Question: The patient complained of pyrosis after heavy meals. Define this term? ### Patient Case Summary**Clinical Course:**The patient tolerated the procedure well. On postoperative day 2, the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a nasogastric tube to relieve low concomitant suction. During hospitalization, the patient also underwent transrectal ultrasound of the prostate with biopsy. The operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. However, biopsy results were positive for adenocarcinoma of the prostate. The patient is scheduled for Transurethral Resection of the Prostate (TURP) on another admission. The patient was treated with intravenous (IV) Levaquin for a urinary tract infection (UTI). The patient’s ileus resolved, and he was discharged on postoperative day 5 with plans for outpatient follow-up. The patient’s prognosis is favorable.**Discharge Diagnoses:**- Cholelithiasis/Cholecystitis- Paralytic Ileus- Adenocarcinoma of the Prostate with Gleason's Score of Grade 3- Chronic Kidney Disease- Osteoarthritis- Gastroesophageal Reflux Disease (GERD)- Peptic Ulcer Disease (PUD)- Contact Dermatitis- Status Post Total Knee Replacement (TKR)- Urinary Tract Infection (UTI)**Discharge Medications:**- Zofran- Zantac- Levaquin- Tylenol #3- Dulcolax- Flomax(Note: The document does not contain any graphs or diagrams requiring explanation.) **Case Study Transcription for Educational Website****Admitted:** 11/11/19 **Discharged:** 11/12/19 ---### Chief Complaint:This 66-year-old male was admitted for nausea, vomiting, and anorexia of three days' duration. The patient also complained of recent right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the second hospital admission for this 66-year-old male patient with a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) (with prior hemorrhage), and bilateral total knee replacement. Prior to this admission, the patient had been drinking heavily as he had in the past and had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis, or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream.### Physical Examination:The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Temperature was slightly elevated at 100.6°F. Pulse was 72 and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the examination was within normal limits.### Laboratory Studies:Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, too numerous to count (TNTC) white cells and pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8.### Impression:- Cholelithiasis/cholecystitis.- Enlarged prostate with elevated PSA, possible benign prostatic hyperplasia (BPH), rule out tumor.- Consider esophagogastroduodenoscopy (EGD) due to history of GERD and PUD.### Hospital Course:The patient was diagnosed with cholelithiasis/cholecystitis. The

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Anatomy and Physiology

Question: The patient complained of pyrosis after heavy meals. Define this term?

Human Anatomy & Physiology (11th Edition)

11th Edition

ISBN:9780134580999

Author:Elaine N. Marieb, Katja N. Hoehn

Publisher:Elaine N. Marieb, Katja N. Hoehn

Chapter1: The Human Body: An Orientation

Section: Chapter Questions

Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...

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URN: 9833360 |PATIENT: HERMIONE GRANGERDOB: 15 APRIL 2016 | PAEDS SITUATION:Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. ' BACKGROUNDMiss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENTHer Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and…
Part I – SymptomsCallie was 26 years old when she opened a bakery called “Callie’s Cupcakes” in downtown San Francisco with herf ancé, Jeremy. Despite the competitive market, her business was booming; everyone loved the clever recipes and thetrendy atmosphere. Between running their fast-growing business and planning for their wedding, Callie hadn’t beenable to keep to her usual eight hours of sleep a night. Although she had always lived a very healthy lifestyle, exercisingdaily and eating healthy, she just hadn’t been feeling herself lately. She was tired all the time, had dif culty breathing,felt stressed, coughed up sputum, consistently ran a low-grade fever, and had lost weight as her appetite decreased.None of these symptoms alone had been particularly alarming so she had put of seeing her physician for a few weeks.Questions1. What are Callie’s symptoms? List all that were mentioned.2. Based on the symptoms presented, what are three possible respiratory infectious diseases Callie…