A 14-year-old hlgh school student with fever, chlls, and severe headache Is seen In an urgent care clilnic.He felt nauseated and vomlted before reporting to the clinic. At the clinic, hls temperature Is 104°F; he hasneck rigldity and complalns of back paln. Some small petechlal spots are noted on hls chest and back andIn the mouth. Blood Is drawn for a complete blood count (CBC) and blood glucose, and lumbar puncture Isperformed. Cerebrosplnal fluld (CSF) Is collected sequentlally In three sterlle tubes and examlned.Blood ResultsWhite cell count: 25 109/LDifferentlal: 80% neutrophls, 10% lymphocytes, 10% monocytesGlucose: 95 mg/dLCSF ResultsCSF pressure: IncreasedGross appearance: All tubes equally cloudy, not bloodyGlucose: 15 mg/dLCSF white cell count: 12.0 109/L; 90% neutrophllsGram staln: Many Gram-negative coccl In palrs, some IntracellularQ. How can this patient's diagnosis be differentiated from othersimilar clinical presentations?answer

Signs and symptoms include; 1. Hyperthermia 2. Severe headache 3. Neck rigidity and back pain 4.…

Answered: A 14-year-old high school student with…

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

See similar textbooks

Similar questions

An 18-year-old patient reports a low-grade fever, itchy and red eyes, pain in the right ear, as well as a mild cough and runny nose.
A 45-year-old man had a 10-day history of appetite loss, flu-like symptoms, and nausea. He noticed that upon urination, his urine had been dark in color over the past 4 days. On examination, he had tenderness in his upper right quadrant of his abdomen. Laboratory tests show: Total Bilirubin- 4.5 mg/dL Direct Bilirubin- 2.5 mg/dL Indirect Bilirubin- 2.0 mg/dL 1. What is the clinical importance of the result of: a. Total Bilirubin b. Direct Bilirubin c. Indirect Bilirubin 2. What does the dark-colored urine indicate? 3. What is the diagnosis of the patient? 4. What other tests are needed to be done to support your diagnosis?
A client has bull’s neck appearance,he is suspected to have; a mumps b tularemia c kissing diseas A client has a rash that resembles the bull’s eye he is suspected to have a mumps b tularemia c kissing disease An early sign of Lyme disease a arthrailgia b lyme carditis c bells palsy
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Answer the following questions: (Provide reference and in-text citation) 1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease. 2. Explain the pathology of the disease. 3. Which virus could have caused the disease? How did she contract the virus? 4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations? 5.…
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…
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Kindly answer all the following questions:1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease.2. Explain the pathology of the disease.3. Which virus could have caused the disease? How did she contract the virus?
Lin, a 5-year-11-month-boy, had a fever 20 days ago with no obvious trigger and reached the highest oral temperature of 40°C. He visited 2 pediatric hospitals and the results are as follows. 1st hospital Blood routine test: WBC: 8.7 X10°/L, N: 21%, RBC: 3.36X10°/L, BPC: 75X 10/L, Hb: 109g/L; peripheral blood smear shows: atypical cells 29%. Suspected "infectious mononucleosis" and EBV infection, thus intravenous ganciclovir was given. 2nd hospital No anaemic face, temperature 37.5°C. No superficial lymph nodes were obviously enlarged. Skin rash (-). The liver and spleen was palpable 1.0cm below rib with a soft texture, tenderness (-) and rebounds tenderness (-). All joints had no swollen and tenderness. Blood routine test: WBC: 7.2 X 10°/L, RBC: 3.1 X 10°/L, BPC: 64 X 10°/L, Hb: 90g/L, atypical cells 7%. Peripheral blood smear test: blast=18%, L=48%, N=31%. 1. Are liver and spleen palpable in child if there is no hepatosplenomegaly? 2. Why did the 1t hospital doesn't do the liver,…
