Case 1 / A 3-month baby boy developed a red rash around his mouth, on the scrotum and on the elbows and knees. His parents reported him to be very irritable and to have developed diarrhoea. Hair loss was also reported. The GP noted that the problem coincided with weaning onto cow's milk. Examination of the child confirmed a sharply demarcated, red, scaly rash and also a red tongue with several mouth ulcers. The child himself appeared well nourished. Laboratory investigations carried out on the child included a plasma zinc level of 6 μmol/L (reference range 12-18 μmol/L). What is the diagnosis and treatment? Q1/ subdivide of food that we take Q2/ mention the source of energy Q3/ mention the rule of iron, zinc, iodine, ca, vit D,A,C,E,k
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- Question: Can you make an Introduction paper about the given Case Scenario? INFANT WITH TETRALOGY OF FALLOT Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days. The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more frequent after feeding. The patient currently appears comfortable,with no signs of respiratory distress, fever, or neurological…A client has bull’s neck appearance,he is suspected to have; a mumps b tularemia c kissing diseas A client has a rash that resembles the bull’s eye he is suspected to have a mumps b tularemia c kissing disease An early sign of Lyme disease a arthrailgia b lyme carditis c bells palsyCase #3Mr. C is a 60-year-old male who lives in his 1994 Toyota Corolla. He earns money by collectingaluminum cans along the roadside and from trash dumpsters. He states that he has been coughing up about ¼ cup of white sputum each morning for the past 20 years. About 1 week ago, he noticed a sudden onset of shaking chills, fever, sweating, malaise, chest pain, and shortness of breath at rest. He also begancoughing up rust-colored sputum that was thicker than his normal sputum production. Mt. C admits to current consumption of two packs per day of cigarettes (ie 70 pack-year smoking history). He admits to occasional alcohol use but denies having orthopnea, ankle edema, nausea, vomiting, diarrhea, weight loss,dysuria, wheezing, or hemoptysis.Lab results on room air:ABGpH 7.47PaCO2 32 mmHgPaO2 44 mmHgHCO3 23 mEq/lSaO2 75%BE -2Hb 12 g/dlPB 760 mmHgETCO2 10 mmHgPart 1: Interpret the ABGPart 2: Calculate Mr. C’s PaO2 and A-a gradient
- Question: Can you make an Overall and Summary of the given Case Scenario? INFANT WITH TETRALOGY OF FALLOT Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days. The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more frequent after feeding. The patient currently appears comfortable,with no signs of respiratory distress, fever, or neurological impairment.…1. Female, 40 years old. The left index finger was accidentally stabbed by a shoe repair needle. In the past 3 days, the pain gradually increased, swelling, throbbing pain, and she was unable to sleep. The current primary treatment measures are ( ) Use analgesics Incision and drainage Antibiotics Elevate the affected limb Rest 2. Female, 65 years old, with a history of hepatitis B for more than 20 years. Sudden of hematemesis this morning, the color was bright red, the amount was about 1500ml, and she came to our hospital for emergency. Physical examination: pale appearance, cold limbs, BP 78/50mmHg, P 112 beats/min. Abdominal distension, shifting dullness (+), 5 cm below the spleen rib. The inappropriate treatment for this patient is: Compression of three cavities and two balloon tubes Intravenous somatostatin Emergency laparotomy for hemostasis Blood transfusion Interventional treatment with fiber gastroscopeAnswer by listing only the name of the disease. 1.A 21 year old woman presents with a swollen eyelid with no discharge. You notice a hardening of the inner surface of the eyelid, but still moveable. After finding out the causative agent is Chlamydia trachomatis, you prescribe azithromycin and tell the patient to check back with you after 1 week. You tell her to be careful, as this condition is is the leading cause of non traumatic blindness in the world. Which eye condition does this patient have? 2.A 2 year old girl presents with a fever and dizziness. She has developed a characteristic rash on her torso that she seems to be itching profusely. The father tells you he's been reading online that aciclovir is the best treatment option for his daughter, but you tell him that that is unnecessary since she has a competent immune system. What disease does the girl have?
- Intervention of redness beyond 0.5 cm of episiotomy and 4th degree laceration, edema in perineal and vulvar, greater than 2 cm from episiotomy, ecchymosis greater than 1 cm bilaterally, bloody discharge and purulent discharge, approximation in skin, subcutaneous fat and fascial layer separation1. What is hemicraniectomy? 2. Discuss the disease or the condition on the case presented: (see pictures for more details), includes the definition, epidemiology, signs and symptoms, treatment and management. Thank you so much!A 13-year-old male, who recently immigrated with his parents from Romania, presents with a 2 day history of fever, sore throat and difficulty breathing. Immunization records are unavailable. On physical exam, temperature is 102°F (38.9°C). A grayish white membrane is seen in the oropharynx. There is enlargement of the cervical lymph nodes, resulting in a bull neck. QUESTIONS: What pathogen caused the disease? What is the morphology and staining characteristics of the pathogen? What is its most important virulence factor? Discuss: Criteria for toxin production (lysogeny, iron…) Properties of the toxin Mode of action How does the pathogen spread? What risk factors are associated with the infection? What are the clinical symptoms of the disease? What are the possible complications from the disease? How is the disease diagnosed? Discuss: Specimen selection Microscopic observation Culture Virulence test What is the best treatment for the disease? How can the disease be prevented?…
- 1. Discuss what is hemicraniectomy. (please state a lot of information thank you) 2. Discuss the disease or the condition on the case presented, that includes the definition, epidemiology, signs and symptoms, treatment and management. (please include important information thank you so much)Clinical history: Over the course of 1 week, a 6-year-old boy develops 0.5- to 1.0-cm pustules on his face. During the next 2 days, some of the pustules break, forming shallow erosions covered by a honey-colored crust. New lesions then form around the crust. The boy's 40-year-old uncle develops similar lesions after visiting for 1 week during the child's illness. Photos include facial photo, sheep’s blood agar and swab culture stain. What is the proper procedure for a swab culture specimen procurement? Aside from the blood agar and stain, what other tests should be run before diagnosis and treatment? What is the mostly likely diagnosis for this child? What treatment would be common? Knowing this is contagious, what precautions should the patient’s guardians take? No references, just homework Please include referencesFemale patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /l Hb 71 g/l PCV 24% Plt 8.0 X109/l WBC 1.2 X109/l Differential Segmented Neutrophils 2% Lymphocytes 94% Monocytes 4% Reticulocyte count 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…