140. A 42-year-old man is brought to the emergency department by his wife because of a 24-hour history of severe abdominal pain. His wife says that he has been drinking excessive amounts ofalcohol for the past 3 days. His blood alcohol concentration is 160 mg/dL. Physical examination shows scleral icterus and right upper quadrant tenderness of the abdomen. Microscopicexamination of a liver biopsy specimen shows hepatocyte necrosis, bridging portal fibrosis, and macrovesicular steatosis. There are numerous Mallory bodies and neutrophilic infiltrates.Which of the following abnormalities is most likely in this patient?A) Globules of a-antitrypsinOB) Impaired synthesis of fatty acidsC) Increased conjugation of bilirubinD) Increased generation of ATP by mitochondriaE) Increased NADH/NAD* ratioF) Increased oxidation of fatty acids

Case Summary: The patient is a 42-year-old man who presents to the emergency department with severe…

Answered: 40. A 42-year-old man is brought to the…

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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Answer the following question: 1. What is Hepatitis B infection? Name the different antigens and antibodies found during a HepB infection. Briefly explain the disease and prognosis. 2. What is glycosylated hemoglobin? What is it used for? Why is this a better marker for the disease?
A 51-year-old man with diabetes mellitus and who is on oral hypoglycemics, recently underwent surgery to remove his appendix after being diagnosed with acute appendicitis and was discharged after two days. Three days later, he notices increasing pain, redness, and swelling around the surgical incision site. He has a fever of 37.9°C and a foul odor emanating from the wound, in addition to some pus discharge. He decides to seek medical attention and is diagnosed as having acute wound infection.a. Discuss the infection prevention and control practices that should be incorporated to decrease the risk of spreading infection when providing care.b. Discuss the teaching strategies that should be implemented with the client and family to help control and eliminate the infection and potential reservoirs where pathogens can liveHere are two subpartsof the same ques, keep that in your mind. answer on your own, don't copy from ai. Otherwise be prepared for downvote
An overweight 45-year-old female patient is seen by the primary care physician. She complains of a severe colicky pain in her right upper quadrant about 2 hours after meals but is otherwise healthy. After a history and physical, the physician diagnosis the patient with cholelithiasis.1. Describe the condition and causes of cholelithiasis.2. What are three possible treatments for this condition?3. How would a patient’s diet affect this condition
Case #12: A21-year-old female, recently married, returns from her honeymoon with complaints of dysuria, urgency, frequency and suprapubic pain for 1-2 days. This morning she noted hematuria. She has not had fever, chills or back pain.
A 55-year-old female patient who is positive for MR SA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy. Which category of medications will be used during the "Intraoperative cholangiography" segment of the procedure? Name three medications from this category.
A 62 year old man was "found down" in his home by a family member earlier this AM. Per the paramedics bring him into the ER, family members state that he's a diabetic and a chronic alcoholic. Additionally, he'd been having bouts of fairly severe diarrhea for about 3 days prior to admission. On presentation to the ER, the gentlemen is nonresponsive and slightly blue. The paramedics tried to intubate but were unsuccessful, so they have been "bagging" him as best as they could en route. Labs taken upon entrance to the ER: ABG: 7.1/49/120/14 135 | 100 | 54 / 265 6 | 14 | 2.4 \ What do you think, by history and by labs and presentation, do you think is happening, at least in reference to his ACID/BASE STATUS; additionally, you may want to think about what underlying processes may be contributing to his overall condition.
A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient What if your AST/ALT ratio were >1. What would that suggest?
A 29-year-old previously healthy female presented with a productive cough, fever to 102 oF, and severe headache. She had cervical adenopathy (swollen glands), although she had a nonerythematous throat with no exudate. Chest examination showed crackles bilaterally at the lung base with decreased breath sounds diffusely. This finding was confirmed by chest film that showed bilateral multifocal areas of patchy consolidation. Her neck was not stiff, but because of the severity of the headache, she was admitted to the neurologic service. A spinal fluid was obtained and was negative for bacteria, cryptococcus, and acid-fast smear. Blood cultures and sputum cultures did not produce a pathogen. The patient did not improve on ceftriaxone. On day 3 she was started on erythromycin. On day 4, cold agglutinins were done and were positive. The patient gradually improved although the headache, photophobia, and cough continued for some time QUESTIONS: 1. What is the agent of this disease?…

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