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A 29 years old female, married, G1PO AOG 16 weeks, complained of vague abdaminal wall pain for 3 days, with slight fever and urgency. She took Paracetamol 500 mg and there was temporary relieved of symptoms. A few minutes prior to consultation, she noticed blood tinged urine. Husband is an overseas worker (Seaman). What is the probable clinical impression on consultation?
- Acute cystitis. hemorrhagic
- Acute pyclonephritis complicated
- Acute pyelonephritis uncomplicated
- Acute urethritis syndrome
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- Phyllis was having great fun traveling until she ate some contaminated food and developed _____________. She felt miserable and needed to stay in her hotel because of the frequent flow of loose or watery stools.Warm sitz bath is prescribed three or four times a day after hemorrhoidectomy. Implementation should be delayed until at least 12 hours postoperatively to avoid inducing: a.Constipation b.Hemorrhage c.Rectal spasm d.Urinary retentionPt 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…Mrs. Reyes is an 80 year old mother of twelve and grandmother of45 children. She complains of sudden, overwhelming desire to void that cannot be controlled long enough to reach the toilet. She urinates frequently and in small amounts. Even her sleeping at nights is interrupted because she needs to go to the toilet. 1. What do you think caused this type of incontinence? Explain it briefly.
- 35 year old white male presents to the ER with low back pain for two weeks with increasing severity. He had a normal Lumbar spine X-ray and had a normal CBC and blood chemistry. A urinalyisis was done to look for signs of nephrolithiasis and showed no white cells or red blood cells but large protein and no bacteria. He had a slight fever and was in such pain that IV morphine did not even touch it. Examination was difficult as he could not even get into a comfortable position to lessen his pain. Internet searches on the local state pain medication abuse systems did not show him to be drug seeking but the ER doctor considers him drug seeking and wants him out of his ER. You are called as the nurse practitioner helping the nighttime hospitalist admit new patients to the hospital and you are paged to consult as your physician is busy with another admission on the floor with an MI. You question this young man and find him to be in terrible pain and barely able to answer your…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 wordsPatient B., 56 y/o, is complaining of weakness, muscle ache, paresthesia in the facial zone, lower extremities, tonic-clonic seizures, breathing difficulty. Anamnesis contains a record of previous subtotal resection of thyroid gland. Objectively: her consciousness is clouded, the skin is dry, cyanotic, “main d’accoucheur”(obstetrician’s hand) convulsions in the upper extremities swallowing function is disturbed, shortness of breath. Heart sounds are dull, rhythmical, arterial pressure – 115/55, pulse – 56 beats/minute. Positive Chvostek’s and Trusso’s symptoms. The level of calcium in the blood – 1.3mmol/l; hyperphosphatemia, hypocalciuria; glycemia –5.6mmol/l. What is your diagnosis?A. Hypocalcemic crisisB. Hypothyroid comaC. Kidney failureD. Hyperthyroid coma E. Brain coma
- Any sudden change in vital signs can be extremely important. Hector Garcia has been given an antibiotic for a urinary tract infection. This is the second occurrence of infection in 6 weeks, and he has now been referred for excretory urogram. While waiting for the initial image to be checked, he complains of feeling short of breath and has a poorly defined discomfort in his chest. What might cause these symptoms? What should you do?A 48-year-old woman visits her physician complaining of what she calls “panic attacks.” She reports that she has experienced a racing heart and that she can feel (and even see) her heart pounding in her chest. She also complains of throbbing headaches, cold hands and cold feet, feeling hot, visual disturbances, and nausea and vomiting. In the physician's office, her blood pressure is severely elevated (230/125). She is admitted to the hospital for evaluation of her hypertension. A 24-hour urine sample reveals elevated levels of metanephrine, normetanephrine, and 3-methoxy-4-hydroxymandelic acid (VMA). After the physician rules out other causes for hypertension, he concludes that she has a tumor of the adrenal medulla, called______? Group of answer choices A. Neuroglioma B. Pheochromocytoma C. Phenoxybenzamine D. GlucagonomaA 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…
