Chapter 6, Problem 197R

Patient K., 58 y/o, complains of weakness, muscle ache, loss of appetite, nausea, vomiting, aching bones, deterioration of memory and cramps. In anamnesis there is a record of the ulcerous disease of stomach, frequent pathological bone fractures. Objectively: the consciousness is clouded, the skin is dry of ashy gray colour, present deformity of the vertebrae bodies, "goose-stepping" gait, X-ray shows systemic osteoporosis. Heart sounds are dull, rhythmical, arterial pressure – 160/100, pulse – 56beats/minute. The level of calcium in the blood – 3.9mmol/l; hypophosphatemia, hyperphophaturia; glycemia – 4.8mmol/l. What are you going to do with this patient?A. Introducing 2-3 l of 0.9 % solution of sodium chloride and the potassium phosphate and sodiumB. Introducing 150ml of 4.5 % solution of sodium chloride, 100mg prednisolone C. Introducing 100mg prednisolone, 40g furosemide D. Introducing 1-2ml 0.5% solution of strophanthin, 100mg prednisoloneE. Introducing 40-60ml of 40% glucose…

Mrs. C is a 50-year-old woman who presents with joint pain. She reports the pain has been present for about 2 years. The pain affects her hands and her wrists. She describes the pain as a “dull aching” and “a stiffness.” It is worse in the morning and improves over 2 to 3 hours. She says that on particularly bad days she uses aspirin with moderate relief. She is otherwise well, except for a history of mild hypertension managed with angiotensin-receptor blocker. She reports no other joint pain. She does not have a history of psoriasis. Her vital signs are: 37.1 C; B/P 128/84; P 84; R 14. There is a 2/6 systolic ejection murmur. Joint exam revealed limited range of motion of the MCPs and wrists bilaterally. There is swelling of the third and fourth MCP on the right and the third on the left. There is pain at the extremes of motion and a boggy quality to the joints. A detailed skin exam is normal. Rheumatoid arthritis (RA) is suspected. 1. What type of hypersensitivity is rheumatoid…

Which of the following occurs prior to or during stage 1 of labor? Check All That Apply bloody show effacement uterine contractions

did Dr. Sergio Canavero exceed medical innivation with his head transplant?

Why Constipation is a major concern in pregnant mother?  Please answer at your own words.

What diagnostic imaging device would be used for the following conditions? 1.Brain tumor 2.Cancer of the stomach 3.Liver disease 4.Pregnancy