Chapter 1, Problem 1S

ADMITTING HISTORYA 52-year-old male factory worker was apparently in good health until about 2 months before admission, when he developed a cough, which was productive of moderate amounts of yellowish sputum. The cough was most severe in the morning but persisted throughout the day. He also complained of general malaise and reported a recent weight loss of 5 pounds. He had no night sweats and was afebrile.He was seen by his private physician and was treated with antibiotics. No chest x-rays were taken, but the physical examination was described as being within normal limits. On a follow-up telephone call 1 week later, the patient reported some improvement. Over the next 2 weeks, however, the patient developed moderate shortness of breath and marked hoarseness. He had no history of exposure to industrial irritants, but he admitted to a moderately heavy intake of alcohol and had a smoking history of 50 pack-years. As his symptoms persisted, he was admitted to the pulmonary clinic for…

Topic: Cholecystitis 1. Definition of the disease 2. Signs and Symptoms

Explain about pneumonia.

The patient is male, 50 years old. Chronic liver disease for 15 years. Sudden vomiting 400ml blood. Physical examination: chronic disease appearance, mild yellow discoloration of the sclera. The abdomen was soft without tenderness, the liver and ribs cannot be palpable, and the shifting dullness was positive. The most likely diagnosis is (   ) Biliary bleeding Duodenal ulcer bleeding Bleeding from gastric cancer Esophageal variceal bleeding Hemorrhagic gastritis A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the…

What are: Enhanced chest-abdomen computed tomography Cytological analysis of the left pleural effusion by thoracic puncture Bone Scan for detection of metastasis Physical Examination Palpable Lymphadenopathy Test

write a  sick note on pneumococcal pneumonia. write a note addressed to your child’s teacher about why your child will not be at school.  The child’s illness must include symptoms, prognosis, and treatment.  sick note will be 1 page in length double-spaced and include any necessary information for a child’s absence from school.

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 references