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Identify a minimum of 15 clinical signs and symptoms that are consistent with a diagnosis of cirrhosis?

Identify a minimum of 15 clinical signs and symptoms that are consistent with a diagnosis of cirrhosis?

Phlebotomy Essentials
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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Identify a minimum of 15 clinical signs and symptoms that are consistent with a diagnosis of cirrhosis?
36 PART 3 GASTROINTESTINAL DISORDERS Abd • Moderately distended, firm, and slightly tender • (+) prominent veins observed around umbilicus • (+) HSM • Active BS • (-) guarding, rebound tenderness, palpable masses, and aortic, iliac, and renal bruits Genit/Rect • Heme-negative stool • Penis normal, testicles moderately atrophic but without masses • Normal sphincter tone • (+) hemorrhoids • Prostate may be slightly enlarged but (–) for nodules and tenderness MS/Ext • No clubbing or edema • Good peripheral pulses at 2+ throughout • Normal range of motion throughout Neuro • CNs grossly intact • Brisk DTRS at 2+ • Slight asterixis noted • Strength is equal bilaterally • Confused and disoriented • Negative Babinski • Sensory grossly intact Patient Case Question 2. Identify a minimum of 15 clinical signs and symptoms that are consistent with a diagnosis of cirrhosis.
Transcribed Image Text:36 PART 3 GASTROINTESTINAL DISORDERS Abd • Moderately distended, firm, and slightly tender • (+) prominent veins observed around umbilicus • (+) HSM • Active BS • (-) guarding, rebound tenderness, palpable masses, and aortic, iliac, and renal bruits Genit/Rect • Heme-negative stool • Penis normal, testicles moderately atrophic but without masses • Normal sphincter tone • (+) hemorrhoids • Prostate may be slightly enlarged but (–) for nodules and tenderness MS/Ext • No clubbing or edema • Good peripheral pulses at 2+ throughout • Normal range of motion throughout Neuro • CNs grossly intact • Brisk DTRS at 2+ • Slight asterixis noted • Strength is equal bilaterally • Confused and disoriented • Negative Babinski • Sensory grossly intact Patient Case Question 2. Identify a minimum of 15 clinical signs and symptoms that are consistent with a diagnosis of cirrhosis.
VS • BP 120/75, P 83 and regular (supine) • BP 118/70, P 80 and regular (standing) • RR 14 and unlabored • T 98.8°F orally • WT 171 lbs • HT 5 ft-7 in • Sao, = 97% %3D Skin • Warm, dry, and well perfused with normal turgor • Mild jaundice • (+) spider nevi on chest • (-) palmar erythema • Several ecchymoses on lower extremities • Large "cobra" tattoo on right upper arm HEENT • (-) bruises, masses, and deformities on head • (+) icteric sclera • Pupils at 3 mm and reactive to light • EOMI • Funduscopic exam WNL • TMs clear and intact • O/P pink, clear, and moist without erythema or lesions Neck/LN • Supple • (-) JVD • (-) goiter, thyroid nodules, carotid bruits, and adenopathy Chest • Lungs CTA bilaterally without wheezes or crackles • Diaphragmatic excursions WNL • Good air exchange • (+) gynecomastia Heart • RRR • Normal S, and S, with no S, or S̟ • No m/r/g heard
Transcribed Image Text:VS • BP 120/75, P 83 and regular (supine) • BP 118/70, P 80 and regular (standing) • RR 14 and unlabored • T 98.8°F orally • WT 171 lbs • HT 5 ft-7 in • Sao, = 97% %3D Skin • Warm, dry, and well perfused with normal turgor • Mild jaundice • (+) spider nevi on chest • (-) palmar erythema • Several ecchymoses on lower extremities • Large "cobra" tattoo on right upper arm HEENT • (-) bruises, masses, and deformities on head • (+) icteric sclera • Pupils at 3 mm and reactive to light • EOMI • Funduscopic exam WNL • TMs clear and intact • O/P pink, clear, and moist without erythema or lesions Neck/LN • Supple • (-) JVD • (-) goiter, thyroid nodules, carotid bruits, and adenopathy Chest • Lungs CTA bilaterally without wheezes or crackles • Diaphragmatic excursions WNL • Good air exchange • (+) gynecomastia Heart • RRR • Normal S, and S, with no S, or S̟ • No m/r/g heard
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