What is the differential diagnosis? 2 What other questions would you ask about? 3 What is the most likely diagnosis? 4 What other investigations would you request? 5 How should this patient be managed?
Q: Tabulate the Commonly Used PCR Targets for Detection of Bartonella spp.
A: citrate synthase gene (gltA) is a common genetic target for Bartonella detection and is considered a…
Q: D. How can Harada Mori technique differentiate Hookworms from that of the Strongyloides?
A: Strongyloidiasis is a parasite infection that can strike anyone, anywhere. It is difficult to…
Q: Discuss in your own words the following myths as they relate to communication in the health care…
A: a. The isolation myth: In the medical care framework disconnection is an interaction which is…
Q: Nursing One chronic illness or disability to discover the impact this has on their life. Identify…
A: Persistent illnesses last a long time, frequently for a year or more. You may also have a…
Q: How to monitor your hypertension? Why is it important to monitor your hypertension?
A: Our body works well when all systems coordinate with one another. If any system gets damaged then it…
Q: Nursing Compare the differences among hypovolemic, cardiogenic, and anaphylactic shock. please write…
A: Anaphylactic shock - Anaphylactic Shock refers to a severe and life-threatening allergic reaction.…
Q: How can ethics give transformational impact to the nursing students?
A: Nurses often deal with the intimate difficulties and complexities of life, as well as the decisions…
Q: . The ideal roller bandage application for body parts where the thickness varies, such as over the…
A: BANDAGES Bandage is used to maintain direct pressure over a dressing to control bleeding, provide…
Q: 3. Is there a need to include activities from all parts of the Physical Activity Pyramid to your…
A: The Physical Activity Pyramid is a graphic aid that explains what everyday activities and sports…
Q: State two ways by which oxygen supplies to the brain may increase during a stress response.
A: When a stressful situation arrives our body deals with it through flight or fight modes. The…
Q: Successful teams have strong leaders and the importance of this role is evident in all categories of…
A: It is very important to keep the team motivated which enhances the performance of the team and…
Q: 1) What is the difference between full- service and limited-service hospitals?
A: The word Hospital is derived from the Latin word 'hospice' which means an establishment where a…
Q: Please draw a FAST diagram of a pacemaker.
A: THE heart is an organ consisting of many of the muscle tissue.the heart pumps blood around the…
Q: 14. When transporting a patient with intercostal drainage (ICD) tubes the nurse should be aware…
A: Never lift drain above chest level. The unit and all tubing should be below patient's chest level to…
Q: Nursing Which measure would be the most useful in each of the following situations: Explaning how…
A: Nursing is a Nobel profession. The nurse will do a complete assessment of the patient to identify…
Q: Which test is used to check whether freeze-sensitive vaccines have been damaged by exposure to…
A: Shake test was designed to detect damage caused to certain vaccines that are sensitive to freezing.…
Q: The full form of AEFI? Adverse events following injection Adverse events following immunization…
A: The full form of AEFI is - Adverse events following immunization
Q: . Define and Describe aseptic technique in blood collection
A: Note: According to bartleby guidelines only first question is to be answered. Phelbotomy: Phlebotomy…
Q: service and limited-service hospitals? 2) What are the three categories of prevention strategies for…
A: INTRODUCTION- Hospital can be defined as the healthcare facility which delivers dedicated medical…
Q: Nursing How will a nurse prioritize a patient admitted into the emergency department with phenomena…
A: Morse Fall Scale(MFS): MFS is a rapid and simple method for assessing the patient risk of falling.…
Q: Describe the Cancer stage grouping
A: Cancer is seen in that cell which don't follow normal cell cycle.
Q: Twelve subjects in a clinical trial to evaluate the effectiveness of a new bronchodilator were…
A: Forced expiratory volume is the volume that is estimated when a person forcefully exhales 1 second…
Q: Nursing The nurse is caring for a patient scheduled to have a laparoscopic cholecystectomy. The…
A: A procedure to remove the gallbladder is called a cholecystectomy . There are two types of…
Q: Question 36 of 60 What is the recommended route of administration for epinephrine during a…
A: Adrenaline has a rapid onset of action after intramuscular administration and in the shocked patient…
Q: Topic: General wound infection 1. Nursing assessment of the patient to identify the issue of wound…
A: Wound infection is the infection in which there is a growth of microorganisms such as bacteria,…
Q: 3. Scenario C: While swimming in a country pond, one Scout jumps from a rock ledge and does not come…
A: Here we have 2 scouts who got drowned and rescued. Both of them are not breathing and have a long…
Q: Q5: how many milliters of sterile water of injection should be added to a vial containing 5 mcg /ml…
A: Available Drug =5 mcg/ml Order to prepare 1.5 mcg/ml
Q: Nursing please help Blank 1 are summary measures that estimate the difference between actual…
A: Population health is defined as that it refers to the health status and health outcomes in a group…
Q: 2. The number of patients who need organ transplants is increasing from year to year. However, the…
A: There is a multitude of organs that can be donated and some of them are Cornea Heart Kidney Liver…
Q: Discuss in your own words the following myths as they relate to communication in the health care…
A: Answers: a. In the medical services framework segregation is a cycle which is continued in various…
Q: #23.
