12. A 48-year-old woman with alcoholism comes to the physician because of a 6-month history of fatigue, yellowish skin, and swelling of the ankles. She has had an 8-kg(17.6-lb) weight gain during this period. She appears cachectic. Physical examination shows a jugular venous pressure of 5 cm. There is jaundice and ankle edema.Her serum albumin concentration is 2.5 g/dL. Which of the following is the most likely cause of the edema in this patient?A) Decreased capillary hydrostatic pressure in the anklesB) Decreased capillary permeabilityC) Decreased plasma colloid osmotic pressureD) Increased capillary hydrostatic pressure in the anklesE) Increased capillary permeabilityF) Increased plasma colloid osmotic pressure

In the given scenario,the patient is Alcoholic, history of fatigue, yellowish skin which means…

Answered: 12. A 48-year-old woman with alcoholism…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Similar questions

7. A creatinine clearance is performed on a professional wrestler. The patient is 6 feet 6 inches and weighs 359 lb. A 24 hour urine sample was obtained with a total volume of 2200 mL. The urine creatinine result is 150 mg/dL and the serum creatinine result is 1.5 mg/dL. What is the patient's corrected creatinine clearance?
.
Case: A 37-year-old patient, a woman who has smoked for 10 years, consulted for malaise, headache, nausea, and fatigue. The medical examination found tendon xanthomas, skin xanthomas, signs of atherosclerosis. Laboratory test Glycemia 90 mg/dL, total cholesterol 560 mg//dL, TAG 230 mg/dL, cHDL 33 mg/dl. ACCORDING TO THE REPORTED DATA, CAN YOU FIND A MOLECULAR AND/OR BIOCHEMICAL EXPLANATION FOR THE REPORTED BIOCHEMICAL PARAMETERS AND RECORD IT IN A METABOLIC SCHEME THAT EXPLAINS SUCH ALTERATIONS?
A doctor ordered a prescription of 25 mg/kg PI q3h Weight: 65 lbs How many mg per day will you give?
31. A 6-year-old boy is brought to the physician by his mother because of intermittent upper abdominal pain during the past 5 weeks and a rash for 1 week. Vital signs are norma Physical examination shows yellow nodules over the extensor surfaces of the upper extremities. There is hepatomegaly and tenderness on palpation of the epigastric regior Serum studies show an increased amylase activity, increased chylomicron concentration, and a markedly increased triglyceride concentration. Three months after beginning restricted diet, his serum chylomicron and triglyceride concentrations decrease significantly, and the skin lesions resolve. A deficiency of which of the following enzymes is likely cause of these findings? O A) Acetyl-CoA carboxylase O B) HMG-CoA lyase O C) HMG-CoA reductase O D) Hormone-sensitive lipase O E) Lipoprotein lipase
84. A 35-year-old man comes to the physician because of a 3-day history of tingling in his fingers and muscle cramps. Tapping over the facial nerve produces ipsilateral contraction of the facial muscles. His serum calcium concentration is 7.2 mg/dL. Serum concentrations of vitamin D and 25-hydroxycholecalciferol are within the reference range, serum 1,25-dihydroxycholecalciferol concentration is 5 pg/mL (N=18-65). Disease in which of the following is the most likely cause of this patient's findings? A) Bone B) Gut C) Kidney D) Liver E) Lungs F) Skin
47. A 56-year-old man is admitted to the hospital because of a 1-week history of progressive nausea, anorexia, dyspnea, and lethargy. He has a 15-year history of type 2 diabetes mellitus and hypertension. His respirations are 28/min, and blood pressure is 178/98 mm Hg. Physical examination shows jugular venous distention and pedal edema. Bilateral crackles are heard on auscultation of the chest. His serum creatinine concentration is 7.2 mg/dL. Which of the following is most likely to be decreased in serum in this patient? A) Alkaline phosphatase B) 1,25-Dihydroxycholecalciferol C) Parathyroid hormone D) Phosphorus E) Potassium F) Uric acid
89. A 32-year-old woman comes to the physician because of a 4-month history of fatigue; she also has had a 9-kg (20-lb) weight gain during this period. Her blood pressure is 160/98 mm Hg; 1 year ago, her blood pressure was 120/85 mm Hg. Physical examination shows moon facies, truncal obesity, and purple striae over the abdomen. Serum studies show an increased adrenocorticotropic hormone concentration, consistent with measurements at her two most recent visits. This patient most likely has which of the following pathologic changes in the adrenal gland? A) Hyperplasia of zona fasciculata B) Hyperplasia of zona glomerulosa C) Hypertrophy of medulla D) Hypertrophy of zona glomerulosa E) Hypertrophy of zona reticularis
1.
physical changes on an older adulto Rationale for the Managementa change a.-Make sure client do not voluntarily restrict fluid - intake to cope with · incontinence a.1 A. due to decrease 1. Tremors, slowed - peristalsis, decrease Physical activity, ¶1 B.economic reaction time 1 2. Constipation deprivation C. Decreased sensation of thirst D. Maintenance Drugs 1 c. rest as well as age- E. poor dentition F. - Decrease capillary blood flow and - glomerular filtration rate G. Decrease blood flow to the brain and NS, decrease number of f. → Coordinate assistance brain cells H. Eating less & 1 decrease in BMR| 3. decrease ability to · excrete nitrogen and · b.-Monitor and encourage regular fluid intake even if not thirsty other metabolic wastes 1 4. change in nutrient, · digestion, absorption: &metabolism appropriate physical - activities d.-high fiber diet with adequate fluid intake e. provide liquid, semi-solid, mashed or chop foods as 5. inadequate food intake 1 6. Loss of lean body mass…

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