A 12-year-old male was brought in by his mother for evaluation of diarrhea and crampy abdominal-pain of 2 weeks duration. That morning he had an "accident" in his pants and saw something move. His mother thought it was an earthworm. He had no fever, cough, or hemoptysis. His physical examination was unremarkable
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A 12-year-old male was brought in by his mother for evaluation of diarrhea and crampy abdominal-pain of 2 weeks duration. That morning he had an "accident" in his pants and saw something move. His mother thought it was an earthworm. He had no fever, cough, or hemoptysis. His physical examination was unremarkable
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- Aling Ising, 50 year old, who works as a laundry woman, was hospitalized due to nausea, vomiting and acute abdominal pain of rapid onset Describe specific assessments you would make to confirm or rule out acute appendicitisA 10-year-old boy was brought in by his father for evaluation of crampy abdominal pain, nausea and mild diarrhoea that had persisted for approximately 2 weeks. On the day before evaluation, the boy reported to his parents that he passed a large worm into the toilet during bowel movement. He flushed the worm before the parents could see it. Physical examination was completely unremarkable. The boy had no fever, cough or rash and did not complain of anal pruritus. His travel history was unremarkable. Examination of a stool specimen revealed the diagnosis. The boy is infected by which kind of parasite? Was this patient at risk of autoinfection? Why? Can this parasite cause extraintestinal symptoms? What are the major complications caused by the parasite?Two days ago, Charity, a 48-year-old journalist from Miami, returned to the United States from a 6-week trip to several countries for a story she is writing on recovery progress after major earthquakes. When she first came home, Charity began to experience diarrhea, which became worse as the day progressed. After the second day of severe diarrhea and the beginning of leg pain, Charity seeks care at a local outpatient health care facility. She reports no vomiting or fever, but has 10 watery stools per day without visible blood or mucus. Questions : What immediate treatment does Charity need? Name at least 5 organisms that may be causing the diarrhea. In a table, contrast the differences in the presentation of the diarrhea and the causative agents.
- A 63-year old presented to a local doctor with a history of alternating constipation and diarrhoea for six months, associated with a feeling of incomplete evacuation following defaecation and several episodes of bright blood coating her bowel motion. A diagnosis was made and a portion of the left colon and rectum was removed surgically. Discuss the aetiology and pathogenesis of the disease and what you consider the most likely cause of the presenting signs and symptoms. Also explain what complications might have ensued if the lesion had not been excised.A 30-year-old male banker complains of mid epigastric gnawing and boring pain for the last week. The pain is worse at night and is somewhat better immediately after he eats. He has not had any fever, nausea, or vomiting. He takes about one 500-mg acetaminophen tablet a week for headaches but does not take any other medications. Upper endoscopy reveals a 2-cm mucosal defect in the antrum of the stomach. There is mild edema in the adjacent mucosa, but there is no thickening of the edges of the ulcer. 1. What is the most likely diagnosis? 2. What are complications from this condition? 3. What is the most likely mechanism of this disorder?A 51-year-old man with diabetes mellitus and who is on oral hypoglycemics, recently underwent surgery to remove his appendix after being diagnosed with acute appendicitis and was discharged after two days. Three days later, he notices increasing pain, redness, and swelling around the surgical incision site. He has a fever of 37.9°C and a foul odor emanating from the wound, in addition to some pus discharge. He decides to seek medical attention and is diagnosed as having acute wound infection.a. Discuss the infection prevention and control practices that should be incorporated to decrease the risk of spreading infection when providing care.b. Discuss the teaching strategies that should be implemented with the client and family to help control and eliminate the infection and potential reservoirs where pathogens can liveHere are two subpartsof the same ques, keep that in your mind. answer on your own, don't copy from ai. Otherwise be prepared for downvote