A: As we know Cells make up the building blocks of the living organism. A group of cells makes tissues…
Q: Nursing explain the differences between qualitative and quantitative data. Why is this important for…
A: Nursing care is the field of clinical practice of administration of drug ,patient counselling and…
Q: What is proper health promotion education for vision? (Select all that apply.) 1Avoid nonsteroidal…
A: Here we have to select right statement regarding proper health promotion education for vision.
Q: OSTEOPOROSIS: Adverse drug reaction Medication Monitoring parameters Zoledronic acid Raloxifene…
A: The meaning of osteoporosis is porous bone, it is a bone disease in which the bones are weak and…
Q: 6. WHO declared the 2019-novel Coronavirus outbreak as a Public Health Emergency of International…
A: Option A is correct OnJanuary 30, 2020, the World Health Organization labelled the outbreak a Public…
Q: discuss the adoption (recommended or required) of the use of wearing a mask during this COVID-19…
A: Covid-19 is a viral disease that is caused by a corona virus and it affects different types of…
Q: Nursing The patient is admitted with an open fronal skull bone fracture, this is the initial…
A: The ICD-10-CM (International classification of disease, tenth revision, clinical modification) is a…
Q: Please help me to answer ALL the letters with the correct answer. NO MORE EXPLANATION 2. A 4 month…
A: Infants are susceptible to infections due to a new immune system. Their immune system is not fully…
Q: 1. Which of the following can result in dementia symptoms? a. Nutrient deficiencies b. Dehydration…
A: 1) The correct option is - d. All of the above that is Dementia can be defined as the loss of…
Q: Question 4 Identify and explain three issues which need to be considered when prioritising an older…
A: Geriatric assessment is a multidisciplinary, multidimensional assessment that is designed for…
Q: a nurse is caring for a hospitalized 2yr old child who has tantrum when a parent leaves which of the…
A: Distract the child or keep him indulged in any playful , watching activity that keeps him…
Q: Nursing How will a nurse prioritize a patient admitted into the emergency department with phenomena…
A: Morse scale used to detect the risk of falls. Most of the nurses use this to identify the severity…
Q: Identify and describe the major factors thatinfluence the structure of the health caresystem within…
A: Quality in healthcare is a production of interactive and cooperation between the patient and the…
Q: Lead discovery - Target selection - Medicinal chemistry - In vitro studies - In vivo studies -…
A: THR DRUG DEVELOPMENT PROCESS There are 5 processes of drug development. 1. Drug discovery and…
Q: The patient was taking digoxin correctly as prescribed for atrial flutter. The patient developed…
A: Atrial flutter is the principal CM diagnosis here. The code is I48.92. Second CM code R 00.1 is a…
Q: e ethical benefits and re
A: Ethics is also called as moral philosophy. This disciplines is concerned with the moral. It says…
Q: Nursing A client newly diagnosed with osteoarthritis asks about increased pain with movement. Which…
A: Osteoarthritis are also called as wear and tear disease. It is a chronic condition and causes the…
Q: What are the types of twins and which of them share a placenta and amniotic sac ?
A: Twin pregnancies occur when the mother conceives two fetuses. Twins are classified based on the…
Q: weURapy ummunotherapy Certificate Initial Cou... O Optons Question 36 of 60 What is the recommended…
A: Adrenaline has a rapid onset of action after intramuscular administration and in the shocked patient…
Q: In teaching the mother how to treat her child at home all of the following is needed except: A.…
A: ♦ANSWER♦1 •Option B is the correct answer to this question. •Explanation, •Nurse should be given…
A 32-year-old man presents to his GP with colicky pain which radiates from
his back to his groin on the left. He has also been feeling nauseated and has vomited several times. The patient relates that he has never had this kind of problem before and that nobody else in his family has either. He is a fit and well man with no medical problems and does not take any
medications. He has not had any urinary symptoms or fever. He does eat a lot of chocolate and drinks a lot of tea. He works outdoors as a gardener and so often gets very hot and does not always have time for a drink. The pain comes in waves and can last about 30 minutes.
