169. A 65-year-old woman comes to the physician because of a 10-week history of low-grade fever, fatigue, and pain in her right arm. She recalls no trauma to the arm. She has a history of cancer treated with radiation therapy. Her temperature is 37.7°C (99.8°F). Physical examination shows tenderness of the right distal humerus. Laboratory studies show anemia. An x-ray of the right upper extremity is shown. This patient most likely has an abnormality of which of the following cell types? A) Hematopoietic stem cells B) Monomyelocytic stem cells C) Natural killer cells D) Osteoclasts E) Plasma cells
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- Case 12: A woman is brought to the emergency department where you work triage. She has an extremely swollen right lower leg. You see what appears to be an old surgical wound in the mid-calf, with rough scar tissue surrounded by purplish-red skin. She is in a lot of pain. Her husband tells you that three weeks ago she had a group of moles removed from that area. It appeared to heal well initially, but three days ago, the incision area started looking bigger. She did not call her surgeon. The leg has continued to swell. The patient went straight to surgery and the wound was debrided. Gram-positive cocci growing in chains were isolated in the culture. She received IV antibiotics in the ICU but 18 hours later, her lower leg had to be amputated below the knee. What condition did the patient have? What was the etiological agent? Why was amputation the best solution for the infection?48. A 58-year-old woman comes to the office because of a 1-month history of fatigue, fever, shortness of breath, and joint pain; she also has had a 3.2-kg (7-lb) weight loss during this period. Her temperature is 37.6°C (99.7°F), and respirations are 34/min. Physical examination shows tenderness to palpation over the maxillary sinus, nasal ulcerations, and a bulging, red left tympanic membrane. Laboratory studies show: Erythrocyte sedimentation rate Serum C-reactive protein 65 mm/h 8.2 mg/L (N=0.08-3.1) 2+ 2+ Urine Blood Protein Histologic examination of a biopsy specimen of affected lung tissue shows granulomata and vasculitis. An autoantibody is most likely directly binding which of the following cell types in this patient? OA) Basophils B) Endothelial cells C) Fibroblasts D) Neutrophils E) Plasma cellsidentify 15 unique medical terms. Identify the prefix, word root, and suffix for each medical term. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322016/
- Teddy Roberts is 78 years old; he was brought to hospital by ambulance after a fall in his garden. He has a painful left wrist with obvious swelling, his x-ray shows a fractured radius and ulna. He has a history of rheumatoid arthritis of his hands and knees. He also has Glaucoma, wears a hearing aid and uses a 4-prong walking stick for assistance with mobilisation. He currently lives at home with his cat George. Identify three (3) factors that may indicate to you as an Enrolled Nurse that a client may require assistance with hygiene & comfort and explain your reasoning – refer to case history of TeddyA 65-year-old woman gives a 1- to 2-month history of progressively cold and numb fingertips. The symptoms are persistent but episodic. She is a non-smoker. She also has a history of leukemia. Her feet are normal, and physical examination is otherwise unremarkable. All pulses are present. Her blood count and peripheral blood smear show: Hemoglobin (Hb) 90 g/L White blood cells (WBC) 14.6 × 109/L (neutrophils 67%) Platelets 1246 × 109/L Giant platelets RBCs (vary in size) Neutrophils (irregular forms) Other tests are normal What possible developments in hematology might help diagnose the patient? List all that apply. What are the terminologies in Hematology that are aligned with the patient’s case? List all that apply and explain why. By reviewing the timeline history of hematology, what are the specific contributions that will help solve the patient’s disease? List all that apply and explain why.Mr Jankovic a 78 years old male, is admitted for a left total hip replacement. He underwent surgery and is now three days post-operative, in the orthopaedic ward. He has gained a lot of weight over the past few years and has severe osteoarthritis in his hips. He also has had resection of a prostatic cancer that has no current treatment and has residual prostatomegaly. He has occasional angina, high blood pressure and obstructive sleep apnoea, using a Continuous Positive Airway Pressure (CPAP) machine infrequently as it dries his mouth and nose and the noise annoys his wife. Past medical history: — Osteoarthritis (diagnosed 10 years ago) — Mild left cardiac failure and occasional angina (diagnosed 2 years ago) — Hypertension (diagnosed 5 years ago) — Frequent gout Surgical history: — Internal fixation left tibia and fibula following motorcycle accident at age 21years — Appendectomy at age 23 years — Resection prostatic carcinoma (7 years ago) Q1. Q3. State two reasons (2) why it is…
