A patient of 28 years old complains of pains in the spine, persistent arterial hypertension. On examination: obesity of the face and trunk with disproportionately thin extremities, acne. Blood revealed hyperglycemia, hypercholesterolemia. It was diagnosed Itsenko-Cushing's disease. Questions: 5. How can be explained the pain in the spine of the patient? 6. Describe the changes in the adrenal glands in Itsenko-Cushing`s disease.
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- A 65-year-old male patient with a history of smoking and hypertension presents with sudden onset of severe chest pain radiating to his left arm. He appears pale and is sweating profusely. Considering the symptoms and patient history, which of the following is the most likely diagnosis? A. Gastroesophageal reflux disease (GERD) B. Acute myocardial infarction C. Musculoskeletal pain D. Anxiety attackA patient tells the nurse she is having pain in her rightlower leg. How does the nurse assess for the presence ofthrombophlebitis?a. By palpating the skin over the tibia and fibulab. By documenting daily calf circumference measurementsc. By recording vital signs obtained four times a dayd. By noting difficulty with ambulationA patient presents to the emergency department with a suspected pneumothorax. The nurse assesses the patient for which classic signs and symptoms of pneumothorax? a) Hypertension and tachycardia b) Hyperresonance to percussion and decreased breath sounds on the affected side c) Bradycardia and diminished bowel sounds d) Cyanosis and elevated temperature
- Case:A case due to illegible prescription is presented, occurring in a 52-year- old man with a history of duodenal ulcer admitted to hospital with epigastric pain. He was prescribed Lansoprazole (Aprazol tablet) and Calcium Magnesium Carbonate (Rennie suspension), but Naproxen Sodium (Skelan) was given him instead of Lansoprazole. Shortly after starting medication, he was diagnosed upper gastrointestinal bleeding and complete recovery was reached in a short time. After discharge from hospital, the patient filed a lawsuit against the pharmacy in the criminal court of first instance. At the end of trial, the court's decision was both the pharmacist and his assistant were mainly responsible for detriment of complainant’s health. They should have contacted with the prescribing doctor if any doubt existed about the name of drug that was being prescribed. According to the decision, the doctor's responsibility was smaller than the others. Questions:a. What do you think is the reason why in…Case:A case due to illegible prescription is presented, occurring in a 52-year- old man with a history of duodenal ulcer admitted to hospital with epigastric pain. He was prescribed Lansoprazole (Aprazol tablet) and Calcium Magnesium Carbonate (Rennie suspension), but Naproxen Sodium (Skelan) was given him instead of Lansoprazole. Shortly after starting medication, he was diagnosed upper gastrointestinal bleeding and complete recovery was reached in a short time. After discharge from hospital, the patient filed a lawsuit against the pharmacy in the criminal court of first instance. At the end of trial, the court's decision was both the pharmacist and his assistant were mainly responsible for detriment of complainant’s health. They should have contacted with the prescribing doctor if any doubt existed about the name of drug that was being prescribed. According to the decision, the doctor's responsibility was smaller than the others. Questions:c. What is the medication error severity…A nurse is caring for a 56-year-old client who presented to the emergency department with a feeling of abdominal fullness and dyspepsia. The client reports a recent bloody emesis and long-term ibuprofen use. Which of the following conditions could the client be exhibiting based on the symptoms? Peptic ulcer disease Gastritis Hiatal hernia Uvulitis
- Why the lack of oxygen can put pressure on heart. Name the disease when the heart cannot get enough O2. read the article “Obesity Hypoventilation Syndrome” https://www.thoracic.org/patients/patient-resources/resources/obesity-hypoventilation-syndrome.pdfA teenager is admitted for complications resulting from bulimia nervosa. The nurse's admission assessment should pay close attention to which manifestations relating to complications associated with this disorder? Select all that apply. A. Dry, cracked lips and poor skin turgor. B. Missing tooth enamel and increased number of dental caries. C. Painful swallowing and stomach cramping related to reflux and esophagitis. D. Fruity breath and labored, deep, gasping respirations. E. Painless enlargement of the parotid gland due to vomitin You are assessing a client with suspected dysphagia. Which cranial nerves (CN) should the nurse assess? Select all that apply. A. CN I B. CN V C. CN IX D. CN X E. CN XI F. CN XII Which effect of the sympathetic nervous system is most responsible for the development of duodenal ulcers due to anxiety and stress? A. Inhibition of the…Methotrexate is prescribed for a client with rheumatoid arthritis who is also taking aspirin.what is the best explanation for the nurse medication has been added
- A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. 1. Will surgical intervention be necessary, and if so, what procedure? 2. What does the ED physician suspect is causing the patient’s symptoms? 3. What tests should the ED physician order? 4. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?A 62-year-old Caucasian female presents for a return visit for monitoring of arthritic pain in her knees. She has informed the medical assistant taking her vital signs that she wants to make sure that the nurse practitioner also checks out her arms and chest because she has noticed blood-like spots under the skin on her body that she has not had before. She notes having bruising in her past not related to injury that she attributes to taking quinine for leg cramps; when she discontinued the quinine, the bruising went away. She states that her knee pain has gotten better now that she is taking her prescribed naproxen twice a day. Just this morning, she noticed some dried blood on her pillow, and she thinks she may have had a nosebleed. Past medical history includes osteoarthritis and no previous surgeries. She has two adult children who are away at college, and she is divorced. Social History: She drinks two to three glasses of wine each night because she does not like being in the…