HUMAN A&P LL W/MOD.MAST.TCC ACCESS >IB<
11th Edition
ISBN: 9781323847572
Author: Marieb
Publisher: Pearson Custom Publishing
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Chapter 16, Problem 3CCS
70-Year-Old Male with Polyuria
Mr. Gutteman, a 70-year-old male, was brought into the ER. He had been sick several days with the flu, and was found confused and barely conscious by his daughter.
Mr. Gutteman is breathing rapidly and has a fever of 39°C (102°F). His skin is dry and flaccid, his mucous membranes are dry, and his eyes are sunken. The physician ordered:
•IV (intravenous) fluid and electrolyte replacement
•Blood and urine tests for presence of glucose and
•Strict I&O [careful measurement of fluid intake (e.g., IV, drinking) and output (e.g., urine)]
3. Mr. Gutteman's diagnosis is diabetes insipidus. His daughter is concerned about this, because she knows diabetes is a dangerous disease. She asks whether he will have to follow a diabetic diet. What’s your answer?
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Alissa P., a 28-year-old female was brought to the hospital by her partner. She had a high fever and severe headache, and said the symptoms had come on suddenly. A physical exam revealed stiffness in her neck. The nurse practitioner noted that Alissa made her own cheeses from goat and cow milk on her farm. A lumbar puncture was immediately ordered for a cerebrospinal fluid (CSF) analysis. What may the possible bacterial pathogen that caused this?
Patient CSF
Leukocytes
(per mm3)
1280
Neutrophils
(% of WBCs)
76
Glucose
(mg/dL)
23
Protein
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275
rash in this patient and 1) what is the name given to
this type of rash? 2)Describe the red blood cell morphology in
the blood film. 3) Describe the white blood cell morphology in
the blood film. 4) What is the name given to this the type of
anaemia present in this case? 5) Taking into consideration the
clinical presentation, the full blood count results and
the red blood cell morphology, what is your provisional
diagnosis for this case? give right accurate answer only
د
A 3-year-old male presents to ED with bloody diarrhoea and a
rash.
Full blood count results and blood film
Parameter
Result
Reference range
Haemoglobin
92 g/L
110-140 g/L
Red blood cell count
3.58 x 102/L
3.86-5.00 x 102/L
Haematocrit
0.28
0.31-0.38
Mean cell volume
78.5 fL
73-85 fl
Mean cell haemoglobin
25.7 pg
25-30 pg
MCHC
327 g/L
310-360 g/L
Reticulocyte count
150 x 10%/L
20-80 x 10%/L
White blood cell count
18.6 x 10%/L
4.9-12.8 x 10%/L
Platelet count
27 x 10%/L
215-450 x 10%/L
00
Blood film
De
L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect.
Come up with 5 follow up questions you could ask L.H. to further determine the appropriate skin condition?
Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.
Chapter 16 Solutions
HUMAN A&P LL W/MOD.MAST.TCC ACCESS >IB<
Ch. 16 - Prob. 1RQCh. 16 - 2. The anterior pituitary secretes all but (a)...Ch. 16 - 3. A hormone not involved in glucose metabolism is...Ch. 16 - 4. Parathyroid hormone (a) increases bone...Ch. 16 - 5. Choose from the following key to identify the...Ch. 16 - 6. A hypodermic injection of epinephrine would (a)...Ch. 16 - 7. Testosterone is to the male as which hormone is...Ch. 16 - 8. If anterior pituitary secretion is deficient in...Ch. 16 - 9. If there is adequate carbohydrate intake,...Ch. 16 - Prob. 10RQ
Ch. 16 - 11. Some hormones act by (a) increasing the...Ch. 16 - Prob. 12RQCh. 16 - 15. Define hormone.
Ch. 16 - Prob. 20RQCh. 16 - Prob. 15RQCh. 16 - Prob. 21RQCh. 16 - Prob. 16RQCh. 16 - Prob. 17RQCh. 16 - 21. Endemic goiter is not really the result of a...Ch. 16 - 22. How are they hyperglycemia and lipidemia of...Ch. 16 - 23. Name a hormone secreted by a muscle cell and...Ch. 16 - Prob. 23RQCh. 16 - Prob. 24RQCh. 16 - 3. Kyle, a 5-year-old boy, has been growing by...Ch. 16 - Prob. 26RQCh. 16 - 5. Roger Proulx has severe arthritis and has been...Ch. 16 - 70-Year-Old Male with Polyuria Mr. Gutteman, a...Ch. 16 - 70-Year-Old Male with Polyuria Mr. Gutteman, a...Ch. 16 - 70-Year-Old Male with Polyuria
Mr. Gutteman, a...Ch. 16 - 70-Year-Old Male with Polyuria
Mr. Gutteman, a...
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