78. A 55-year-old man comes to the office because of a 2-week history of an increasingly large and painful lump on his right shoulder. The lump began as a pea-sized red bump. He has no history of serious illness and takes no medications. Temperature is 38.0°C (100.4°F); all other vital signs are within normal limits. Physical examination shows a 5-cm, inflamed carbuncle on the right shoulder. Treatment with a 7-day course of cephalexin is initiated. The carbuncle in this patient is most likely located in the layer of skin that has which of the following embryologic precursors? A) Dermatome B) Myotome C) Neurotome D) Sclerotome E) Syndetome
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- Creatinine clearance results are corrected using a patient's body surface area to account for differences in 1) dietary intake 2) age 3) sex 4) muscle mass just homework no referencesCase 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 cells
- 158. A 3-year-old girl is brought to the physician because of a 4-day history of irritability, vomiting, decreased urinary frequency and volume, and diarrhea. She visited a local petting zoo with her family 1 week ago. Her temperature is 38°C (100.4°F), pulse is 100/min, respirations are 30/min, and blood pressure is 130/100 mm Hg. Physical examination shows pallor, petechiae over the chest, and mild abdominal tenderness. Laboratory studies show: A) Elastin B) Fibrin Hemoglobin Hematocrit C) Hemosiderin D) IgA E) IgE F) IgG Erythrocyte count Leukocyte count Reticulocyte count Platelet count Serum Urea nitrogen Creatinine Bilirubin, total Direct Indirect Lactate dehydrogenase 5.9 g/dL (N=11-15) 31% (N=28% -45%) 3.1 million/mm³ (N=3.9-5.31) 18,000/mm³ (N=6000-17,500) 4.5% (N=0.5% -1.5%) 52,000/mm³ (N=150,000-400,000) Direct antiglobulin (Coombs) test result is negative. A photomicrograph of a peripheral blood smear is shown. Acetaminophen, amlodipine, and fluid and nutritional support…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 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/
- In rickets patients, typical findings include all of the following: 1) High alkaline phosphatase 2) High PTH 3) Low serum calcium 4) High serum phosphate no references, just homeworkA 31-year-old man presented with slowly spreading hyperpigmented and crusted lesions with the largest measuring 3 cm x 4 cm. The lesion started from the right sole of the foot and spread diffusely through the left ankle. He did not have similar lesions in the past, and there is no significant history of any chronic illness in the past. Upon examining his skin biopsy samples, the histopathological examination results showed: a. Pseudoepitheliomatous epidermal hyperplasia with the presence of pigmented spores arranged singly and in chains with peripheral neutrophil infiltration.b. Ziehl- Neelson staning negativec. PAS positived. Pus and granules negativee. Presence of granulomas along with golden- brown, thick- walled, spherical bodies about 5 to 8 μm in size. Questions: What disease can you infer from the results that are shown? Why have you said so? The case presented can be mistaken for what skin cancer? Why? What treatment is best to be given? What protective measures can be done to…A 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.
- Case Study: Suhar, a 13 year old male, visits the emergency room with an infected surgical wound. He broke his radius while skateboarding and had surgery to repair the break 6 days ago. Upon examination you notice that he has a fever and the tissue surrounding the surgical wound is black, swollen and draining a foarmy fluid. He tells you he has a headache and is unable to move the forearm due to pain. His medical records indicates that he is up to date on all his vaccinations. His mother tells you during the examination that his diet consists mostly of junk food and soda and that he has not been changing his wound dressing regularly. What infection does Suhar have and what organism causes it?DOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…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 pressure