WK10Assgn2_Armstrong_E

PLEASE ANSWER   write diagnostic statement for each ques   1. A hypertensive client states that she hasn't been taking her medication because it doesn't make her feel any better . Also, she says she has difficulty remembering to take it.   2. An elderly patient with left side paralysis has a red, broken area in the skin over his coccyx. The patient cannot turn himself in bed.   3. The client is 45 pounds overweight . He states that he is in a high stress job and doesn't have time to cook regular meals - he tends to eat fast food and snacks a lot . His job is sedentary , and he does not engage in any type of physical exercise or sport . Fo fun, he likes to " eat at a nice restaurant "

Patient C, has stomach cancer using corticosteroids and currently on his 4th week of radiation therapy. Patient is alcoholic and loves to eat highly seasoned food. Medications include aluminum hydroxide, Medical Diagnosis Gastritis. Medications given: Ranitidine, Omeprazole, Sucralfate, Misoprostol (Cytotec)Identify the etiology, trends and issues regarding the disease

Watch YouTube video and answer question with reference https://youtu.be/m1xTUjUEz9E 1. List the symptoms pertinent to the case. 2. Identify appropriate history questions for your patient to discriminate critical characteristics or attributes about the above presenting complaint. Incorporate OLD CARTS (Onset Location, Duration, Characteristics, Aggravating, Relieving, Treatment, Severity). 3. Delineate 3 differential diagnoses that could support the above symptoms in relation to pertinent answers given the history. Include the name of the disease and the appropriate ICD 10 code and provide a rationale for each choice based on the presenting case. 4. What is the physiology, pathophysiology, and/or etiology associated with each differential? 5. What diagnostic tests would you obtain to rule out medical issues that mimic each differential diagnosis? 6. What does the USPSTF App (Preventive Studies)/website say about the final diagnosis? 7. Do you agree or disagree with the nurse…

History of present illness: Patient is a 28  year old Caucasian female presenting to an outpatient clinic with complaints of weakness, numbness, tingling, and mild tremors (for the last 2 weeks) in her upper extremities, having trouble concentrating, fatigue, dizziness,  and lacking balance for at least  three and half months.   Past medical history Breast fibroadenoma Mononucleosis   Family history: Father has HBP Mother has Rheumatoid arthritis   Social History No tobacco, illicit drugs, or alcohol history Patient has 2 children and lived with husband in Alaska for most of her adult life. Currently having trouble with home choirs and playing with children.   Allergies None   Medications Multivitamins   Key Labs, images, or procedures performed in relation to current diagnosis. CBC: Hemoglobin: 10.8g/dL MRI with contrast: Inflammatory demyelination within the central nervous system. Currently inconclusive. Lumbar puncture (spinal tap): Elevated levels of IgG antibodies, and…

CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…

CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…

History of present illness: Patient is a 32 year old male presents to an outpatient clinic with localized stiffness and as mentioned in his chief complaint,  “achy pain” of his right elbow for the last 2 months. Patient indicated the tenderness intensifies while playing tennis (he plays tennis regularly with friends 2-3 times a week) and when he does gardening around the house.   Past medical history GERD   Family history: Father has high blood pressure and mother has Lupus.   Social History Drinks alcohol socially, mostly beer with friends (no more than 2 beers per occasion). No tobacco or recreational drug history.   Allergies Peanut butter   Medications Multivitamins Ibuprofen 400 mg when needed.   Key Labs, images, or procedures performed in relation to current diagnosis. Elbow X-Ray: Normal. No calcium deposits in tendons. MRI: Normal. No tears or injury to soft tissue. EMG: Normal. No nerve compression. Elbow Ultrasound: Showed swelling of the bursae.   Key Physical Examination…

A 63-year-old female with a past medical history significant for diabetes mellitus,cirrhosis, gout, and a 30-pack a year smoking history presents to the emergency roomwith chest pain revealing pericarditis in the echocardiogram, secondary to recentlydiagnosed end-stage renal disease. Physical examination reveals yellowishdiscoloration to the skin and sclera, multiple bruises, 2+ bilateral edema, and weaknesslasting more than three weeks. Her medications include Glisten, a new drug for diabetesthat causes ATP sensitive potassium channels to close, thereby releasing insulin. Herrecent laboratory results are as follows:   What is the correlation between her illnesses and the low vitamins (D, K, E, and A), renin, and aldosterone levels?7. Which hormone would the body elevate in response to her low calcium levels?Why?

UTI Case scenario J.D, a 26 year old female, presents to the urology clinic for the first time. She was referred bythe primary health care provider for recurrent urinary tract infection with gross haematuria.Her presenting complaint includes a four week (4/52) history of urinary frequency andurgency, lower abdominal pain, intense vaginal pain (worse during intercourse). She reportsthat she has a history of inflammatory bowel disease, seasonal allergies and is on anxiolyticsdue to her stressful personal life. She reports occasional lightheadedness and fatiguability.Her diet consists of very little vegetables, a lot of spicy, fried foods and has coffee five timesdaily. She has three sexual partners. J.D brought a letter from her referring doctor stating that her urinalysis with MCS(microscopy, culture and sensitivity) have always been negative; she has been treated withfluconazole 150mg po (OD) STAT and a 14 day course of fluconazole, without resolution ofsymptoms. A KUB ultrasound and…

Do explain shortly.  Name of drug :