* On examination
On examination he is very tender in the left loin. The pain radiates into his
left groin. The rest of his abdomen is soft and non-tender. His urine dipstick shows non-visible haematuria and is negative for nitrites and leucocytes. His temperature is 38.2. He is clinically dehydrated and is still vomiting.
* examination
When in hospital the patient had his IV urogram which showed no evidence of
obstruction. His renal ultrasound showed a 4 mm stone. The patient passed the stone and when analysed it was found to be a calcium oxalate stone. The patient was fit for discharge.
1 What is the differential diagnosis?
2 What other questions would you ask about?
3 What is the most likely diagnosis?
4 What other investigations would you request?
5 How should this patient be managed?
6 What advice should you give this patient?
7 Risk factors for calcium oxalate?
Trending now
This is a popular solution!
Step by step
Solved in 2 steps
- TM is a 38 year old male with ulcerative colitis admitted to the medical unit at the hospital for acute exacerbation of the disease. This is his second admission in the last six months. TM says he is frustrated with this disease. In the last week TM has had 15-20 diarrhea episodes a day. He needs to hurry to the bathroom often throughout the day and night. He reports sleeping only an hour at a time at night and trouble staying awake at work. He also reports nausea and vomiting in the last three days along with increasing abdominal pain. His bowel movement at time of admission appears loose, bloody and has a large amount of mucous. His vital signs include: BP 98/64, HR 96, RR 22, T 100.8˚F (38.2˚C), O2Sat 98% on RA. He is 5’8” and weighs 125 lbs.1. Which assessment values are indicative of ulcerative colitis?The physician orders the following labs: CBC w/differential, Chem panel, stool analysis.2. What abnormalities do you expect and why?The nurse assigns the nursing diagnosis of…A 62-year-old man returns home from playing bingo, complaining of midline abdominal pain. He denies being hit or suffering any other trauma. Over the next few hours the pain does not remit but becomes more severe and is localized to the lower right quadrant. He also develops nausea and vomiting. He denies diarrhea and has not had similar episodes. The patient lies down in bed, and over the next 24 hours, the pain worsens and he develops fever and chills and is brought to the emergency center. On examination, he has a temperature of 102°F and appears ill. His abdomen is mildly distended and has hypoactive bowel sounds. The abdomen is diffusely tender to palpation, particularly in the right lower quadrant. 1. What is the most likely diagnosis? 2. What additional tests would help in making an accurate diagnosis?A 22 year old black woman present with complaints of burning and frequency of urination for the past 2 to 3 days. It is getting worse. She feels she has to void, rushes to the bathroom and then is only able to void a small amount. it is painful. There is no sign of blood in the urine. She denies fever, chills, diarrhea, nausea, vomiting or vaginal discharge. " I have to rush to the bathroom, and it hurts when I urinate". Physical Ex: Essentially unremarkable. Negative suprapubic tenderness: negative costovertebral angle tenderness. Negative abdominal pain and benign abdominal exam. Negative back pain. Afebrile. Vital signs normal. No complaints of vaginal discharge. Uranalysis shows+ WBCs, trace RBCs. What additional data are important to factor into this picture? Do you do vaginal ex and why? Should you do urine culture and sensitivity? What are things in the medical history that may provide clues to the possible cause of dysuria? What are the possible differential diagnoses for…
- A 30-year-old male banker complains of mid epigastric gnawing and boring pain for the last week. The pain is worse at night and is somewhat better immediately after he eats. He has not had any fever, nausea, or vomiting. He takes about one 500-mg acetaminophen tablet a week for headaches but does not take any other medications. Upper endoscopy reveals a 2-cm mucosal defect in the antrum of the stomach. There is mild edema in the adjacent mucosa, but there is no thickening of the edges of the ulcer. 1. What is the most likely diagnosis? 2. What are complications from this condition? 3. What is the most likely mechanism of this disorder?A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain, nausea, and vomiting over the last few days. His abdomen is distended. He has poor skin turgor and dry mucous membranes. He has not urinated since yesterday. He has felt “dizzy” and “weak” all evening. He thought it might be the flu, but decided to come in because the stomach pains were getting worse. He has signed informed consent for treatment and labs have been drawn. Opening Questions How did the scenario make you feel? Scenario Analysis Questions* PCC/EBP/S When reflecting on the care of Stan Checketts, what are signs and symptoms you can assess in the next patient you care for who might be at risk for dehydration? EBP/QI Discuss signs and symptoms of hypovolemic shock. PCC/EBP Discuss assessment and expected findings in a small bowel obstruction. PCC/S/I/EBP What key questions does the nurse ask in an acute abdominal pain assessment? PCC/EBP/S In evaluating…A 12-year-old male was brought in by his mother for evaluation of diarrhea and crampy abdominal-pain of 2 weeks duration. That morning he had an "accident" in his pants and saw something move. His mother thought it was an earthworm. He had no fever, cough, or hemoptysis. His physical examination was unremarkable
