47. A 56-year-old man is admitted to the hospital because of a 1-week history of progressive nausea, anorexia, dyspnea, and lethargy. He has a 15-year history of type 2diabetes mellitus and hypertension. His respirations are 28/min, and blood pressure is 178/98 mm Hg. Physical examination shows jugular venous distention and pedaledema. Bilateral crackles are heard on auscultation of the chest. His serum creatinine concentration is 7.2 mg/dL. Which of the following is most likely to be decreasedin serum in this patient?A) Alkaline phosphataseB) 1,25-DihydroxycholecalciferolC) Parathyroid hormoneD) PhosphorusE) PotassiumF) Uric acid

Derangement in potassium regulation can lead to neuromuscular, gastrointestinal and cardiac…

Answered: A 56-year-old man is admitted 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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What condition does this patient likely have?
Mrs. Reyes, 71 years old, while doing household chores has fallen her front steps. She had a large bruise on her right temple and her right face and is brought to the emergency department by ambulance. Upon assessment her vital signs are HR 125; BP 110/76; RR 16; T 37.6°C; and pain 4/10. what diagnostic tests would be undertaken by this patient
Ms Nahed is 66year old woman with a history of MI,HTN hyperlipidemia, and diabetes mellitus presents with sudden onset of chest pain radiating to her left arm. Electrocardiography showed ST segment depression and positive cardiac enzymes. Home medications are aspirin, simvastatin, metoprolol, and metformin. Which regimen is the best treatment strategy for this patient? A Abciximab bolus then infusion for 12hours plus enoxaparin 80mg subcutaneously. B Aspirin and clopidogrel plus UFH bolus; then 15units/kg/hour infusion. C Aspirin and clopidogrel +UFH bolus then infusion titrated to maintain 50-70seconds a PTT plus eptifibatide with an early invasive approach. D Aspirin and enoxaparin subcutaneously twice daily with an early invasive approach.
A 3-year-old child is noted to have small pinpoint hemorrhages on the skin, appearing over the past 3 days. On examination the child's vital signs are normal. There are petechae over skin of extremities and trunk. A CBC shows Hgb 14.3 g/dL, Hct 43%, MCV 90 fL, platelet count 19,300/microliter, and WBC count 9370/microliter. This condition resolves over the next month without treatment. Which of the following is the most likely antecedent event for this child's illness? Acetylsalicylic acid (aspirin) ingestion Repetitive trauma Congenital HIV infection Upper respiratory infection Dietary cobalamin deficiency Sulfonamide ingestion
Answer the three questions
A 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions. Her symptoms are most likely due to
A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient What if your AST/ALT ratio were >1. What would that suggest?
Case #2: A new 60-year-old patient presents to the medical clinic with severe angina. He noted that after taking several doses of his sublingual nitroglycerin, he was unable to relieve his anginal pain. His cardiac troponins are elevated and his ECG shows ST wave elevation. He is currently also taking a low dose aspirin. He is 1.8 meters tall with a waist measurement of 1.1 m. Weight is 97 kg, blood pressure is 150/95 mm Hg, and pulse is 85. Q13: In the above patient, which best describes their current condition? STEMI NSTEMI Unstable Angina Stable Angina
A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. 4) What is the rationale behind the poor weight gain? 5)What counseling or family education should be provided to the Family about cystic fibrosis before the child goes home? 6) What genetic counseling should be provided?
Summary about the Patient with Small Gestational Age, Meconium Aspiration Syndrome and Respiratory Distress Syndrome.
Case 1: Bacterial Pneumonia and Hyperthermia Hanna Makaanges is a 28-year-old female patient who has been admitted to the Medical Ward due Bacterial Pneumonia. She came in to the hospital with difficulty in breathing, a non-productive cough, bibasilar crackles and expiratory wheezing in all lung fields. Her Chest X-ray revealed lobar consolidation suggesting the aforementioned illness. Laboratory tests results show an elevated White Blood Cell (WBC) count. She was then advised to go to the hospital hence admission. Upon admission, the physician ordered IV fluids and pharmacotherapy for patient Hanna. Her medications include: Cefuroxime 75 mg PO q 12H and Paracetamol 500 mg 1 tab PRN for temperature 37.7 C and above.
What condition does this patient likely have?

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