Fem. 56 years old with a history of diabetes II, hypertension, obese starts 5 days ago with a dry cough, fever, intense muscle pain, headache, with respiratory distress since the day before, for which she went to the consultation. No smoking. No vaccines against Covid19. Physical ex: symmetrical chest, lungs with slight decrease in vesicular murmur and bilateral crackles. FC: 102, FR: 32, Sat.O2 86 a) Possible diagnoses. b) Pathogens to consider c) Corresponding studies d) Specific treatments
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- sion Memorfs. Mark 59. A 23-year-old man is brought to the emergency department 30 minutes after a knife fight in a local blood pressure is 90/70 mm Hg. Physical examination shows diaphoresis and pale, cool extremises a space. The abdomen is quiet, distended, and exquisitely tender to palpation. Which of the following us A) Jejunum OB) Left adrenal gland C) Left kidney D) Pancreas E) SpleenA 67 years old female patient. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT of her head and neck. Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. She underwent a CT scan of the head and neck, but the results were normal. the patient was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD This morning patient woke up at 0600 hours with a 5/10 headache. At 0700 hours she began to feel weak in her limbs, and her headache increased to…ction Section 1: Hem 17 of 145. 17. A 50-year-old man is brought to the emergency department because of a 2-hour history of severe confusion and trel cs of conec the past year. He is otherwise healthy. Physical examination shows no abnormalities except for confusion. His serum gjuse concertation S intravenous infusion of glucose. A CT scan of the abdomen shows a 4-cm lesion in the head of the pancreas. Which of the bowing the d OA) Carcinoma of the head of the pancreas B) Islet a cell adenoma OC) Islet 3 cell adenoma OD) Islet o cell adenoma تھے E) Pancreatic tumor and abscess
- 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. LactacidemicASEPSIS Scenario: Mrs. Delia Cruz is a 78-year-old woman who is independent, lives alone and prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare food, she lost weight and became very weak. She finally sought medical attention, but she has not yet fully recovered. Her primary care provider has admitted Mrs. Cruz to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency. QUESTIONS: Cruz’s primary care provider suspects that she has pneumonia. What data support Mrs. Cruz’s increased risk for such an infection? What can you do to prevent the spread of Mrs. Cruz’s infection to other hospitalized clients and at the same time prevent Mrs. Cruz from getting infections from other clients? SAFETY Scenario: Mr. Valdez is a 72-year-old widower who is recovering…SQ 2. Define and give an example of the following: Sequelae TA 1.3 Differentiate among hypertrophy, hyperplasia, anaplasia, and dysplasia. SQ 5. What is the function of sodium ion in the body? SQ 9. Describe the signs and symptoms of hypocalcemia. TA 2.15 Explain the different effects of low serum calcium on skeletal muscle and cardiac muscle. TA 2. 19 a. When hydrogen ions are decreased, is the pH higher or lower? b. State the optimal range of serum pH and its effects on normal cell function if serum pH is not in the optimal range.
- Fem. 80 years old, with 10 days of hospitalization for an ischemic stroke with slow recovery, she begins with a cough and expectoration difficult to expel, as well as difficulty breathing. Physical examination of the chest: bibasal crackles and some wheezing. O2 Saturation: 90%, HR: 101, FR: 28 Answer a) Possible diagnoses b) Pathogens involved c) Corresponding studies d) Specific treatment e) Expected radiographic findings, or radiological pattern.Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Summary: Given case: 53 years old, male History of Type-1 diabetes mellitus, CAD ( Coronary Artery Disease) PAD ( peripheral artery disease) Cigarette smoking 40 packs per year COMPLAINTS: 6 weeks ago, he developed a wound in his left heel. Despite antibiotics, patient developed a gangrene infection. ADVISE: To undergo BKA ( Below knee amputation) of left lower extremities MEDICATION: Daily insulin, aspirin 325 mg /day, pletaal 100 mg BD Post-operative Data: Post-operatively, Mr. Doe goes to the Post Anesthesia Care Unit…ANSWER BRIEFLY PLEASE. Thank you very much. 9. Case Study: A male patient experienced body malaise, joint pains. He consulted a family medicine physician and was later referred to a hematologist, where bone marrow examination revealed a 10% plasma cells. Myeloma proteins and Bence- Jones protein were demostrated in the blood and urine respectively. a. Is the plasma cell count above, within or below normal/reference value? b. Give the reason why there is higher than normal myeloma proteins in the blood? c. Give the reason why a high level of Bence- Jones protein is detected in urine? d. On the basis of the laboratory results, what do you think is the disease/disorder of the patient?
- explain in detail what the pathogensis may be for a A 25-year-old female pateint presented to her 28-week antenatal appointment with the complaint of lethargy, who was also noted pale but was diagnosed with microsytic anemia. give full pathogensis. explain more the 1 cause in detail. 600 wordsPatient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?What would be your teaching strategy for a Patient “6-year-old, Male” with habits of unhealthy eating and sedentary lifestyle. And has a finding of severe malnutrition, anemia or very low weight, pale and suspected of having a parasitic worm.