Question # 124A 52-year-old woman comes to the emergency department for rectal pain that started 2 hours ago. Thepain is described as severe, burning, and exacerbated while sitting. Medical history is significant forchronic idiopathic constipation, for which she takes a fiber supplement. The patient has 4 children, allof whom were vaginally delivered. Family history is unremarkable. She does not use tobacco, alcohol,or illicit drugs. Temperature is 37.2 (99 F), blood pressure is 138/84 mm Hg, and pulse is 90/min. Onphysical examination, the patient appears in moderate distress due to pain. The abdomen is soft,nondistended, and nontender. Bowel sounds are normoactive. Anal examination reveals a small,exquisitely tender, bluish lesion at the anal verge. Which of the following is the most likely diagnosis?ACondyloma acuminataBCrohn diseasePerianal abscessProlapsed internal hemorrhoidERectal prolapseFThrombosed external hemorrhoid

Hemorrhoids are blood vessel which are located in the smooth muscles of a rectal wall and anal wall.…

Answered: A 52-year-old woman comes to the…

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

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Maria Russo is a 76 year old woman admitted to the Emergency Department viaambulance. Maria fell when watering her garden and was unable to get up. She waslying in her garden for 3 hours until discovered by her neighbour.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria lives alone, her husband died 6 months ago. Her adultchildren live interstate.Maria's current medications include Aspirin 75mgs daily, Citalopram 20mg andAlendronate Sodium 10mg orally daily.She was administered Intravenous Morphine and inhaled Methoxyflurane by theparamedics.Assessment data:Airway: patentRespiratory rate: 18 breaths/min Oxygen saturation: 97% on room airHeart rate: 90 beats/min (irregular) Blood pressure: 104/70 mmHgCapillary refill: 2 secondsRight leg shortened and externally rotated Right hip bruised and oedematousRight foot pink, cool, no paraesthesia or abnormal…

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