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- Case study 2 40-year-old man with no history of any chronic liver disease, presented with acute liver failure (ALF). After carrying out extensive laboratory screening, it was suspected that the ALF was due to auto-immune liver disease namely Autoimmune Hepatitis. Answer the question with both details and clear, Discuss the pathophysiology of the disorder and critically evaluate current laboratory methods identify were relevant with overview of method aims and how it meets the pathophysiological criteria for the classification of the disorder.Case Study #3 than one block. The chest discomfort is diffuse, and he cannot localize it; sometimes it radiates to his lower jaw. The discomfort is more severe when he walks after meals but is relieved within 2-3 minutes when he stops walking. A 74-year-old man presents with a history of anterior chest pressure whenever he walks more Questions: 1. Assuming that a diagnosis of classic angina is correct, what medical treatments should be implemented to reduce the acute pain of an attack, to prevent future attacks, and to reduce the chance of blood clotting?A Patient X., who suffers from arterial hypertension, came to clinic, he complains of periodic inspiratory short breath, especially by physical activity. Few days ago appeared the attack of inspiratory short breath with death anxiety. The ambulance was called, diagnose was “cardiac asthma”. On examination: arterial pressure: 155/120 millimeters of mercury, by roentgenoscopy- dilatation of left ventricle of heart. What forms of heart activity pathology has a patient? What caused its development? Is it connected with ventricular overload? What? Overload with volume or pressure? What is a trigger mechanism of contractile myocardial function by its overload?
- A. What application of radiation could be used to help a patient with a blocked artery?CASE STUDY 2 History and Physical Examination This 6-year-old white male patient was taken to a pediatri- cian because of recurring abscesses since the age of 1 month. The current abscesses were lanced and he was placed on antibiotic therapy... The patient had two brothers who had died in infancy of infections. His parents and two sisters are healthy. Laboratory Data Hemoglobin and hematocrit-slightly decreased Total leukocyte count-elevated Differential leukocyte count-increased percentage of segmented neutrophils Immunoglobulin profile-polyclonal elevation of all Ig classes Neutrophil oxidative burst assay (DHR) activity absent Nitroblue tetrazolium (NBT) test (automated)-reduction of unstimulated and stimulated neutrophils Culture of abscess revealed S. aureus Questions 1. What does the patient's family history suggest? a. A genetic disorder in male offspring b. A genetic disorder in female offspring c. Lack of leukocyte production d. Anemia producing an immune dysfunction What…State at least five (5) conditions associated with pathologic leukopenia.
- Case Study 2Respiratory DrugsBrett is a 12 y/o boy with a history of asthma, diagnosed 2 years ago. He is an outgoing, active boy and participates in a swim club and soccer, but he has a difficult time adjusting to the limitations of his asthma. He has learned to control acute attacks by using albuterol (Proventil) metered-dose inhaler, and because his asthma is often triggered by exercise, he has been using a budesonide (Pulmicort) inhaler and taking montelukast (Singulair). After competing in his swim meet at the local indoor pool, Brett began experiencing respiratory distress. He alerted his coach, who retrieved the albuterol inhaler from Brett’s backpack. After two inhalations, Brett was still in distress and the rescue team was called.On admission to the emergency department, Brett is in obvious distress with pulse oximeter readings of 90% to 91%. He has nasal flaring and bilateral wheezing is heard in is his lung fields, pulse rate is 122 beats/min, and he is orthopneic.…Case Study Identifying Intravenous Delivery Systems, Administration Method, Infusion Rate, Stability/Compatibility, and Labelling of an Intravenous Admixture Mr. Blair, a 75-year-old man weighing 60 kg, was admitted to the Gastroenterology Unit of the Miracle Hospital with severe diarrhea due to food poisoning. After examining Mr. Blair, Dr. Clark ordered IV fluids of D5W 1000 mL q12h, for the next three days with added electrolytes, such as potassium, sodium, calcium, and magnesium, since Mr. Blair was severely dehydrated. In addition, suspecting Salmonella poisoning, Dr. Clark prescribed Septra, 500 mg IV q12h, to be mixed in the D5W electrolytes fluid admixture. What considerations must be taken into account prior to admixing this order? (NAPRA 6.1, 6.2, 8.3, 9.2) 2.If the drug is determined to be incompatible with D5W and electrolytes, what IV delivery system and/or administration method would you use to administer the medication? (NAPRA 2.3, 6.1, 6.2, 8.3, 9.2)…Discuss the disorder disseminated intravascular coagulation:its pathophysiology, etiology, manifestations, andtreatment.
- Case Study An 80-year old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failure. She was treated with diuretics, and IV fluids and released 4 days later. Her laboratory results are below: Five months later, she was readmitted for treatment of repeated bouts of dyspnea. She was placed on a special diet and medication to control her hypertension and was discharged. Medical staff believed that she had not been taking her medication as prescribed, and she was counseled regarding the importance of regular doses. First Admission Second Admission 2/11 2/15 7/26 7/26 Urea N(mg/dL) 58 * * 61 Creatinine(mg/dL) 6.2 6.2…QUESTIONS. A. Discuss the probable causes of the alterations in T.H.'s laboratory results. B. Explain the pathophysiology of Cushing syndrome.CASE STUDY A 36-year-old man was admitted to the hospital after presenting at the emergency department with a self-reported, 7-month history of numbness and weakness in his right leg. He had lost 25 lb in body weight, was experiencing fecal incontinence, and had been unable to urinate for 3 days. Two years previously, the patient had been diagnosed with human immunodeficiency virus (HIV) infection. A physical examination demonstrated bilateral lower extremity weakness, and his reflexes were slowed throughout his body. Kaposi sarcoma (KS) lesions were noted, especially on the lower extremities, along with thrush and herpes lesions in the perianal region. The patient had no fever, and magnetic resonance imaging (MRI) ruled out spinal cord compression. The patient had a history of intravenous (IV) drug abuse, chronic diarrhea for 1.5 years, KS for 2 years, and pancytopenia for several weeks. The patient had large right arachnoid cysts of congenital origin. No previous laboratory reports…