A 24-year-old patient was admitted to a psychiatric hospital with a diagnosis of Hysterical Neurosis. He had complains ofheadaches, irritability, nausea, poor sleep. During conversation with a doctor the patient demonstrated groans, sobs, the urge tovomit, the presentation of unsubstantiated claims to medical staff. On examination: signs of somatic and neurological pathology werenot detected. A day later, during a conversation with a doctor, the patient had an emotional "explosion" (shouting, crying, moans,chaotic movements), followed by a short loss of consciousness and the development of hysterical paralysis of the left hand.Questions:4. What locomotor (except paralysis) disorders are possible with this pathology.5. List the typical vegetative disorders in this pathology.

Hysterical neurosis is a typical neurotic disorder which is characterized by disturbances in sensory…

Answered: A 24-year-old patient was admitted to a…

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

Name: Haesoo Age: 69 years old Sex: Female Chief Complaints: dyspnea and cough for 1 week Admitting Diagnosis: HCAP (Healthcare associated Pneumonia) Medical Hx: Dyslipidemia Alcoholic cirrhosis Hypertension Medications maintained: Lisinopril Atorvastatin Tiotropium Fluticasone/salmeterol Albuterol inhaler Vitals Signs Temp. 38.4 C HR: 89 bpm RR: 18 bpm BP: 140/86 02 Sat: 84% room air; 98% nasal cannula Physical Exam General Elderly female, looks older than stated age HEENT Mildly icteric, pupils equally round and reactive to light and accommodation Neck Supple Resp Coarse breath sounds, rhonchi and wheezes heard throughout Card Regular rate and rhythm, no murmurs, rubs, or gallops Abd Slightly distended Ext No edema
A 35 year-old half Filipino-half Pakistan presented to the outpatient department of dermatology at the hospital, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. What causes the hyperpigmentation of the lesions? If the scrapings from lesions will be tested for 10% KOH, what pattern or appearance can be seen under the microscope?
Use sensory language on the following sentences. 1.My first day of school was fun. 2. The outbreak of corona virus makes the people suffer. 3. We enjoyed the meal. 4.The trees provided shade. 5. The place was crowded. 6. It was nearly dark. 7. It was a pleasant day.
A 45-year-old established patient with rheumatoid arthritis, hypertension, and hyperlipidemia presents for an office visit. His joint disease has been stable in the past, but in the last three weeks he has noticed increas- ing pain and has developed redness in several joints. He has had a low-grade fever for the past week. The evening before the visit, Dr J reviews the patient's recent test results for 15 minutes. At the visit, Dr J reviews the medical history form completed by the patient and vital signs obtained by the medical assistant. A history including prior response to treatment, a review of inter- val correspondence with other providers, and a relevant examination are performed. The likely progression of disease is discussed with the patient. Lab work to rule out systemic infection is ordered. A treatment plan is updated with a new medication prescription provided. The patient has considerable anxiety regarding the new medication and the potential risks, and Dr J provides…
What is the treatment option for this patient? How could this patient have prevented the disease she is currently experiencing?
24. A 45-year-old man is brought to the physician because of a 3-week history of fever and facial pain. His temperature is 38°C (100.4°F), pulse is 74/min, and respirations are 14/min. Physical examination shows tenderness, edema, and erythema around the left zygomatic bone. A CT scan of the head shows that the left maxillary sinus is filled with fluid. Fiberscopic rhinoscopy is done to examine the maxillary sinus. The inserted endoscope is most likely to traverse which of the following spaces before immediately entering the maxillary sinus in this patient? A) Frontonasal duct B) Inferior meatus C) Middle meatus D) Nasolacrimal duct E) Parotid duct F) Sphenoethmoidal recess G) Superior meatus
A cattle herder is rushed to hospital presenting with symptoms that resemble those of a common cold or flu, including sore throat, mild fever and muscle aches. The symptoms were followed by chest discomfort, dry cough, shortness of breath and fatigue. Shortly thereafter, the patient started wheezing with cyanosis, shock and an onset of meningitis. A chest X-ray and computed tomography (CT) of the chest show a widened mediastinum, pleural effusions, and pulmonary infiltrates. After a thorough follow up at the farm where the herder works, several cattle were reported to have had a rapid onset of staggering and trembling, breathing difficulty and convulsion that led to death.
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?
The patient was a quadriplegic following a motor vehicle acci dent. He filed a lawsuit claiming that the skin lesions he con tracted in the hospital were the result of negligent care on the part of his nurses. At trial, it was noted that the patient's sacral bed sores and decubitus ulcers did first appear while he was immobile in a Minerva brace and on a ventilator. The patient's expert wit ness noted that documentation by the nurses showed that he was turned every 2 to 3 hours, his tube feedings and supplements were correctly given, and he was continually assessed for additional skin breakdown. This expert also testified that the policy for turn ing a patient who was ventilator dependent and a high risk for skin breakdown was every 2 to 3 hours. Was there a deviation from the standards of care in this instance? Review professional organizations' standards of care as you decide this case.
Mrs. Jones is a 70-year-old woman you are admitting to the skilled nursing facility after a total hip replacement. When you obtain her past medical history, she reports a problem with a chronic rash under her breasts and in her supragluteal fold. She has tried a number of topical antifungal treatments without success. She has never seen a dermatologist. While she finds the rash a nuisance and experiences an occasional increase in itchiness, it is something she can live with. Her primary care provider diagnosed the rash as Candida and encouraged her to keep the area clean and dry and to use antifungals. Recently, her 42-year-old daughter was diagnosed with psoriasis and asked about a family history of the disease. Mrs. Jones was unaware of anyone in her or her husband’s family with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any…
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 25-year-old man presents with history of chronic headaches described as dull andcontinuous, fatigue, along with visual changes. Physical examination reveals bitemporalhemianopsia and slow return phase of deep tendon reflexes. An intracranial calcifiedmass is detected on MRI. This mass is surgically removed. Gross inspection shows cysticspaces filled with thick brownish fluid that is rich in cholesterol. The mass most likelyshares a common origin with which of the following?A. Choroid plexusB. Pineal glandC. Pituitary glandD. Cerebellar vermisE. Retina

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