- A 56-year-old Asian man with hypertension, hypercholesterolemia, and type 2 diabetes mellitus comes to a physician for a check-up. It has been several years since he has been to the doctor. His past medical history is significant for an acute illness at the age of nine, which involved a high fever, pleuritic chest pain, migrating joint pain, and a pink, nonpruritic rash on his torso. His blood pressure is 155/100 mm Hg and heart rate is 70/min. Auscultation of the heart reveals a low-pitched diastolic rumble heard best at the apex. What is the most likely pressure change that would be seen in this patient’s heart? (A) Decreased left atrial pressure (B) Decreased left ventricular pressure (C) Increased left atrial pressure (D) Increased left ventricular pressure (E) Increased right atrial pressureJames Dunn is a 40-year-old African American man. He presents to the physician’s office today complaining of headache. His vital signs during triage are as follows: blood pressure 165/90 mm Hg, heart rate 80 beats/minute, temperature 98.5F, weight 125 kg (275 lb), and height 5 ft 11 in. He currently has no other diagnosed medical conditions. The physician gives Mr. Dunn a prescription for lisinopril/hydrochlorothiazide (Prinzide) 10/12.5 mg with directions to take one tablet by mouth daily in the morning. (Learning Objectives 1, 3, 4, 8) 1. In which stage of hypertension would you place Mr. Dunn? 2. What lifestyle modifications should Mr. Dunn be encouraged to follow? 3. What class of antihypertensive is lisinopril/hydrochlorothiazide? 4. What would you tell Mr. Dunn about his new medication?Mrs. Thomas was on vacation out of state when she stepped off a curve and injured her left ankle. Due to severe pain she was seen at an urgent care center where she underwent a left ankle x-ray, which was negative. She was diagnosed with a left sprained ankle. A walking boot was provided to stabilize and protect her left ankle. She was provided with appropriate discharge instructions and instructed to follow up with her primary care physician upon returning home. When she presented her BlueCross BlueShield insurance card at check out, Mrs. Thomas was informed that the physician who provided treatment is a nonparticipating provider (nonPAR) and that the urgent care center accepts credit cards for payment in full. The total due was $1,500, and Mrs. Thomas assured the office staff that her insurance company would reimburse the urgent care center for services provided. The office staff further explained that their providers had not signed a contract with her insurance, and thus Mrs. Thomas…
- A female patient age approximately 23-25 years and her body weight is quite normal, BMI is also normal. She don't have any major health related problems. Recently she diagnosed with Poly cystic ovary syndrome (PCOS) and healthcare professionals prescribe her with this medication named Rosen 28 plus, i attached the image below. My question is, if she continue this medication for longer periods of time does any complications occurs? Or is there any problems or health related complications occurs if she continues with this medication for longer time? I will rate you positive if you accurately answer my question. Thank you.Teddy Roberts is 78 years old; he was brought to hospital by ambulance after a fall in his garden. He has a painful left wrist with obvious swelling, his x-ray shows a fractured radius and ulna. He has a history of rheumatoid arthritis of his hands and knees. He also has Glaucoma, wears a hearing aid and uses a 4-prong walking stick for assistance with mobilisation. He currently lives at home with his cat George. When considering discharge planning for this gentleman, identify four (4) support services that may be utilised for this client on discharge and the service they provideCharacteristic Rheumatoid Arthritis Osteoarthritis Systemic manifestations Inflammatory disease Symmetric presentation Pain at rest Laboratory abnormality