UTM

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An 86-year-old woman with a history of diabetes and hypertension presents to the emergency room with a complaint of chest pain x 4 hours. And I noticed intense nausea with two bouts of vomiting, too. She is now free of chest pain. Her blood pressure is 130/70, heart rate 50, breathing 20, and oxygen saturation 95% in room air. A physical examination reveals normal breathing sounds. 1- What is the medical diagnosis? 2- What is the specific investigation in order of priority? 3 What is the link between a patient's history and diagnosis? 4- Nursing care for this patient.
A 56-year-old man is admitted to the hospital because of a 1-week history of progressive nausea, anorexia dyspnea, and lethargy. He has a 15-year history of type 2 diabetes mellitus and hypertension. His respirations are 28/min, and blood pressure is 175/98 mm Hg. Physical examination shows jugular venous distension and pedal edema. Bilateral crackles are heard on auscultation of the chest. His serum creatinine concentration is 7.2 mg/dL. Which of the following is most likely to be decreased in serum in this patient? a) Alkaline phosphatase b) 1,25-dihydroxycholelciferol c) Parathyroid hormone d) Phosphorus e) Potassium f) Uric acid
A 56-year-old woman named Cranberry complained during her yearly physical examination of tiredness and difficulty concentrating. She attributed these symptoms to stress at work. She had gained weight over the last year and despite warm weather, she felt chilled without a sweater. Family history was significant for hypothyroidism in her mother and older sister. On physical examination she had a pulse of 58 bpm and a blood pressure of 138/88 mm Hg. Examination of her neck disclosed a small thyroid gland with a palpable pyramidal lobe and a firm, bosselated texture. Serum taken at this time demonstrated a total T4 of 7.0 mcg/dL and a TSH of 22.0 mcIU/ml. In addition, antithyroglobulin antibodies were positive at 1:640 and antimicrosomal antibodies were positive at 1:5120. These results supported the clinical impression of hypothyroidism; also, the texture of her thyroid gland and a positive family history suggested an autoimmune etiological factor. Create a Nursing Care Plan focusing…
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.
The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. Neutropenia
Mr. B is a 57-year-old man who was admitted yesterday after starting to pass black stools. He has a two-day history of severe stomach pains and has suffered on and off with indigestion for some months. He is a life-long smoker, with mild chronic heart failure (CHF) for which he has been taking enalapril 5 mg twice daily for 2 years. He also recently started taking naproxen 500 mg twice daily for arthritis. He works a stressful job and drinks large amounts of caffeinated coffee daily. Yesterday his hemoglobin was reported as 9.3 g/dL, hematoocrit 30%, RBC's 3.2, platelets 162, INR 1.1 with Liver Function Test normal. He was mildly tachycardic (110 bpm) and had a slightly low blood pressure of 100/77 mmHg and was given 1.5 L of saline. He has just returned from an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. They took a biopsy to determine if he is positive for H-pylori. He has been written up for his usual medication for tomorrow if he is…
48. A 58-year-old woman comes to the office because of a 1-month history of fatigue, fever, shortness of breath, and joint pain; she also has had a 3.2-kg (7-lb) weight loss during this period. Her temperature is 37.6°C (99.7°F), and respirations are 34/min. Physical examination shows tenderness to palpation over the maxillary sinus, nasal ulcerations, and a bulging, red left tympanic membrane. Laboratory studies show: Erythrocyte sedimentation rate Serum C-reactive protein 65 mm/h 8.2 mg/L (N=0.08-3.1) 2+ 2+ Urine Blood Protein Histologic examination of a biopsy specimen of affected lung tissue shows granulomata and vasculitis. An autoantibody is most likely directly binding which of the following cell types in this patient? OA) Basophils B) Endothelial cells C) Fibroblasts D) Neutrophils E) Plasma cells
A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. 4) What is the rationale behind the poor weight gain? 5)What counseling or family education should be provided to the Family about cystic fibrosis before the child goes home? 6) What genetic counseling should be provided?
A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. How is this case consistent with cystic fibrosis diagnosis? What tests could be ordered to confirm the diagnosis? What interventions could help to alleviate respiratory distress?
A 2-year-old boy of Greek descent is admitted to the hospital with a fractured arm, leg and hepatosplenomegaly. There is also the presence of a bacterial infection. The patients' haematology results are shown below. From the information provided, what is the most likely diagnosis for this patient? sickle cell trait sickle cell anaemia beta-thalassaemia trait alpha-thalassaemia major beta-thalassaemia major
A 5-month-old girl is brought to the emer- gency department by her parents because she is “turning blue." She is cyanotic, weak, and dyspneic. Her parents state that she has expe- rienced similar episodes in the past, but never this severe. Physical examination reveals the lungs are clear to auscultation, with no wheez- ing, rales, or rhonchi. Cardiac examination reveals a regular rate and rhythm, normal S1, single S2, a grade III rough systolic murmur at the left sternal border in the third intercos- tal space, and a palpable right ventricular lift. Echocardiography demonstrates unusual posi- tioning of the aorta, which overrides both the left and right ventricles in the long axis view. In this condition, the primary developmental defect occurs in which portion of the primitive heart? (A) Bulbus cordis (B) Conal septum (C) Left and right horns of the sinus venosus (D) Primitive atria (E) Primitive ventricle
Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…

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