- A 24- year old female was admitted to the hospital complaining of having a repeated episode of severe abdominal pain with bloody diarrhea up to 20 times/day for the passed 2 days. What are some investigations that you would ask to be done? What could be the diagnosis? What causes the diagnosis that you have picked? How would you treat this acute case? Is there a way to prevent this episode from happening again?A 32-year-old man presents to his GP with colicky pain which radiates fromhis back to his groin on the left. He has also been feeling nauseated and has vomited several times. The patient relates that he has never had this kind of problem before and that nobody else in his family has either. He is a fit and well man with no medical problems and does not take anymedications. He has not had any urinary symptoms or fever. He does eat a lot of chocolate and drinks a lot of tea. He works outdoors as a gardener and so often gets very hot and does not always have time for a drink. The pain comes in waves and can last about 30 minutes. * On examination On examination he is very tender in the left loin. The pain radiates into hisleft groin. The rest of his abdomen is soft and non-tender. His urine dipstick shows non-visible haematuria and is negative for nitrites and leucocytes. His temperature is 38.2. He is clinically dehydrated and is still vomiting. * examination When in hospital the patient…A 25 year old, previous)y healthy woman came to the emergency room for the evaluation of bloody diarrhea and diffuse abdominal pain of 24 hours' duration. She complained of nausea and had vomited twice. S reported no history of infammatory bowel disease, previous diarrhea, or contact with people with diarrhea. The symptoms began 24 hours after she had eaten an undercooked hamburger at a local fast food restaurant Rectal examination revealed watery stool with gross blood. Endoscopy tests showed diffuse mucosal erythema and petechia with a modest exudation but no ulceration or pseudomembranes. 1. Name the four genera of Enterobacteriaceae that can cause gastrointestinal disease. Which two can cause hemorrhagic colitis? 2. What virulenca factor causes the symptoms described in this clinical case? Describe the toxin mechanism of action. 3. Name the five groups of E coli that can cause gastroenteritis. What is the characteristic of each group? 4. What are the forms of Salmonella infection?…
- Mrs. Vera W. is a 60-year-old white woman, who emigrated from Germany to the United States at the age of 18. She has come to her primary care physician's office with her daughter. She tells you, "My daughter made me come here because I have had bad stomach pains for about 6 weeks." After you ask about the character, onset, location, duration, severity, and pattern of the pain as well as associated symptoms (COLDSPA), such as what relieves the pain and what unctions are affected by pain, you learn the following information. The pain is aching epigastric pain, fairly continuous, and worse at night. It radiates to her back when she lies down. The pain gets progressively worse, is not affected by eating, and interferes with her daily function (it prevented her from attending her grandson's birthday party and it also wakes her up at night). In addition, in the interview, Mrs. W. relates loss of appetite, mild nausea, heartburn, and fatigue. For the past several months she has felt full soon…A 33-year-old man presents to his primary doctor complaining of high fever and chills that lasted for one week. He complained that his chest hurts when he coughs, and the sputum has a greenish tint. During this time, the patient has had an unproductive cough and shortness of breath when he exerts himself. He has a general feeling of malaise and has noticed a decrease in appetite. He has been using an over-the-counter cold medicine for symptom relief, but symptoms return when the medication wears off. The patient has been working outside on a construction job this winter. He is under a lot of stress with the recent move into a new apartment with his pregnant wife. Physical examination (PE): Patient breathing pattern is rapid and shallow, with some dyspnea during deep breaths. Cough produces green/yellow sputum. Vital signs: Temperature: 40°C, Pulse: 90/min, Respiratory rate 25/min, Blood pressure: 112/70 mm Hg BMI=20 Laboratory Test Blood cultures : Positives with Streptococcus…54-year-old man comes to the physician because of a 2-day history of fever, abdominal pain, and bloody diarrhea. His temperature is 40°C (104°F). Physical examination shows left-sided tenderness on palpation of the abdomen. A CT scan is shown. Inflammation of which of the following structures, as indicated by the arrows, is the most likely cause of these findings? A) Appendix B) Colon C) Duodenum D) lleumE) Jejunum