Which of these findings in the patient described above suggest that this is a urological versus some other issue. Fever. Lloyds sign, sever abdominal pain, Anuria with sufficient hy
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You are called to treat a patient who is feverish and complaining of severe abdominal pain you were described as positive bilateral Lloyd sign. There is no significant medical history and vitals are heart rate 116, respirations 28 blood pressure 108/68. Which of these findings in the patient described above suggest that this is a urological versus some other issue. Fever. Lloyds sign, sever abdominal pain, Anuria with sufficient hy
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- Phyllis was having great fun traveling until she ate some contaminated food and developed _____________. She felt miserable and needed to stay in her hotel because of the frequent flow of loose or watery stools.35 year old white male presents to the ER with low back pain for two weeks with increasing severity. He had a normal Lumbar spine X-ray and had a normal CBC and blood chemistry. A urinalyisis was done to look for signs of nephrolithiasis and showed no white cells or red blood cells but large protein and no bacteria. He had a slight fever and was in such pain that IV morphine did not even touch it. Examination was difficult as he could not even get into a comfortable position to lessen his pain. Internet searches on the local state pain medication abuse systems did not show him to be drug seeking but the ER doctor considers him drug seeking and wants him out of his ER. You are called as the nurse practitioner helping the nighttime hospitalist admit new patients to the hospital and you are paged to consult as your physician is busy with another admission on the floor with an MI. You question this young man and find him to be in terrible pain and barely able to answer your…A 29 years old female, married, G1PO AOG 16 weeks, complained of vague abdaminal wall pain for 3 days, with slight fever and urgency. She took Paracetamol 500 mg and there was temporary relieved of symptoms. A few minutes prior to consultation, she noticed blood tinged urine. Husband is an overseas worker (Seaman). What is the probable clinical impression on consultation? Acute cystitis. hemorrhagic Acute pyclonephritis complicated Acute pyelonephritis uncomplicated Acute urethritis syndrome
- 15 CASE STUDIES FOR MANAGEMENT OF MED-SURG PATIENTS. Case 1 Doris Lochan, is a 54-year-old female admitted to the Accideut & Emergency Department at the San Fernando General Hospital on Thursday January 30th, 2021 at 5am. On arrival to the Accident and Emergency department in the San Femando General Hospital, she was alert and oriented to time, person, and place, she was in distress due to severe pain, she complained of fever, nausea and vomiting, abdominal pain 8 out of 10 on pain scale, protruding hernia, constipation. Patient vital signs Temp 38.8 Celsius Pulse 136 bpm Respiration 22bpm Blood Pressure 160/102 mmHg Blood Sugar 306 mg/dl Spo2 97 % Urinalysis Blood + Glucose ++ Patient was examined by Dr, R who found that her bowel sounds were normoactive on auscultation, abdomen was generally soft, but a firm, focaly tender mass was noted in the left lower quadrant. Local examination revealed a 4 cm mass palpable in the navel region. Plan ordered as follows: 1.Abdominal ultrasound 2.…A 67 year-old woman comes to the emergency department because of increasingly severe left sided back pain during the past two days. The pain started near the bottom of her ribcage and then moved down her back during the past 24 hours. It has remained in her low back for 12 hours. Physical examination shows normal shows no abnormalities. Urinalysis shows blood. A urinary tract obstruction due to renal calculi is suspected. A noncontrast CT shows a calculus at the level of L5. Which of the following is the most likely location of the calculus? a. At the point where their pelvis drains into the ureter b. At the point where the ureter courses over the pelvic brim c. At the ureterovesical junction d. In the membranous urethra above the urogenital diaphragm e. In a minor calyx53-year-old man has had constant dull pain in his lower right back for the past 4 months. On physical examination there is tenderness on percussion of his right costovertebral angle. An abdominal CT scan reveals a 6 cm mass in the upper pole of the right kidney. A CBC shows: Hgb 21.3 g/dL, Hct 64.0%, MCV 96 fL, platelet count 199,000/microliter, and WBC count 8230/microliter. Which of the following is the most likely cause for his increased hemoglobin? Hemophilia A Diabetes insipidus Erythroleukemia Polycythemia rubra vera • Increased erythropoietin
- A college student was brought to hospital with complaint of recurrent abdominal pain. He informedthe doctor that the pain increases whenever heeatsoil rich foods. Clinical examination showed yellow colored sclera. His serum total bilirubin, conjugated and unconjugated bilirubin levels were 8 mg/dL, 6 mg/dL and 2 mg/dL respectively. The urine test was positive for bilirubin. However,urobilinogen was not found in urine. WRITEand EXPLAINyour diagnosisKngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week.u Hx COPD, cor pulmonaleu It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit. P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”. BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA CardiacAssessmentfindingsu Pulse – Regular, rapid…A 25-year-old female presented to her 28 week antenatal appointment with the complaint of lethargy. It was noted the patient appeared pale. A full blood count was taken. Pateints HB,HCT,MCV,MCH was low but RDW was high. expalin why it is microsytic anemia and not macrosytic anemia analyse the blood film provided below. Provide a detailed diffrential diagonises refering back to blood film.
- Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week. Hx COPD, cor pulmonale It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit. P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”. BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA CardiacAssessmentfindings Pulse – Regular,…Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week. Hx COPD, cor pulmonale It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit. P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”. BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA CardiacAssessmentfindings Pulse – Regular,…Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week. Hx COPD, cor pulmonale It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit. P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”. BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA CardiacAssessmentfindings Pulse – Regular,…
