This is a 14-year-old female patient who, after playing volleyball at school, begins with respiratory distress. She is taken to a nearby emergency, mistreated and sent to her house because she improved immediately. Her background is: frequent sinusitis and flu, she is also allergic to Penicillin. Sat. 97% 02 FR 28rper min. FC: 99lat.pormin. a) Possible diagnoses b) The handling in the Emergency was correct, explain why. c) What would be the corresponding studies to arrive at the diagnoses that you indicated?

This is a 14-year-old female patient who, after playing volleyball at school, begins with respiratory distress. She is taken to a nearby emergency, mistreated and sent to her house because she improved immediately. Her background is: frequent sinusitis and flu, she is also allergic to Penicillin. Sat. 97% 02 FR 28rper min. FC: 99lat.pormin. a) Possible diagnoses b) The handling in the Emergency was correct, explain why. c) What would be the corresponding studies to arrive at the diagnoses that you indicated?

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

ChapterCRE2: Comprehensive Review Exam For Part 2

Section: Chapter Questions

Problem 19CEP2

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Case: This is a 14-year-old female patient who, after playing volleyball at school, begins with respiratory distress. She is taken to a nearby emergency, mistreated and sent to her house because she improved immediately.Her background is: frequent sinusitis and flu, she is also allergic to Penicillin.Sat. 97% 02 FR 28rper min. FC: 99lat.pormin. a) Possible diagnosesb) The handling in the Emergency was correct, explain why.c) What would be the corresponding studies to arrive at the diagnoses that you indicated?d) What therapeutic measures would you implement?
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.
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.
Patient X is a 66-year-old man who presented with anaphylaxis 3 days after taking Tetracycline. Two days after initiating tetracycline, the man developed rashes. On the day of admission, the patient has the difficulty of breathing. Question: What is the date of admission if the patient takes tetracycline on October 1, 2000?
Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Remember, check the chapter specific, sub-chapter specific and category specific notations within the Tabular list. Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2018 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have had an acute myocardial infarction of the anterior wall of his heart showing an ST elevation that had previously been left untreated. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used for emergency catheterization of his heart. Hemodialysis was started during this hospitalization because of his renal failure. After spending almost a month in the hospital and…
Patient X is a 66-year-old man who presented with anaphylaxis after taking Tetracycline. Two days after initiating tetracycline, the man developed rashes. On the day of admission, the patient has the difficulty of breathing. Question: What is the date of admission if the patient takes tetracycline on October 1, 2000?
A 47-year-old female patient with a history of mitral stenosis was admitted due to decreased in sensorium accompanied by fever, cough and worsening dyspnea. Manifestations started 3 days prior to consult (PTC) because of worsening dyspnea on small exertions accompanied by productive cough with purulent sputum but afebrile. She took her usual prescriptions given by her attending physician, Amiodarone, Furosemide, Losartan, Diltiazem and Carbocysteine which afforded temporary relief. A day PTC, she felt that dyspnea was worsening hence she booked an appointment with her physician. At the OPD, while waiting for her turn to be examined, the patient was asymptomatic. The nursing attendant took her BP and was recorded at 110/80 mmHg and a heart rate of 89 bpm, RR was 23 bpm with no signs of dyspnea. After 2 hours, the secretary was calling her name but she was not replying. She was seen sitting on one side of the bench, stuporous with cold clammy extremities and was diaphoretic. She was…
List three (3) signs that could indicate that a client could have a possible infection.
READ THE FOLLOWING CASE SCENARIO. ANALYZE AND IDENTIFY THE TYPE OF (1) ASSESSMENT NEEDED, (2) THE SUBJECTIVE, AND (3) THE OBJECTIVE DATA OF EACH SCENARIO. CASE SITUATION #1: Phyllis Johnson brings her 2-year-old daughter, Lauren, to the emergency department (ED) with a fever of 103°F. Mrs. Johnson states that Lauren has had a cough and runny nose for the past 2 days and is not sleeping or eating well. Lauren is irritable, tugs at her ear, and says, "my ear hurts." Lauren's old records show that she has been treated three times over the past year for otitis media. CASE SITUATION #2: Mr. Michael is 51 years old. He was admitted two days ago with chest pain. His physician has ordered the following studies: electrocardiogram, chest x-ray, and complete blood studies including blood sugar. These studies were just posted on the chart. When you talk with him, he states, "I feel much better today- no more pain. It is a relief to get rid of the discomfort." You…
A patient’s chart includes an order that reads as follows: “Lanoxin 250 mcg once daily at 0900.” Which action by the nurse is correct? a )The nurse gives the drug via the transdermal route. b )The nurse gives the drug orally. c) The nurse gives the drug intravenously. d) The nurse contacts the prescriber to clarify the dosage route
Mr. Jones is a 69-year-old man who was admitted to the hospital 10 days earlier with a diagnosis of acute diverticulitis. He was given intravenous fluids and empiric antibiotic coverage with ceftriaxone and metronidazole. His antibiotics were stopped after 7 days, and he continued to do well until today, when he developed abdominal pain, fever, and diarrhea. A diagnosis of Clostridium difficile colitis was made, and antibiotic treatment was initiated. Discuss the following questions: What diagnostic test would confirm the diagnosis? What risk factors did Mr. Jones have to acquire a Clostridium difficile infection? Why is oral but not intravenous vancomycin a potential treatment option for this infection? One person from each group should respond to this discussion with a link to their group’s recording and a summary of the discussion that took place.
Why is the Center for Biologics Evaluation and Research (CBER) notified in the case of a transfusion-related fatality? Question 9 options: a) To recall all banked units b) To determine if appropriate corrective action has been taken to prevent recurrence c) To report all reagent lot numbers used in typing deceased patient d) To disclose the name of the deceased