- Mrs. Gina Ryan, a 52-year-old court stenographer, was admitted to the nursing unit from her physician's office. She had a gnawing pain on. her right side radiating to her back for 3 days. she now describes her pain as "excruciating after eating or drinking". In the past 48 hours she has been vomiting about 2 to 3 hours after she eats. she has not had anything to eat or drink for the past 12 hours. Mrs. Ryan stated that she had not been successful in adhering to the weight reduction diet that had been prescribed by her physician and that she had rapidly lost, then regained, weight several times in the past year and a half. She stated, "My life is just too busy - I work late hours in the court system and had to buy my meals put a lot". She indicated that in addition to her work, she and her husband share the responsibility for raising their two teenage daughters. Admission physical examination revealed BP-130/80, PR-102, RR-24, Temp-37.3, height - 5'7", weight - 122kg, skin warm, no…A 25 year old, previous)y healthy woman came to the emergency room for the evaluation of bloody diarrhea and diffuse abdominal pain of 24 hours' duration. She complained of nausea and had vomited twice. S reported no history of infammatory bowel disease, previous diarrhea, or contact with people with diarrhea. The symptoms began 24 hours after she had eaten an undercooked hamburger at a local fast food restaurant Rectal examination revealed watery stool with gross blood. Endoscopy tests showed diffuse mucosal erythema and petechia with a modest exudation but no ulceration or pseudomembranes. 1. Name the four genera of Enterobacteriaceae that can cause gastrointestinal disease. Which two can cause hemorrhagic colitis? 2. What virulenca factor causes the symptoms described in this clinical case? Describe the toxin mechanism of action. 3. Name the five groups of E coli that can cause gastroenteritis. What is the characteristic of each group? 4. What are the forms of Salmonella infection?…Male, 50 years old, was admitted to the emergency department with abdominal pain for 7 hours The patient overate 8 hours before and felt discomfort in the upper abdomen after drinking alcohol. 7 hours ago, there was sudden severe pain under the xiphoid process, accompanied by nausea and vomiting of stomach contents several times. 5 hours ago, abdominal pain spread to the right lower abdomen with onset of fever. The patient refused to press the abdomen due to pain, irritable, and had cold sweats. Physical examination: T38.6 °C, P104 /min, R24 /min, BP100/60mmHg. Acute painful appearance, irritability, no obvious lesions in cardiopulmonary examination, flat abdomen, no gastrointestinal and peristaltic waves, extensive abdominal muscle tension, tenderness in the subxiphoid area and right middle and lower abdomen, obvious rebound pain. The most prominent undershoot, liver and spleen are not reached, Murphy sign (-), shifting dullness (-). dullness (-). Bowel sounds are heard occasionally,…
- Jeanette is a 46-year-old woman who has visited her general practitioner (GP) today, brought in by her husband, Steve, with a 5-day history of nausea, mild abdominal pain and constipation. She decided to see the doctor today, as the pain and nausea were much worse when she woke up this morning and she has vomited twice in the past 3 hours. She also reports her abdomen feels distended and bloated. Jeanette says she had tried to drink more water and eat more fruit and was having bran for breakfast for the past 3 days, as she initially thought she was simply constipated. With the increased generalized abdominal pain and vomiting this morning, she thought she should get a medical opinion. Jeanette has a past medical history of hypercholesterolemia, hypertension, atrial fibrillation and type 2 diabetes mellitus (T2DM) and her BMI is 32 kg/m2. She experienced appendicitis 6 months ago,for which she had an appendectomy. Her current medications are simvastatin, warfarin, and metformin. The GP…A man is experiencing cough issues after days of masturbation or sexual intercourse. What doctor he should visit to get a medical attention?A 74-year old woman with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she’s had in her ankles for years has started to get worse over the past two months. In the past week, she’s had a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the abdomen. On physical examination, the patient’s jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra “S3” heart sound. (i) What is causing this murmur? (ii) Is the history of rheumatic fever relevant to the patient’s current symptoms? Explain. (iii) Examination of the patient’s abdomen reveals an enlarged liver (hepatomegaly) and a moderate degree of ascites (‘water’ in the pericardial cavity). Explain these findings. (iv) Examination of the patient’s…