HUMAN ANAT.+PHYS.(LL)-W/LAB.MAN.+ACCESS
11th Edition
ISBN: 9780135193921
Author: Marieb
Publisher: PEARSON
expand_more
expand_more
format_list_bulleted
Concept explainers
Textbook Question
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.
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.
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solutionStudents have asked these similar questions
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?
Chapter 16 Solutions
HUMAN ANAT.+PHYS.(LL)-W/LAB.MAN.+ACCESS
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...
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- Patient R., 32 y/o, was delivered with complaints of fatigue, decrease of appetite, intensification of pigmentation in the open areas of the body, palms of the hands, cyanosis, losing weight, nausea and vomiting. The symptoms began to aggravate during 1-2 weeks after acute poisoning. Objectively: arterial pressure – 60/30 mm column of mercury, pulse – 140 beats/minute, skin turgor is lowered, the colour is dark with intense pigmentation of the elbows, scars, skin folds on the palms; clearly low levels of sodium and chlorine, high levels of potassium in the blood; glycemia – 4.3 mmol/l. What is your diagnosis?A. Addisonian crisisB. Uremic coma C. Brain comaD. Acute cardio-vascular insufficiencyE. Hypoglycemic comaarrow_forwardDOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension andbeginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…arrow_forwardDOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her…arrow_forward
- DOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her…arrow_forwardDOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…arrow_forwardA 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…arrow_forward
- Male, 29 year old, old, admitted to emergency department due with abdominal pain for 2 days. The patient had a sudden attack of total abdominal pain 2 days ago, especially in the right lower abdomen. It was paroxysmal colic, accompanied by intestinal ringing, and he vomited many times. The vomit turned from a green color to a fecal odor. In the past two days, he did not eat or drink with no flatus and defecation, and had little urine and no fever. He had an appendectomy three years ago. Physical examination: acute appearance, clear mind, BP 100/60mmHg, P 132/min, t 37.5 °C, no yellow dye, dry skin, poor elasticity. The heart and lungs are normal. The abdomen is distended, no intestinal type is found, the whole abdomen is soft by palpation, there is extensive slight tenderness, no rebound pain, no mass is touched, the liver and spleen are not enlarged, the bowel sounds are high. was was Auxiliary examination: HB 160g/L, WBC 10.6 × 10%L, negative urine routine test. X-ray showed multiple…arrow_forwardNursing question [3. make table to differentiate ITP, TTP, HIT, DIC.arrow_forwardA 4-year-old child was admitted to the clinic with signs of prolonged protein starvation: growth and mental retardation, anemia, and edema. What caused the development of edema in the child?arrow_forward
- Modification of intregal proteins consequences?arrow_forwardThe patient denied hematemesis. What question did the doctor ask the patient regarding this term?arrow_forwardMr. X, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately, he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia. Discussion Questions 1. Relate the pathophysiology of pernicious anemia to the manifestations listed above.arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Anatomy & PhysiologyBiologyISBN:9781938168130Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark WomblePublisher:OpenStax College
Anatomy & Physiology
Biology
ISBN:9781938168130
Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:OpenStax College
An Introduction to the Human Genome | HMX Genetics; Author: Harvard University;https://www.youtube.com/watch?v=jEJp7B6u_dY;License: Standard Youtube License