A physician suspects a woman of child bearing age to have a prolactinoma. They have run two prolactin tests on the patient and both have been elevated. The next best step is to: O perform a pituitary MRI O exclude pregnancy as the cause O perform a third prolactin level to confirm take the patient off of all medications for two weeks
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- Match the following medications with the reason they may be considered inappropriate for adults over 65 years of age. Decongestants Breast and endometrial cancer Benzodiazepines Increased blood pressure Alpha-blockers May lower seizure threshold Estrogens Cognitive impairment, fall risks Some PPIs and H2 blockers Toxicity due to renal clearance Antipsychotics Orthostatic hypotension, tachycardia NSAIDs Multiple drug interactions, decreases absorption of other medications Cardiac glycosides (digoxin) GI bleeding, increased cardiovascular risksGiven below are a few medical terms. Explain them in the simplest form using one word or sentence. Please DO NOT complicate... Thanks Puberty, Symptoms, Physical signs, Diagnosis, Prognosis, pyrexiaCASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting apregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis:1. What specific parts of the female reproductive system is affected in this case? 2. What…
- Demographic Profile: Name: Allis Babcocks Age: 46 years old Sex: Female Civil Status: Married Nationality: American Religion: Roman Catholic Educational Attainment: College Graduate Occupation: Teacher Chief Complaint: Occasional mild pain and growing lump in the right breast, upper outer quadrant History: Patient presented to the hospital with a 4-month history of occasional, mild, right breast pain, rated it as 3 our of 10 and temporarily relieved with analgesics. 2 months PTA, patient noticed a small, immovable lump on the upper, outer quadrant of the breast. 1 week PTA, the lump has not resolved and became more prominent which prompted admission Medical History: No comorbidities. No allergies Gynecologic History: Has 1 child, delivered via NSVD @2007, at age 32 Menarche at age 11 Regular menstruation with occasional dysmenorrhea Family History: Mother diagnosed with breast cancer at age 49 and died at age 67 from reoccurrence of cancer Medications: Ibuprofen…Demographic Profile: Name: Allis Babcocks Age: 46 years old Sex: Female Civil Status: Married Nationality: American Religion: Roman Catholic Educational Attainment: College Graduate Occupation: Teacher Chief Complaint: Occasional mild pain and growing lump in the right breast, upper outer quadrant History: Patient presented to the hospital with a 4-month history of occasional, mild, right breast pain, rated it as 3 our of 10 and temporarily relieved with analgesics. 2 months PTA, patient noticed a small, immovable lump on the upper, outer quadrant of the breast. 1 week PTA, the lump has not resolved and became more prominent which prompted admission Medical History: No comorbidities. No allergies Gynecologic History: Has 1 child, delivered via NSVD @2007, at age 32 Menarche at age 11 Regular menstruation with occasional dysmenorrhea Family History: Mother diagnosed with breast cancer at age 49 and died at age 67 from reoccurrence of cancer Medications: Ibuprofen…Demographic Profile: Name: Allis Babcocks Age: 46 years old Sex: Female Civil Status: Married Nationality: American Religion: Roman Catholic Educational Attainment: College Graduate Occupation: Teacher Chief Complaint: Occasional mild pain and growing lump in the right breast, upper outer quadrant History: Patient presented to the hospital with a 4-month history of occasional, mild, right breast pain, rated it as 3 our of 10 and temporarily relieved with analgesics. 2 months PTA, patient noticed a small, immovable lump on the upper, outer quadrant of the breast. 1 week PTA, the lump has not resolved and became more prominent which prompted admission Medical History: No comorbidities. No allergies Gynecologic History: Has 1 child, delivered via NSVD @2007, at age 32 Menarche at age 11 Regular menstruation with occasional dysmenorrhea Family History: Mother diagnosed with breast cancer at age 49 and died at age 67 from reoccurrence of cancer Medications: Ibuprofen…
- What would be a subjective for this case study A 52-year-old white female has been experiencing bone pain over the past several years after menopause. She states, “The pain is becoming worse, and it is keeping me from doing my daily activities.” She currently complains that any weight-bearing activity causes her severe discomfort. She now reports having “hot spells” at different times throughout the day with some trouble sleeping for the past 3 months. She also complains of some vaginal dryness that she admits is bothersome. She is not taking any medication. She has been using a soy herbal supplement and vitamin E 400 IU daily. She is up to date on all her gynecological exams, and past mammograms have been normal as have her health maintenance exams. She does not smoke or use alcohol. Her system reviews are unremarkable excluding today’s complaint. She lives alone in a one-story house and works at a car plant. She has three children and one grandchild. Her daughter lives in close…In written word, outline information and nurse considerations for educating patients on the following topics: Cervical insufficiency Hydatidiform mole ABO and Rh incompatibilitiesWhat would be an objective in this case study ? A 52-year-old white female has been experiencing bone pain over the past several years after menopause. She states, “The pain is becoming worse, and it is keeping me from doing my daily activities.” She currently complains that any weight-bearing activity causes her severe discomfort. She now reports having “hot spells” at different times throughout the day with some trouble sleeping for the past 3 months. She also complains of some vaginal dryness that she admits is bothersome. She is not taking any medication. She has been using a soy herbal supplement and vitamin E 400 IU daily. She is up to date on all her gynecological exams, and past mammograms have been normal as have her health maintenance exams. She does not smoke or use alcohol. Her system reviews are unremarkable excluding today’s complaint. She lives alone in a one-story house and works at a car plant. She has three children and one grandchild. Her daughter lives in close…
- Provide a possible diagnosis for the following endocrinology related case. During the term break, one of your aunties’ come to stay with your family at the city. She is a 55 year old, married woman who works as a civil clerk of the Regional Trial Court of their province. Her main agenda is to consult a doctor or two for the various health issues she currently has. She has many signs and symptoms. She drinks water too much because she is always thirsty, and urinates too often. She also eats more frequently that she used to. But by looking at her, she seems to be pretty slim. You wouldn’t really believe she eats too frequently unless you saw her regularly. Now that she is staying with you, you observe that she has a very sedentary lifestyle, plus yes, she does eat many times in a day. Since you have been close to her from childhood, you agreed to share your room with her. You are a light sleeper, and this made you realize that she wakes up at least 3x every night just to urinate. She…Homeostasis Cases Read through each case. Fill in the blanks/spaces below based on the content of the cases. Case#1: A woman is breastfeeding her baby. The suckling of the infant at the breast activates receptors in the nipple. Sensory fibers carry signals from these receptors to the hypothalamus/posterior pituitary. This stimulates the release of the hormone oxytocin from the hypothalamus/posterior pituitary of this woman’s brain. The oxytocin stimulates smooth muscle fibers in the ducts of the breast to contract, squeezing milk into the infant’s mouth. The baby nurses more strongly, stimulated by the release of the milk. The oxytocin release and breast stimulation continue for the entire time the infant is nursing. What is the stimulus of this control loop?______________ What is the control center? _________________________ What is the effector? _______________________________ In this feedback mechanism, insulin is acting as the_______ (receptor/afferent pathway/efferent pathway).…Appropriate treatment of hypothyroidism includes:A. Using sodium levothyroxineB. Using triiodothyronineC. Complex preparations with thyroxine and triiodothyronineD. Potassium iodideE. Vitamin D