55 year old lady with a history of recurrent admissions to the hospital to receive chemotherapy for breast cancer. She was admitted to the intensive care unit multiple times with hypotension and uncontrolled diabetes mellitus with significant hyperglycemia. She was diagnosed with hospital acquired pneumonia with hypoxia. Which of the following statements is correct? -Antibiogram focuses on the empiric use of broad-spectrum antibiotics. -Aztreonam cannot be used in patients with penicillin allergy. -Pneumocystis jirovecii is a common cause of hospital-acquired pneumonia. -Acinetobacter baumannii pneumonia exhibits its low resistance to antibiotics. -Doxycycline should be avoided in patients who cannot tolerate cephalosporin
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chemotherapy for breast cancer. She was admitted to the intensive care unit multiple times with hypotension and uncontrolled diabetes mellitus with significant hyperglycemia. She was diagnosed with hospital acquired pneumonia with hypoxia.
Which of the following statements is correct?
-Antibiogram focuses on the empiric use of broad-spectrum antibiotics.
-Aztreonam cannot be used in patients with penicillin allergy.
-Pneumocystis jirovecii is a common cause of hospital-acquired pneumonia.
-Acinetobacter baumannii pneumonia exhibits its low resistance to antibiotics.
-Doxycycline should be avoided in patients who cannot tolerate cephalosporin.
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- A 65 year old man comes to the physician because of a one month history of an itching, red lesion on his left forearm that has become enlarged and ulcerated during the past two weeks. He has had no fever, chills, or weight loss. He recently returned from a six week trip to Suriname, China, and the Philippines. He has type two diabetes, mellitus that is well controlled with diet. His temperature is 37.2 C, pulse 84/min, and blood pressure 150/80 mmhg. Examination of the left upper extremity shows a 3 cm, non purulent ulcer with the raised borders over the forearm. Laboratory studies show a leukocyte count of 10,000 mm3. and the fasting serum glucose of 120mg/dl. Which of. the following is the most likely causal organism? A) Bruga malayi B) leishmania tropica C) schistosoma japonicum D)toxoplasma gondii E) trichinella spiralisA 58-year-old homeless man with long-standing insulin-treated type 2 diabetes has been diagnosed with right lower extremity cellulitis. He has taken a prescribed oral antibiotic for the past week but has not noticed much improvement. For the past 2 days, he has complained of intermittent fevers and chills, nausea with poor oral intake, and proximally spreading erythema over his right leg. On the evening of admission, a friend notices that he is markedly confused and calls 911. In the emergency room, he is oriented only to his name. The patient is tachypneic, breathing deeply at a rate of 24/min. He is febrile at 38.8°C. He is normotensive, but his heart rate is elevated at 112 bpm. On examination, this patient is a delirious, unkempt man with a fruity breath odor. His right lower extremity is markedly erythematous and exquisitely tender to palpation. Serum chemistries reveal a glucose level of 488 mg/dL, potassium of 3.7 mEq/dL, and sodium of 132 mEq/L. Urine dipstick is grossly…A 58-year-old homeless man with long-standing insulin-treated type 2 diabetes has been diagnosed with right lower extremity cellulitis. He has taken a prescribed oral antibiotic for the past week but has not noticed much improvement. For the past 2 days, he has complained of intermittent fevers and chills, nausea with poor oral intake, and proximally spreading erythema over his right leg. On the evening of admission, a friend notices that he is markedly confused and calls 911. In the emergency room, he is oriented only to his name. The patient is tachypneic, breathing deeply at a rate of 24/min. He is febrile at 38.8°C. He is normotensive, but his heart rate is elevated at 112 bpm. On examination, this patient is a delirious, unkempt man with a fruity breath odor. His right lower extremity is markedly erythematous and exquisitely tender to palpation. Serum chemistries reveal a glucose level of 488 mg/dL, potassium of 3.7 mEq/dL, and sodium of 132 mEq/L. Urine dipstick is grossly…
- A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film? What is the clinical significance of the platelet count?A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film? What is the clinical significance of the platelet count? NOTE: If you could answer all the questions please. Thank you!A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film?
- A 63-year-old woman presented with increasing darkening of the skin, dizziness, and easy fatigability, nausea with occasional vomiting and progressive weight loss over eight months prior to presentation. There were no headaches, blurred vision, and neither loss of consciousness nor change in her bowel habit. The medical history and systemic review revealed no abnormality and were not significant as to the likely cause of her disease state. Physical examination revealed an elderly lady, pale, asthenic with generalized hyperpigmentation especially on the face, oral mucosa, palmar creases and knuckles. No features of malnutrition or hypovitaminosis. There was no significant peripheral lymphadenopathy. Main findings in the systemic examination were a pulse of 106 bpm, regular and small; blood pressure 100/60 mmHg supine and 70/40mmHg sitting. She could not stand on account of severe postural dizziness. The apex beat was normal. Fundoscopy revealed a normal fundus. All other systems were…Charles Christian Baletbet is a 38-year-old woman who has breast cancer. She is receiving radiation and chemotherapy. Mr. Baletbet is experiencing significant nausea and vomiting. Her physician orders ondansetron 32 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day: 30 minutes before meals and at bedtime. For what adverse effects would you assess Mr. Baletbet, in relation to ondansetron?A 5-year boy was in the Emergency Room with high fever. The patient was febrile 2 days prior to consultation when several minutes prior, the mother suddenly noticed generalized jerking movements of his entire body followed by stiffening. The patient lost consciousness during the attack and was semi-conscious when seen by the attending resident. What is his illness and what drug should be used for treatment?
- "Imagine you are a young oral hygiene student about to see your dental patient who turns out to have carious lesions on their teeth, the patient informs that the problem runs in the family. Patient X (20 years old, identifies as other) complains of dull pain on the posterior teeth. They describe the pain as sharp but sometimes dull. The pain comes and goes depending on the weather. Patient is asthmatic, lactose intolerant, allergic to penicillin and pollen, uses corticosteroid inhaler, the last asthma attcack was last month triggered by flu. On examination patient has plaque index of 80% and bleeding index of 95%, gingiva appears edematous, red, stippled and consistency is firm. Hard tissue examination- questionable caries on 46, carious lesion involving the dentine (not painful) on 37 and painful 26 with deep and large carious lesion. Deep fissures on 16, 25, 47, 44. The question is how would you approach the problem highlighted in the scenario and how would you manage (treatment…A sick child of 5 years old was taken to the children's infectious diseases department. The general condition is serious. Fever, loss of consciousness, rapid pulse. Examination revealed "meningeal syndrome". Given the clinical picture, the patient underwent a spinal tap. At a puncture the turbid cerebrospinal fluid flowed in a stream.1. What research methods should be used to clarify the diagnosis?2. Specify the stages of making a smear for bacterioscopic diagnosis.3. Describe the microscopic picture of a smear made of cerebrospinal fluid. Evaluate the reliability of bacterioscopic diagnosis of this disease.4. Name the rapid diagnostic reactions that can be used in this case.5. What nutrient media should be taken for sowing the test material?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