a 60-year-old Patient was taken to the hospital by ambulance for an obturation intestinal obstruction caused by a sigmoid colon tumor. General condition of the patient of moderate severity. During the operation, it turned out that the adductor intestine was clogged with fecal matter. There are no visible metastases. The tumor is mobile, but upon examination, it is found to have a thinning decaying area where perforation may occur. What should I do in this situation?
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- A 63-year old presented to a local doctor with a history of alternating constipation and diarrhoea for six months, associated with a feeling of incomplete evacuation following defaecation and several episodes of bright blood coating her bowel motion. A diagnosis was made and a portion of the left colon and rectum was removed surgically. Discuss the aetiology and pathogenesis of the disease and what you consider the most likely cause of the presenting signs and symptoms. Also explain what complications might have ensued if the lesion had not been excised.A 31-year-old man presented with slowly spreading hyperpigmented and crusted lesions with the largest measuring 3 cm x 4 cm. The lesion started from the right sole of the foot and spread diffusely through the left ankle. He did not have similar lesions in the past, and there is no significant history of any chronic illness in the past. Upon examining his skin biopsy samples, the histopathological examination results showed: a. Pseudoepitheliomatous epidermal hyperplasia with the presence of pigmented spores arranged singly and in chains with peripheral neutrophil infiltration.b. Ziehl- Neelson staning negativec. PAS positived. Pus and granules negativee. Presence of granulomas along with golden- brown, thick- walled, spherical bodies about 5 to 8 μm in size. Questions: What disease can you infer from the results that are shown? Why have you said so? The case presented can be mistaken for what skin cancer? Why? What treatment is best to be given? What protective measures can be done to…A 45-year-old man with a family history of colon cancer undergoes a screening colonoscopy. No invasive carcinomas are identified, but two small pedunculated tubular adenomas are removed and one villous adenoma measuring 5 mm in diameter is biopsied. 1. What is the most likely diagnosis? 2. What are the syndromes that could predispose this individual to colon cancer? 3. What other dietary factors could play a role in the development of colon cancer?
- SCENARIO Identifying Data: This 72-year-old female presents with a biopsy proven adenocarcinoma of the sigmoid colon at 20 cm. History of Present Illness: The patient has been noted to have some bright red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had intensification of rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, probably unrelated. Recent colonoscopy by Dr. Scoma revealed a large sessile (attached by a broad base) polyp, which was partially excised at 20-cm level, showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection. 1. Using the scenario above, answer the following questions: A. What chronic symptoms did this patient have? Describe the symptoms using medical…A 49-year-old woman presents to her physician with concerns about her recent unintended weight loss and oral lesions that have made chewing painful. The lesions have persisted for the past three months. Physical examination confirms lesions on her oral mucosa and reveals flaccid bullae with eruptions on her trunk. Lateral pressure applied to the border of a bilister causes the blister to spread. Serological studies are most likely to show autoantibodies directed against which of the following proteins? Answers E A BPAG2 B Desmogiein C Integrin D Keratin E ReticulinAnswer by listing only the name of the disease. Some questions will require the name of the organism A 38 year old woman presents with a persistent fever and cramps that she says she's had for the last week days. Upon further evaluation, she tells you she's had bloody stool with mucus for the last few days. A colon biopsy shows destruction of colon cells, leaving areas of destruction and inflammation. You recommend the constant replenishing of fluids, as this is how death with this condition usually occurs. 2.A 40 year old patient presents with a low fever, tiredness and a persistent cough that the patient has had for a while now. You order a sputum test, which shows the presence of green, bloody sputum. A chest X-ray shows the presence of a large baseball sized mass in the lower left lung, which prompts the staff treating him to wear masks in his presence. You start the patient on treatment immediately, but warn him he might be on this medication for a long…
- Iiteral lunch meal that you can recommend to patient has ulcerative colitis with drinks (as in food)Diagnosis and treatment of the following oral candidiasis : 1.Acute pseudomembranous candidiasis (thrush)2. Acute atrophic (erythematous) candidiasis.3. Chronic hyperplastic candidiasis (candidal leukoplakia)4. Denture induced candidiasis (chronic atrophic (erythematous) candidiasis)5. Median rhomboid glossitis6. Angular cheilitis (stomatitis)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 37 year old man develops a recurrent episode of pseudomembranous colitis shortly after completing an initial course of oral metronidazole therapy. Which of the following best explains the recurrence? The bacterial strain can form spores that persist in the gastrointestinal tract Other gastrointestinal flora have degraded the metronidazole The patient has an underlying gastrointestinal tract disorder Systemic therapy is necessary to eradicate this infectionA 26-year-old woman complains of the acute onset of anuria, purpura, and mental confusion. Her peripheral blood film displays marked thrombocytopenia and abundant schistocytes. Laboratory studies reveal elevations of bilirubin, creatinine, and lactose dehydrogenase. A skin biopsy shows numerous intravascular thrombi within the dermal microvasculature. What is the most likely diagnosis? Mary-Hegglin anomaly Bernard-Soulier syndrome Immune thrombocytopenic purpura Glanzmann thrombasthenia Thrombotic thrombocytopenic purpura.Male with a history of blistering lesions on the scalp since the neonatal period andrecurrent pyoderma. After a year and a half of life, he was admitted to a specialty clinic due togeneralized pyoderma associated with febrile illness with lymphadenopathies and abscesses on the thighs. To thephysical examination revealed coarse facies, broad forehead, infraorbital fold, presence of dark circles,low nasal bridge and hypertelorism. In addition to confluent maculopapular lesions in the neckand trunk, occipital eczema, genital gluteal hyperchromic plaque, purulent external otitis. it was triedwith antibiotics with good response, but with persistence of purulent otorrhea. The study of serum immunoglobulins IgM, IgG, IgA, complement, chemotaxis and burstRespiratory was within normal ranges. Serum IgE stood out at 56,400 IU/ml (rangenormal for age 0-90 IU/ml) and eosinophilia. At the age of 2 years 11 months he was hospitalized for genital phlegmon with a good response tocloxacillin plus…