HUMAN ANAT.+PHYS.(LL)-W/LAB.MAN.+ACCESS
HUMAN ANAT.+PHYS.(LL)-W/LAB.MAN.+ACCESS
11th Edition
ISBN: 9780135193921
Author: Marieb
Publisher: PEARSON
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Chapter 16, Problem 4CCS

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.

Chapter 16, Problem 4CCS, 70-Year-Old Male with Polyuria

Mr. Gutteman, a 70-year-old male, was brought into the ER. He had

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)]

4. Is diabetes insipidus life threatening? Explain your answer.

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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?
Mrs. G HISTORY Mrs. G, a 62-year-old white woman, was seen in the emergency department for complaints of increasing shortness of breath. She stated that she had the flu approximately 1½ weeks earlier and that her breathing has been more difficult since that time. Her ankles have been swollen for the first time, and sleeping during this time has required "two pillows to support her." She stated that occasionally she awakens in the middle of the night noticeably short of breath. These episodes of nocturnal dyspnea are relieved by sitting up for several minutes. She has been producing ¼ cup of yellow sputum since the onset of the flu. Her exercise tolerance was 1 block but is now 20 feet. Mrs. G stated that 7 years ago her family physician told her she had pulmonary emphysema. Mrs. G started smoking at age 12 and smoked approximately 2 packs of cigarettes a day until she quit 2 years ago. Mrs. G took the following home medications: small-volume nebulizer (SVN) with metaproterenol four…
Pathophysiology and clinical management - Digestive-Accessory Organs) Question: How is total bilirubin and fractionated bilirubin used to diagnose the problem as hemolytic, hepatic, and/or biliary?
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