A 5-month-old girl is brought to the emer- gency department by her parents because she is “turning blue." She is cyanotic, weak, and dyspneic. Her parents state that she has expe- rienced similar episodes in the past, but never this severe. Physical examination reveals the lungs are clear to auscultation, with no wheez- ing, rales, or rhonchi. Cardiac examination reveals a regular rate and rhythm, normal S1, single S2, a grade III rough systolic murmur at the left sternal border in the third intercos- tal space, and a palpable right ventricular lift. Echocardiography demonstrates unusual posi- tioning of the aorta, which overrides both the left and right ventricles in the long axis view. In this condition, the primary developmental defect occurs in which portion of the primitive heart? (A) Bulbus cordis (B) Conal septum (C) Left and right horns of the sinus venosus (D) Primitive atria (E) Primitive ventricle
Lin, a 5-year-11-month boy. He had a fever 20 days ago with no-obvious trigger and reached- the highest oral temperature of 40°C, no obvious cough, runny nose, vomiting. headache. dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He visited a local hospital and underwent a blood-routine test: WBC 8.7X 10°/L. N 21%. RBC 3.36X 10/L. BPC 75 X 10°L, Hb 109g/L; peripheral blood smear shows: atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus intravenous ganciclovir was given and his blood was extracted to check for anti-EBV antibody simultaneously. 1.- What are the main symptoms found on this patient? According to the patient's history and- presentations, what are the probable issues that you will need to think of?
An 18-year-old patient reports a low-grade fever, itchy and red eyes, pain in the right ear, as well as a mild cough and runny nose. Vitals Temperature - 100.1 °F Heart Rate - 88 bpm Respiratory Rate - 18 bpm Oxygen Saturation - 94 BP - 124/78 What is the diagnosis?
I. A Case StudyA 30-year-old man was transported to the emergency room with an unexplained fever, headache, and dizziness for the past two days, as well as indicators of dehydration and epistaxis. An initial examination revealed an oxygen saturation of 86%. (95-100 percent ). A positive Dengue IgM/IgG test and a platelet count of 15.0 mm3 are found in the laboratory (150, 000-450, 000 mm3). As a result, the physician gave the patient a blood transfusion and monitored his hydration level. 1. What blood component is most likely to be impacted and exhausted based on the indications and symptoms (headache + dizziness)? 2. What plasma component is most likely to be altered (elevated) physiologically in the setting of dehydration in the patient's case? 3. In the patient's instance, which blood component was most likely decreased when he had epistaxis? 4. In the patient's situation, what type of WBC is elevated? What is the morphology and granularity of the nucleus?
A 48-year-old man has experienced increasing malaise and difficulty concentrating at work for the past 6 months. On physical examination he has splenomegaly but no lymphadenopathy. He is afebrile. Laboratory studies show Hgb 12.0 g/dL, Hct 35.8%, MCV 92 fL, platelet count 390,000/uL, and WBC count 190,000/uL with differential count 73 segs, 12 bands, 6 metamyelocytes, 2 myelocytes, 2 myeloblasts, and 5 lymphs. The leukocyte alkaline phosphatase (LAP) score is very low. A bone marrow biopsy is performed. Which of the following microscopic findings is most likely to be found in this biopsy? Atypical cytokeratin positive glands Predominance of adipocytes Numerous mature and immature myeloid cells Sheets of plasma cells Granulomas that have many acid-fast bacilli.

SEE MORE QUESTIONS

Recommended textbooks for you

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Fundamentals of Nursing, 9e

Nursing

ISBN:

9780323327404

Author:

Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE

Publisher:

Elsevier Science

Study Guide for Gould's Pathophysiology for the H…

Nursing

ISBN:

9780323414142

Author:

Hubert BS, Robert J; VanMeter PhD, Karin C.

Publisher:

Saunders

Issues and Ethics in the Helping Professions (Min…

Nursing

ISBN:

9781337406291

Author:

Gerald Corey, Marianne Schneider Corey, Cindy Corey

Publisher:

Cengage Learning

SEE MORE TEXTBOOKS