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- A 45 year old male presents to the emergency department complaing of intense joint pain. The previous night, the patient experienced similar pain accompanied by inflammation and redness of his wrists and large toe. The physician on-call orders testing for serum uric acid concentration with a reporting value of 9.1 mg/dL. Identify the diagnosis consistent with the patients presentation. Fanconi syndrome, Alzheimer's disease, Lesch-Nyhan syndrome, or gout?Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Most Probable Diagnosis: Other notes / relevant lab results:Discuss why gamma globulin injections are painful.
- Write down adverse effects of the drugs to treat theG6PD deficiency disease. (Subject: Pharmacology)A 48-year-old woman presents to the physician with complaints of muscle weakness which has been troubling her for more than 5 years. Over the pas six months, she has noticed increasing difficulty in getting up from the chair, climbing stairs and combing her hair. On physical examination, proximal muscle strength in both upper and lower extremities is between 2/5 and 3/5. There is no rash. Muscle biopsy shows endomysial lymphocytic infiltration and patchy muscle fiber necrosis. An antibody directed against which of the following antigens is most likely to be seen in this patient? Answers A-E A Acetylcholine receptor B Bullous pemphigoid antigen C Desmoglein 1 and 3 D Histidyl tRNA synthetase E Presynaptic calcium channel OF 45 QUESTIONS VERSION 2M 6.4 Question 14 V FLAG QUESTION MacBook Pro Previous NextN.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Discussion Questions: Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.
- (34) A 55 year old woman with a 30 year history of rheumatoid arthritis comes to the physician because of swallowing and pain in her left knee for 2 days. her temperature is 37.8 degrees celcius( 100 F). Physical examination shows a warm, swollen left knee with limited range of motion. Examination of aspirated fluid from the left knee shows turbid fluid, decreased glucose concentration, and increased concentrations of segmented neutrophils, protein , and interleukin-8(IL-8). Which of the following best describes the role of IL-8 in this patients knee condition. (A) Inhibition of neutrophil activation. (B) Initiation of apoptosis target cells. (C)…Your patient is a 2-year-old male named Justin. He is suffering from hypotonia (decreased muscle tone), weakness and growth failure, and is unable to walk. His mother has just brought him into the emergency room from the family beach house, where they have been spending the summer, because he has had a seizure. X-rays indicate that the toddler is suffering from rickets, which is a result of a nutritional deficiency of Vitamin D. But his mother insists that her son’s diet is not Vitamin D-deficient. He drinks three glasses of milk a day, and his diet also includes meat and eggs. A simplified scheme of Vitamin D metabolism is shown to the left. The chemical name of active Vitamin D is 1α, 25-dihydroxycholecalciferol, and it is synthesized via the pathway shown. Catalysts, both in the form of enzymes and ultraviolet light, are required for Vitamin D synthesis. The two main sources of active Vitamin D are diet and sunlight. Food supplemented with “Vitamin D” usually contains…A 25-year-old female presents with the following body habitus. She complains of muscle weakness, easy bruising, and weight gain. Although the patient has not eaten since the previous night’s dinner, a finger-prick blood glucose measurement in the office reads 140 mg/dL. Research the patient’s symptoms and identify a possible diagnosis. Note that this patient is not taking any medications. Describe the two major etiologies of this disorder. Again note that this patient is not taking any medications. What lab test(s) can be done to confirm which form of the disorder this patient has? Provide a brief physiological explanation for each of the patient’s complaints and explain why her blood glucose levels are so high. Choose another 3 characteristics from the following and provide a brief physiological explanation for them: Red cheeks, moon face, fat pads buffalo hump, thin skin, bruisability ecchymoses, High b.p., red striation, pendulous abdomen, thin arms and legs, osteoporosis, and…
- PATIENT: Joseph Greeson S: The last time I saw this 29-year-old male was 6 months ago for his annual checkup. He came in today stating that he has been feeling feverish × 3 days and noticed increased redness on his arm last night and this morning. He denies joint pain. He explained that yesterday he was playing with his girlfriend’s new dog and it bit him on the right forearm. The dog is a stray and has had no shots, and the patient states that he believes he accidentally provoked the dog by getting too rough with it. O: Temp 99.2 degrees, pulse 68, resp 20, weight 142. Right arm reveals four puncture wounds with secondary cellulitis around the area. The area is warm to the touch and is erythematous. A: Infected dog bite. P: Patient is given 1 gram of Rocephin IM today. Follow up in 24 hours. A bandage was applied. He was given a rabies immune globulin (Rlg), human, IM. Tylenol is recommended PRN for pain. The patient is given a prescription for Erythromycin 333 mg t.i.d. for…Patient C., 32 y/o, was delivered unconscious to the intensive care department. The patient has a medical history of diabetes. Insulin was not found. The breathing is noisy, of Kussmaul’s type; acetone breath, the skin is dry, turgor is lowered, the facial features are sharp, periosteal reflexes are absent, eye ball tone is lowered. Blood contains 1.2 mmol/l of lactic acid (norm - 0.62-1.3 mmol/l), glycemia - 29 mmol/l. What kind of coma can be suspected?A. KetoacidoticB. Brain comaC. HyperosmolarD. HypochloremicE. LactacidemicPATIENT: Joseph Greeson S: The last time I saw this 29-year-old male was 6 months ago for his annual checkup. He came in today stating that he has been feeling feverish × 3 days and noticed increased redness on his arm last night and this morning. He denies joint pain. He explained that yesterday he was playing with his girlfriend’s new dog and it bit him on the right forearm. The dog is a stray and has had no shots, and the patient states that he believes he accidentally provoked the dog by getting too rough with it. O: Temp 99.2 degrees, pulse 68, resp 20, weight 142. Right arm reveals four puncture wounds with secondary cellulitis around the area. The area is warm to the touch and is erythematous. A: Infected dog bite. P: Patient is given 1 gram of Rocephin IM today. Follow up in 24 hours. A bandage was applied. He was given a rabies immune globulin (Rlg), human, IM. Tylenol is recommended PRN for pain. The patient is given a prescription for Erythromycin 333 mg t.i.d. for…