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- State the clinical significance of the diagnostic serum enzymes (ALT, LDH, AST).157. A 35-year-old man comes to the emergency department because of a 2-hour history of severe headache, sweating, and palpitations that began after he moved a heavy couch. He has a history of dizziness when rising from a supine or sitting position, but he is otherwise healthy. On arrival, his blood pressure is 195/95 mm Hg. Which of thefollowing laboratory abnormalities is most likely in this patient?a. Decreased serum calcitonin concentrationb. Decreased serum glucose concentrationC. Increased serum thyroxine (T4) concentrationd. Increased urine hydroxyindoleacetic acid concentratione. Increase urine metanephrine concentrationIn rickets patients, typical findings include all of the following: 1) High alkaline phosphatase 2) High PTH 3) Low serum calcium 4) High serum phosphate no references, just homework
- How does an increase or decrease in intravascular volume influence HR Explain the pathophysiology related to the expected improvement of blood pressure and heart rate with the administration of IVF asap pleaseHow does insulin administration affect serumpotassium?What is indicated when serum alkaline phosphatase, hydroxyproline, and osteocalcin levels increase?
- Mr. Gerome Fernando, a patient with hepatitis A, has elevated serum ammonium ion and glutamine levels. What type of diet and/or management will you suggest?All of the following is CORRECT regards serum alpha-1 antitrypsin, EXCEPT * A. can inhibit functions of proteases B. is increased in acute inflammation C. when increases, chronic breakdown of lung tissue increases, leading to pulmonary emphysema D. is synthesised by the liver E. None 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…
- How long is the required fasting time for the serum triglycerides determination? What will be the effect on the serum triglycerides level if the required fasting time is not observed correctly by the patients? Differentiate exogenous and endogenous triglycerides in terms of their functions and lipoprotein transporters.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?Define the following terms:a. SREBP1b. SREBP2c. PPARd. hypertriglyceridemiae. atheroma