A 48-year-old woman of Mediterranean de- scent presents because of fatigue, arthralgias, discomfort in her right upper abdominal quad- rant, and polyuria. Laboratory tests are remark- able for elevated glucose level, elevated biliru- bin, low hemoglobin, elevated reticulocytes, and increased transferrin saturation. Cardiac testing shows moderate restrictive cardiomyop- athy. She frequently has required blood trans- fusions throughout her life. Which hereditary disorder does this patient most likely have?
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- n 18year old female presented in the emergency roim with pallor and dizziness characterized as feeling light-geaded. A complete blood count was done revealing a hemoglobin of 106 g/L and a hematocrit of 26 with noted microcytic hypochromic red blood cellsm whatvtest should be requested to determine the etiology of the anemia? A. Cystatin CB. Hemopexin C. Ceruloplasmin D. Transferrin The clinically significant protein in the previous number was subjected to serum protein electrophoresis. You expect this protein to migrate in what region? A. Albumin B. Alpha-globulins C. Beta-globulins D. Gamma-globulinsA 67-year-old woman complains of gradually increasing fatigue. On physical examination, she is found to be anemic and has a peripheral neuropathy characterized by loss of position and vibratory sense. Laboratory studies docu- ment a macrocytic anemia and decreased WBC and platelets counts. What pathological mechanism accounts for these findings? Myelodysplastic sideroblastic anemia Chronic blood loss Autoantibodies against parietal cells or intrinsic factor Diabetes mellitus A diet deficient in folatePt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…
- Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…A 66-year-old male patient with amyloidosis was admitted to the hospital with severe gastrointestinal bleeding. Admission laboratory data includes: Hgb 10 g/dL Hct 0.32 Platelet count: Adequate PT 45 sec APTT 95 sec Fibrinogen 400mg/dL Thrombin Time 5 sec PT 1:1 mix 13 sec APTT 1:1 mix 30 sec (4-12 sec) Rusell’s Viper venom time 55 sec (14-20 sec) What test result indicates factor deficiency and not the presence of circulating anticoagulant? If adsorbed plasma were used in the mixing studies what would be the expected result? Why both PT and APTT test are prolonged? What additional test should be done that would help in the diagnosis?
- Which of the following items is recommended for treating a low BG?a) 3 to 4 glucose tabletsb) 5 jelly beans or gum dropsc) 1/2 glass (4 oz) of juiced) A tablespoon of table sugare) All of the aboveA 30-year-old male demonstrated a subtle onset of the following symptoms: dull facial expression; droopy eyelids; puffiness of the face and periorbital swelling; sparse, dry hair; dry, scaly skin; evidence of intellectual impairment; lethargy; a change of personality; bradycardia (60 b/min); a blood pressure of 90/70; anemia (hematocrit 27); enlarged heart (upon radiological exam); constipation, and hypothermia. Serum free T4 0.3 ng/dL (low).Radioimmunoassay (RIA) of peripheral blood indicated elevated TSH levels. A TSH stimulation test, using recombinant human TSH, did not increase the output of thyroid hormones from the thyroid gland. What endocrine organ is involved here? a. Is this a primary or secondary disorder? What is a primary vs secondary disorder? b. Why? What data is presented that supports your answer? Is a TSH and/or TRH determination necessary for your diagnosis? 3. a. Describe the normal complete feedback loop involved. b. How is it affected in this…Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was 9 years of age. A physical assessment and laboratory data reveal the following:➢ Dry skin, poor turgor > Serum glucose = 504mg/dl➢ RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L➢ HR = 118bpm, weak pulse > Serum K = 5 mEq/L➢ Temp = 98°F > Serum Cl = 108 mEq/L ➢ BP = 110/70 mmHg > BUN = 74.68 mg/dL➢ ABG: pH = 7.15; HCO3; 13mEq/L; pCO2 = 35 mEq/L1. Calculate Betty’s serum osmolality. 2. What type of diabetes mellitus does Betty possibly have? Why? 3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or hyperglycemic hyperosmolar state? Why? 4. What is the 1st priority nursing management and medical management? Why?
- 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.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 wordsSARS-CoV is commonly associated with which of the following? Select all that apply a. Hypernatremia b. Elevated ALT c. Lymphocytosis d. Hyperkalemia e. Thrombocytopenia f. High WBC count g. Elevated LDH