HUMAN ANATOMY & PHYSIOLOGY (LCPO)
11th Edition
ISBN: 9780134807430
Author: Marieb
Publisher: PEARSON
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Chapter 16, Problem 3CCS
70-Year-Old Male with Polyuria
Mr. Gutteman, a 70-year-old male, was brought into the ER. He had been sick several days with the flu, and was found confused and barely conscious by his daughter.
Mr. Gutteman is breathing rapidly and has a fever of 39°C (102°F). His skin is dry and flaccid, his mucous membranes are dry, and his eyes are sunken. The physician ordered:
•IV (intravenous) fluid and electrolyte replacement
•Blood and urine tests for presence of glucose and ketones
•Strict I&O [careful measurement of fluid intake (e.g., IV, drinking) and output (e.g., urine)]
3. Mr. Gutteman's diagnosis is diabetes insipidus. His daughter is concerned about this, because she knows diabetes is a dangerous disease. She asks whether he will have to follow a diabetic diet. What’s your answer?
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L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect.
Come up with 5 follow up questions you could ask L.H. to further determine the appropriate skin condition?
Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.
Lin, a 5-year-11-month-boy. He-had a fever 20 days ago with no obvious trigger and
reached
the highest oral- temperature of- 40°C, no obvious cough, runny nose, vomiting,
headache,
dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He
visited a local hospital and-underwent a blood routine test: WBC=8.7X10°L, N=21%,
RBC= 3.36X10%/L, BPC=75X 10°/L, Hb=109g/L; peripheral -blood smear shows:
atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus
intravenous ganciclovir was given and his blood was extracted to check for anti-EBV
antibody simultaneously.
After 6-days of intravenous ganciclovir, his body temperature still fluctuated at around:
38°C. Anti-EBVVCA-IgM(-), anti-VCA-IgG(+)
1. Do you think the doctor's diagnosis is correct? And what do you think the next step
would the doctor take?
2. How long does a normal fever and infectious fever last?
Chapter 16 Solutions
HUMAN ANATOMY & PHYSIOLOGY (LCPO)
Ch. 16 - Prob. 1RQCh. 16 - 2. The anterior pituitary secretes all but (a)...Ch. 16 - 3. A hormone not involved in glucose metabolism is...Ch. 16 - 4. Parathyroid hormone (a) increases bone...Ch. 16 - 5. Choose from the following key to identify the...Ch. 16 - 6. A hypodermic injection of epinephrine would (a)...Ch. 16 - 7. Testosterone is to the male as which hormone is...Ch. 16 - 8. If anterior pituitary secretion is deficient in...Ch. 16 - 9. If there is adequate carbohydrate intake,...Ch. 16 - Prob. 10RQ
Ch. 16 - 11. Some hormones act by (a) increasing the...Ch. 16 - Prob. 12RQCh. 16 - 15. Define hormone.
Ch. 16 - Prob. 20RQCh. 16 - Prob. 15RQCh. 16 - Prob. 21RQCh. 16 - Prob. 16RQCh. 16 - Prob. 17RQCh. 16 - 21. Endemic goiter is not really the result of a...Ch. 16 - 22. How are they hyperglycemia and lipidemia of...Ch. 16 - 23. Name a hormone secreted by a muscle cell and...Ch. 16 - Prob. 23RQCh. 16 - Prob. 24RQCh. 16 - 3. Kyle, a 5-year-old boy, has been growing by...Ch. 16 - Prob. 26RQCh. 16 - 5. Roger Proulx has severe arthritis and has been...Ch. 16 - 70-Year-Old Male with Polyuria Mr. Gutteman, a...Ch. 16 - 70-Year-Old Male with Polyuria Mr. Gutteman, a...Ch. 16 - 70-Year-Old Male with Polyuria
Mr. Gutteman, a...Ch. 16 - 70-Year-Old Male with Polyuria
Mr. Gutteman, a...
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