The following laboratory results were obtained from a 19-year-old college student who consulted the Student Health Service because of fatigue and lack of appetite. She adds that she recently noted that her sclera appears somewhat yellowish and that her urine has become dark (Case Study Table 25-3.1). (Please Explain) What is the prognosis?
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The following laboratory results were obtained from a 19-year-old college student who consulted the Student Health Service because of fatigue and lack of appetite. She adds that she recently noted that her sclera appears somewhat yellowish and that her urine has become dark (Case Study Table 25-3.1). (Please Explain)
What is the prognosis?
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- 9. Case Study: A male patient experienced body malaise, joint pains. He consulted a family medicine physician and was later referred to a hematologist, where bone marrow examination revealed a 10% plasma cells. Myeloma proteins and Bence- Jones protein were demostrated in the blood and urine respectively. a. Is the plasma cell count above, within or below normal/reference value? b. Give the reason why there is higher than normal myeloma proteins in the blood? c. Give the reason why a high level of Bence- Jones protein is detected in urine? d. On the basis of the laboratory results, what do you think is the disease/disorder of the patient?CASE STUDY Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs Answer the following questions, using the medical information of Ruth. 1. What do you think is the health issue of Ruth? Provide medical evidence.CASE STUDY Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs 1. What do you think caused the liver disease of Ruth? Explain your answer2. What other hepatitis virus can infect Ruth?3. Is it an acute or a chronic infection? Explain your answer
- ANSWER BRIEFLY PLEASE. Thank you very much. 9. Case Study: A male patient experienced body malaise, joint pains. He consulted a family medicine physician and was later referred to a hematologist, where bone marrow examination revealed a 10% plasma cells. Myeloma proteins and Bence- Jones protein were demostrated in the blood and urine respectively. a. Is the plasma cell count above, within or below normal/reference value? b. Give the reason why there is higher than normal myeloma proteins in the blood? c. Give the reason why a high level of Bence- Jones protein is detected in urine? d. On the basis of the laboratory results, what do you think is the disease/disorder of the patient?Question:- A 25-year-old man comes to the emergency department because of a 2-day history of fever and rash. He has a history of complex partial sezure secondary to an arteriovenous malformation. He has had breath through seizure several times each despite treatment with several medication regions. Initially, treatment with phenytoin, which caused sedation. Two weeks ago, he was stitched to valproic acid and lamotrigine. He states that he has not had any seizure during topiramate and phenytoin, which caused sedation. Two weeks ago, he was switched valproic acid and lamotrigine. He states that he was not ad nay seizure during this time, and he finished his sample package of lamotrigine. He is awake and alert but appears ill. Vital signs are temperature 39.0 oC (102.2 oF), pulse 1110/min, respiration 22/min. and blood pressure 130/90 mm Hg. Examination shows extensive bullae, especially over the hands and feet. There are erosive lesions over the mouth and genital area. Which of the…#22. During a teaching session about antigout drugs, the nurse tells the patient that antigout drugs work by which mechanism?a) Increasing blood oxygen levelsb )Decreasing leukocytes and plateletsc) Increasing protein and rheumatoid factorsd) Decreasing serum uric acid levels
- Analgesia plan for a cat with urinary obstruction: Buprenorphine (for pain) 4.54kgx0.03mg/kg =0.1362mg÷0.3mg/ml=0.45ml Meloxicam (Anti-inflammatory): 4.54 kg x 0.3 mg/kg = 1.3662 mg ÷ 5 mg/ml = 0.27 ml * Please calculate for 4 days, since the cat will remain in the hospital for 4 days.Ordered: Amoxicillin 100,000 units/kg/dose q12h Weight: 40 lbs (round to the nearest tenth) Recommended dose: 100,000-250,000 units/kg/dose Available: 150,000 units/mL A) what is the safe daily range for this client in units? B) is the ordered dose safe? C) How many mL will the client receive as ordered per dose? D) How many mL will the client receive as ordered per day?Case study : Ms. X, a 32-year-old Hispanic woman, has had a history of intermittent pleuritic chest pain and joint pain for the past several years. Recently, she went to her physician because she noticed that an erythematous, butterfly-shaped rash had appeared on her face. Further lab tests indicated protein in her urine. Her blood test indicated the presence of numerous antinuclear antibodies, especially anti-DNA, and mature neutrophils containing nuclear material. A diagnosis of systemic lupus erythematosus (SLE) was made. Discussion Questions 1. Discuss possible reasons why SLE was not diagnosed earlier 2.Discuss how the presence of antibodies can cause such widespread damage in organ systems. 3. Discuss possible manifestations of SLE 4. Discuss treatments for SLE and a prognosis for the patient in this case.
- Case study A Adonis J., a 55-year old man, was admitted with an intestinal obstruction. The following results were recorded by the blood bank technologist: Questions: What is Adonis’s probable ABO type? What is the discrepant result in ABO grouping? Explain the phenomenon that caused this pattern and briefly describe two processes by which this can occur. What bacteria are commonly involved? What steps would you take to confirm your suspicions? Is the result of the antibody screen useful? Why or why not? Answer the questions below. Define Secretor What percent of the population are secretors? Assuming he is SeSe, what ABO antigens will be present in Paul’s secretions? Will Adonis’s ABO reactions convert back to normal? If so, when?own words • Recall this weeks presentation. Does a person in need of an organ transplant have a moral right to obtain that transplant,A patients hematocrit is 42 percent. Approximately what percentage of the patients blood is plasma?