9-year old boy, was brought to the ER due to fever and complains of a constant, dull ache on the right upper portion of his abdomen especially when lying on his right side. His father reported that 2 months ago, the patient and one of his younger brothers had abdominal pain and dysentery after swimming in the sea What is his present and 2 months ago condition?

9-year old boy, was brought to the ER due to fever and complains of a constant, dull ache on the right upper portion of his abdomen especially when lying on his right side. His father reported that 2 months ago, the patient and one of his younger brothers had abdominal pain and dysentery after swimming in the sea What is his present and 2 months ago condition?

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter6: Biomedical Science And Minimally Invasive Surgery

Section: Chapter Questions

Problem 6.5CS

See similar textbooks

Similar questions

Alfred a 45 year-old African-Spanish male two days ago complained of awakening with severe, 8 out of 10 left knee pain, erythema, and swelling three days prior. He the pain was “in and all around the joint area.” he denied being able to ambulate without his wife’s assistance and stayed home from work as a teacher. He thought he “overdid it” playing with his kids. The pain persisted throughout the day despite taking two OTC NSAID tablets. The pain mostly subsided by the next morning. Peter also said that he had a similar episode of sudden onset pain upon waking in the morning in his right great toe, but thought he stubbed his toe. He denies injury, fever, rash, chills or decreased range of motion. Alfred’s History Height: 5’11’’; Weight: 239 lbs History of hypertension Takes 25 mg HCTZ a day Reports drinking beer on most weekends John’s Vitals upon examination Temp: 98.8°F HR: 79 bpm BP: 136/78 Resp: 17 Question: What are the parameters to confirm that it is therefore gout?
A 74-year old woman with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she’s had in her ankles for years has started to get worse over the past two months. In the past week, she’s had a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the abdomen. On physical examination, the patient’s jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra “S3” heart sound. (i) What is causing this murmur? (ii) Is the history of rheumatic fever relevant to the patient’s current symptoms? Explain. (iii) Examination of the patient’s abdomen reveals an enlarged liver (hepatomegaly) and a moderate degree of ascites (‘water’ in the pericardial cavity). Explain these findings. (iv) Examination of the patient’s…
A 74-year old woman with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she’s had in her ankles for years has started to get worse over the past two months. In the past week, she’s had a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the abdomen. On physical examination, the patient’s jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra “S3” heart sound. (i) Examination of the patient’s ankles reveals significant “pitting oedema”. Explain this finding. (ii) What is the general term describing this condition?
12-year-old Morgan Boyd had a 7-month history of several episodes of sudden onset of swelling of her tongue, lips, and eyes. These recurrences lasted 1–3 days before subsiding without medical intervention. Her older brother, Stephen, had had a similar problem when he was 16 years old. The edema was not itchy and there was no urticaria. Morgan did not experience airway obstruction or abdominal discomfort during any of her episodes. She was not taking any medications and did not have any drug allergies. A diagnosis of hereditary angioedema (HAE) was made on the basis of (1) blood measurements of key complement components after remission and again during a subsequent attack of angioedema, and (2) C1INH quantitative and qualitative tests. Which of the following complement proteins would be well below normal range in Morgan in both of her blood tests? a. C1q b. C3 c. C4 d. C5 e. C9
An 86-year-old woman with a history of diabetes and hypertension presents to the emergency room with a complaint of chest pain x 4 hours. And I noticed intense nausea with two bouts of vomiting, too. She is now free of chest pain. Her blood pressure is 130/70, heart rate 50, breathing 20, and oxygen saturation 95% in room air. A physical examination reveals normal breathing sounds. 1- What is the medical diagnosis? 2- What is the specific investigation in order of priority? 3 What is the link between a patient's history and diagnosis? 4- Nursing care for this patient.
Ken is a 42-year-old male who presented to the ER complaining of severe flank pain on and offfor the past six hours. He is complaining of fever and chills along with nausea, but has notvomited as yet. He also reports difficulty with voiding, stating that “It feels like I have tourinate, but when I try, I only pass a small amount of urine and there is some blood in it.” Hedescribes the pain as a sharp, stabbing type of pain that started in his lower back on the leftside and then traveled around to the front and down into his groin area. He has taken twodoses of ibuprofen 400 mg with minimal relief.1. Based on Ken’s symptoms described above, what diagnosis is most likely in this case?2. Based on Ken’s symptoms, explain what most substantiates the diagnosis?3. What other relevant information might there be in Ken’s past history, social history, andfamily history that could assist the ER physician in supporting the diagnosis?(Must answer with 6 possible outcomes)4. What diagnostic tests…
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 23-year-old man consulted a doctor with complaints of swelling of the face, eyelids. extremities, a decrease in the amount of urine, severe weakness, fatigue, headache in the occipital and temporal regions and inspiratory dyspnea. He is known to suffer from chronic tonsillitis. His health deteriorated in the last two weeks after the worsening of tonsillitis, when the symptoms described above appeared. On examination: the patient's condition is moderate, the skin is pale, dry. Swelling of the face, arms, legs, and abdomen. NPV 24 / min, pulse 102/ min, BP 165/95 mm Hg, t- 37.1. C. On auscultation of the lungs: weakened vesicular breathing is heard in the lower left sections, below the angle of the scapula and in the axillary region, In the same parts of the lungs, dullness is determined percussion. Pasternatsky's symptom is weakly positive on both sides, 1. What syndromes can be diagnosed in this patient? 2. What laboratory and instrumental studies should be assigned? 3. Explain the…
A 35 year alcoholic male who had a heart surgery before was admitted with a three week history of fever and gum infection which leads to poor appetite since he cannot eat properly. On physical examination, his body temperature is at 39 degrees celsius. Pulse is 96 beats per minute, respiratory rate is 20 breaths per minute, and BP is 120/80 mm. There are many missing teeth with gingivitis and dental caries which gives off an unpleasant breath odor every time he speaks. He has with him a pack of sugar candies that he brought secretly. What type of infection is suggested by his foul breath? What group of organisms could be responsible for this patient's condition? What complications are associated with this infection?v
Following assessment by the surgical team, it has been determined that Mr Johns has developed sepsis from a perforated bowel during his previous surgery Explain 4 possible signs and symptoms you would see with a patient who has developed sepsis. Minimum 2 sentences for each point.