Case Study #2 Mr. Aquino, a patient who started treatment for TB disease last week, calls the TB clinic to complain that her urine has changed to a funny color. Name two possible causes, and explain how each would affect the color of the urine. Answer:
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- Case Study #1: Ms. C is a 19-year-old college student. She was brought to the ER with symptoms of nausea, vomiting and gastric pain, and diarrhea for two days. Upon interview, the patient revealed that she ate street foods a few hours before the symptoms developed. She is dehydrated with a urine output of 500 ml/day, pale and dry skin, her temperature is 38.2 C, and stool culture revealed Salmonella infection. She was given IV fluids and loperamide. Make a SOAP (Subjective, Objective, Assessment, and Plan) Chart for this case. What is salmonellosis? What causes it? How is it diagnosed? What are the Symptoms? How is it managed? Discuss how salmonellosis can be prevented.Case Study #1: Ms. C is a 19-year old college student. She was brought to the ER with symptoms of nausea, vomiting and gastric pain and diarrhea for two days. Upon interview, patient revealed that she ate street foods a few hours before the symptoms developed. She is dehydrated with urine output of 500 ml/day, pale and dry skin, her temperature is 38.2 C, and stool culture revealed Salmonella infection. She was given IV fluids and loperamide. 1. Make a SOAP Chart for this caseCase study: 22 year old women (previously adopted, not currently taking medications, negative medical history) presents with... ...hypotension, failure to thrive, weight loss, and weakness. Her laboratory results reveal hyperkalemia, fasting hypoglycemia and metabolic acidosis. What is the diagnosis?
- Case study HPI: 73 year old Asian male presents to your clinic for a follow-up appointment. He is c/o dyspnea. SOB has gradually increased over the last 4 days and is worse when lying down in bed. He cannot walk more than 25 feet without SOB. He sleeps downstairs in a recliner, mostly so he doesn’t have to go up the stairs. He denies fever, chills, chest pain, palpitations, dizziness constipation, diarrhea, abdominal pain, or nausea. Reports 7 kg weight gain over the past week, chronic nonproductive cough. PmHx: heart failure, DM type II, HTN, CAD, MI, CKD FHx: Father died of MVC at age 62, mother died of heart failure at age 79, sister (age 65, alive) with HTN SHx: never used tobacco, etoh 1-2 drinks/month, retired, married with 1 daughter (ages 41, healthy), used to walk at the neighborhood track, but can’t anymore; eats mostly fish and vegetables, does not use salt. Meds: carvedilol 3.125mg BID lisinopril 40mg daily…CASE STUDY: A 26 year old woman appeared in the outpatient clinic with the complaint of abdominal discomfort, diarrhea, and an 18lb, unintentional weight loss during the past 2-3 years. She related a similar period of 5-6 years of abdominal distress and diarrhea in childhood, but this essentially disappeared when she was about 12-13 years old. She was now having three to five bowel movements daily, which were described as bulky, malodorous, and floating. She weighed 106lb and was 67 in tall. She never had surgical procedures. Physical examination revealed poor skin turgor, general pallor, and a protuberant abdomen. Abnormal clinical laboratory values included those in Case Study table 28.5.1 Fecal examination revealed no ova or parasites, and bacteriologic culture revealed no pathogens. CASE STUDY TABLE 28.5.1 Analyte Result Hemoglobin 8.1 g/dL Hematocrit 30% RBC count 4.1 X 10^6/uL Serum sodium…Case Study: A 52 year-year old man with a history of AIDS, hypertension, diabetes mellitus, and alcohol abuse was found unconscious in his home by his roommate. In the emergency department, he was hypotensive (103/60 mm Hg), febrile (temperature 101F), and unresponsive. Computed tomoggraphy scan of the abdomen showed choleccystitis and gallstones. Laboratory data are listed. The patient was diagnosed with acute renal failure. He was administered intravenous fluids; BUN fell to 68 mg/dL and creatinine fell to 2.2 mg/dL. The patients blood culture report was positive for e. coli. He was treated with tobramycin and cefepime. The patient continued to deteriorate and died 5 days after admission. Cause of death was multiorgan failure secondary to AIDS, sepsis, and alcoholic cirrhosis. DATA TABLE Drugs of Abuse Negative Urinalysis Serum ethanol 84mg/dL Hemoglobin Positive…
- Case Study: Upper GI Chap 33 Mrs. B is a 54 y/o female that went to her PCP with complaints of heartburn, dyspepsia, nausea and chest pain. She feels bloated and obtains little or no relief from OTC antacids. Her past medical hx includes 2 ppd cigarette smoking, a stressful job and chronic use of NSAIDs for chronic back pain. 1- Mrs. B’s doctor ordered an esophagoscopy (EGD). Why was this test ordered? 2- What teaching would the nurse provide to the client who is scheduled for EGD? 3- What classification of medication might be used during the procedure? What nursing considerations should be considered while pt is receiving this medication? 4- After EGD Mrs. B was diagnosed with GERD. What are nursing considerations & patient education that should be provided to the client with GERD? 5- What discharge instructions & patient education should be provided to Mrs. B after having EGD?Case Study #4Romina Jackobs is a 45-year-old morbidly obese French woman who moved to theUS one year ago for a job promotion. She lives alone with her two cats. She says thatshe has made a lot of friends in the apartment building that she lives in, and herneighbor has called her and let her know that she will take care of her cats. Becauseshe has only been in her new position for a year, she is worried that she will get intotrouble if she has to miss too many days. As a regional public relations manager forDelta airlines, she has to travel a lot, she is worried she will miss a lot of her reports.She presented in the ER this morning complaining about pain in her right calf. Onassessment her calf was red, edematous and hot to the touch. There was a palpablemass in the calf, so Romina was sent to ultra sound. Ultra sound revealed that therewas an encapsulated mass in the calf, and pt was sent to CT scan. CT revealed thatthere was a large abscess in Romina's calf.The admitting doctor has…Case Study: The following 5 questions correspond with the case study described below. Jason is a 52-year-old Asian American male visiting his doctor for a routine exam. He works as a warehouse manager and mentions that his job is very stressful. He also states that he wishes he could be more physically active during the day. Question: Jason’s BMI is 29 and his waist circumference is 39. What is Jason’s weight classification? Considering his anthropometric measures, what is Jason’s likely risk for weight associated diseases?
- Case study diabetes mellitus Eric is a 52-year-old High school principal, who presented with a 2-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed 1 day before presentation was 352 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes. Admission of non-fasting serum glucose 248 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 180 pounds, height 5'5.5" (IBW 140-145). The rest of the examination was unremarkable,i.e., no signs of retinopathy or neuropathy. The patient was taught self-monitoring of blood glucose and began on 5 mg glyburide once a day. He was instructed in diet (1800 cal ADA). Blood glucose levels ranged from 80 to120 mg/dl within 2 weeks of starting glyburide, his symptoms…Case study 2 40-year-old man with no history of any chronic liver disease, presented with acute liver failure (ALF). After carrying out extensive laboratory screening, it was suspected that the ALF was due to auto-immune liver disease namely Autoimmune Hepatitis. Answer the question with both details and clear, Discuss the pathophysiology of the disorder and critically evaluate current laboratory methods identify were relevant with overview of method aims and how it meets the pathophysiological criteria for the classification of the disorder.Case study: 22 year old women (previously adopted, not currently taking medications, negative medical history) presents with... ...hypertension, with weakness and rapid onset of obesity. This patient also exhibits central fat pads, buffalo hump, plethora, thin skin, purple striae, easy bruising, osteoporosis, hyperglycemia/insulin resistance, and recurrent infections. What is the diagnosis?