A 5-year-old boy is brought to the physician with itchy, bilateral erythematous skin lesions on the flexuralsurfaces of the elbow and knees for the past one week (image attached). He has had similar lesions onand off for the past four years. His mother mentions that his older sister also has similar lesions. Hislaboratory parameters show an increased number of eosinophils. Which of the following conditions ismost likely associated with this disorder?Answers A-EA Bronchial asthmaB Deforming joint diseaseC Gluten sensitivityD Hepatitis C virus infectionE Underlying malignancyOOOQuestion # 35 attachmentQQ

Atopic Dermatitis: Atopic dermatitis, also known as eczema, is a chronic inflammatory skin condition…

Answered: A 5-year-old boy is brought to the…

Health Safety And Nutrition F/Young Child

9th Edition

ISBN:9781305144767

Author:MAROTZ

Publisher:MAROTZ

Chapter6: Childhood Illnesses

Section: Chapter Questions

Problem A2CR

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A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…
A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…
C. R. is an 18-month old female. Her mother has brought her to the pediatrician’s office because she developed a low-grade fever overnight. The little girl also has a runny nose and a harsh, barking cough. Upon examination, the child has inspiratory stridor and mild retractions and is sitting quietly on her mother’s lap. Select a potential diagnosis for C.R. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain C.R.’s symptoms and physical exam findings?
Upon palpation of the neck you find your patient has a tender, swollen and mobile lymph node along the underside of the jaw. This finding would be most consistent with which of the following descriptions? An infection with positive findings in the submandibular lymph node, a malignancy with a positive finding in the submandibular lymph node, an infection with positive findings in the anterior cervical lymph node, a malignancy with a positive finding in the anterior cervical lymph node.
Ken is a 42-year-old male who presented to the ER complaining of severe flank pain on and offfor the past six hours. He is complaining of fever and chills along with nausea, but has notvomited as yet. He also reports difficulty with voiding, stating that “It feels like I have tourinate, but when I try, I only pass a small amount of urine and there is some blood in it.” Hedescribes the pain as a sharp, stabbing type of pain that started in his lower back on the leftside and then traveled around to the front and down into his groin area. He has taken twodoses of ibuprofen 400 mg with minimal relief.1. Based on Ken’s symptoms described above, what diagnosis is most likely in this case?2. Based on Ken’s symptoms, explain what most substantiates the diagnosis?3. What other relevant information might there be in Ken’s past history, social history, andfamily history that could assist the ER physician in supporting the diagnosis?(Must answer with 6 possible outcomes)4. What diagnostic tests…
A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Question: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?The additional test is von willebrand test because it's specific for clotting factor 8. Why is it necessary?
A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Questions: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?
A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the lesion The incision can be filled with yarn One-stage suture of the incision Make a "++" incision
A 58-year-old homeless man with long-standing insulin-treated type 2 diabetes has been diagnosed with right lower extremity cellulitis. He has taken a prescribed oral antibiotic for the past week but has not noticed much improvement. For the past 2 days, he has complained of intermittent fevers and chills, nausea with poor oral intake, and proximally spreading erythema over his right leg. On the evening of admission, a friend notices that he is markedly confused and calls 911. In the emergency room, he is oriented only to his name. The patient is tachypneic, breathing deeply at a rate of 24/min. He is febrile at 38.8°C. He is normotensive, but his heart rate is elevated at 112 bpm. On examination, this patient is a delirious, unkempt man with a fruity breath odor. His right lower extremity is markedly erythematous and exquisitely tender to palpation. Serum chemistries reveal a glucose level of 488 mg/dL, potassium of 3.7 mEq/dL, and sodium of 132 mEq/L. Urine dipstick is grossly…
A 58-year-old homeless man with long-standing insulin-treated type 2 diabetes has been diagnosed with right lower extremity cellulitis. He has taken a prescribed oral antibiotic for the past week but has not noticed much improvement. For the past 2 days, he has complained of intermittent fevers and chills, nausea with poor oral intake, and proximally spreading erythema over his right leg. On the evening of admission, a friend notices that he is markedly confused and calls 911. In the emergency room, he is oriented only to his name. The patient is tachypneic, breathing deeply at a rate of 24/min. He is febrile at 38.8°C. He is normotensive, but his heart rate is elevated at 112 bpm. On examination, this patient is a delirious, unkempt man with a fruity breath odor. His right lower extremity is markedly erythematous and exquisitely tender to palpation. Serum chemistries reveal a glucose level of 488 mg/dL, potassium of 3.7 mEq/dL, and sodium of 132 mEq/L. Urine dipstick is grossly…
A 13-year-old girl with chronic myelogenous leukemia presented with respiratory distress 30 days after hematopoietic cell transplantation. There was an onset of breathlessness after 5-day history of hemoptysis and fever. Respiratory system showed bronchial breath sounds in right supraclavicular areas. Laboratory investigation showed mild elevation of AST/ ALT levels. Other blood parameters were normal. Initial work- up for fever, including malaria, dengue, scrub typhus, and leptospirosis tests, were negative. Hepatitis B surface antigen and HIV were also negative. Sputum samples for acid-fast bacilli were reported as negative. On the sixth day of admission, the patient’s sputum culture was reported positive for specific fungi. The green granulated colony of the cultured specimen revealed microscopically the presence of septate hyphae and small conidia. Questions: What is this patient’s most likely diagnosis? What are this patient’s most striking clinical and laboratory findings?…
A 13-year-old girl with chronic myelogenous leukemia presented with respiratory distress 30 days after hematopoietic cell transplantation. There was an onset of breathlessness after 5-day history of hemoptysis and fever. Respiratory system showed bronchial breath sounds in right supraclavicular areas. Laboratory investigation showed mild elevation of AST/ ALT levels. Other blood parameters were normal. Initial work- up for fever, including malaria, dengue, scrub typhus, and leptospirosis tests, were negative. Hepatitis B surface antigen and HIV were also negative. Sputum samples for acid-fast bacilli were reported as negative. On the sixth day of admission, the patient’s sputum culture was reported positive for specific fungi. The green granulated colony of the cultured specimen revealed microscopically the presence of septate hyphae and small conidia. A. Aside from specimen culture, what other test can be helpful to diagnose the disease? What sample can be used in this test? What is…

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