CASE STUDY 32.2A 65-year-old man presents to the emergency department after he hadabnormally tarry-colored stool on multiple occasions. He has hadgastrointestinal discomfort and has felt increasingly tired during the past 2months. Physical examination reveals a guaiac-positive stool. Asubsequently colonoscopy identified a circumferential mass in the sigmoidcolon. A biopsy was performed, which identified the mass as anadenocarcinoma. CEA level was obtained as part of the presurgery workup.questions1. Is the CEA test useful as a screening test for colon carcinoma?2. What other conditions can result in elevated CEA levels?3. How is CEA used to monitor patients after surgery for colon cancer?

CEA (Also known as Carcinoembryonic antigen) It is a substance present on surface of some cells. It…

Answered: A 65-year-old man presents 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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An overweight 45-year-old female patient is seen by the primary care physician. She complains of a severe colicky pain in her right upper quadrant about 2 hours after meals but is otherwise healthy. After a history and physical, the physician diagnosis the patient with cholelithiasis.1. Describe the condition and causes of cholelithiasis.2. What are three possible treatments for this condition?3. How would a patient’s diet affect this condition
Fourth Hospitalization As you read on, you note that Vincent was hospitalized again at age 49 with dull pain in the right, upper quadrant of the abdomen, intermittent fever of 3 weeks duration, and a yellowing of the skin and the whites of the eyes. A diagnosis of "alcohol-induced hepatitis" is listed in the chart. 1. Is the diagnosis consistent with the location of the abdominal pain? Explain your answer
Protocol for demonstrating hepatitis B using shikata orcein method
A 55-year-old female patient who is positive for MR SA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy. Which category of medications will be used during the "Intraoperative cholangiography" segment of the procedure? Name three medications from this category.
The most significant aspects of diagnosing acute perforation of ulcer disease are: History of ulcer disease Severe pain around the umbilical protuberance, transferred to the right lower abdomen Severe abdominal pain Free air under the diaphragm Abdominal pain relieved several hours later, suggesting disease improvement
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True or false please quickly answer others downvote
R.T. is a 64-year-old man who went to his primary care provider's office for a yearly examination. He initially reported having no new health problems; however, on further questioning, he admitted to having developed some fatigue, abdominal bloating, and intermittent constipation. His physical examination was normal except for a stool positive for guaiac. R.T. was referred to a gastroenterologist for a colonoscopy. A 5-cm mass found in the sigmoid colon was diagnosed as an adenocarcinoma of the colon. The pathology report described the tumor as a Dukes’ stage B, meaning cancer extends into the muscle or connective tissue and invades adjacent organs and lymph nodes. A distant metastatic workup is negative, and R.T. is being referred for surgery. Vital Signs BP: 148/82, R: 89, R: 20, T: 99° F .Lab Results: CBC wnl, BMP wnl and carcinoembryonicantigen (CEA) 4.7 Medications: Morphine IV, leucovorin (folinic acid) 10 mg IM, and irinotecan (Camptosar) injectionMarcia Clinical…
What is a potential severe complication of GERD if left untreated? Esophageal cancer Damage to vocal cords Risk of infection due to decreased immune system as a result of lack of sleep Esophageal stricture
Answer with reference sir please
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 ScenarioThe patient is a 54-year-old Caucasian male with ulcerative colitis who underwent a totalproctocolectomy with end ileostomy in 1997. He developed a parastomal hernia that was becomingincreasingly symptomatic. Following a discussion with the patient regarding the risks and benefits of parastomal hernia repair, he underwent an exploratory laparotomy with enterolysis, parastomal herniarepair and re-siting of the ileostomy. The hernia defect was repaired primarily with a biologic meshunderlay (Alloderm, Lifecell®). He received one preoperative dose of cefoxitin; consistent withpreoperative antibiotic guidelines. The operation was uneventful. His postoperative course wasuncomplicated; on postoperative day 4 he was tolerating a regular diet and had normal ileostomy output.He was subsequently discharged home.Twenty-four hours later, he returned to the hospital emergency department with complaints ofabdominal pain and feculent vomiting. Vital signs on arrival were notable for a…

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