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Urinary Function: Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. Case Study Questions 1. The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury. 2. Create a list of risk factors the patient might have and explain why. 3. Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved. Reproductive Function: Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days. Microscopic Examination of Vaginal Discharge (-) yeast or hyphae (-) flagellated microbes (+) white blood cells (+) gram-negative intracellular diplococci Ca.
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Hyphae Flagellated Microbes.docx
Mr. J.R., a 73-year-old man, was admitted to the hospital with gastroenteritis and possible renal injury. His symptoms included fever, nausea, vomiting, diarrhea, weakness, dizziness, and a metallic taste. He developed acute kidney injury likely from pre-renal causes due to dehydration from vomiting and diarrhea. As his kidney damage became irreversible, he was diagnosed with chronic kidney disease and is now at risk for anemia and coagulopathies from reduced kidney function.
Urinary FunctionMr. J.R. is a 73-year-old man, who was .docx
Urinary Function:
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.
Case Study Questions
The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
Create a list of risk factors the patient might have and explain why.
Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.
Reproductive Function:
Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae
(-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci
Case Study Questions
...
Walden Module 7 Pathophysiology Knowledge Check.docx
The document describes 10 clinical scenarios involving various pathophysiological conditions. The first scenario describes a case of polycystic ovarian syndrome (PCOS) in a 28-year-old woman presenting with irregular periods and excess hair growth. The second scenario involves a college student with pelvic inflammatory disease (PID) presenting with abdominal pain and vaginal discharge. The third scenario is a man with a sore on his penis diagnosed with syphilis.
Scenario 1 Polycystic Ovarian Syndrome (PCOS)A 28-year-old woma.docx
Scenario 1: Polycystic Ovarian Syndrome (PCOS)
A 28-year-old woman presents to the clinic with a chief complaint of hirsutism and irregular menses. She describes irregular and infrequent menses (five or six per year) since menarche at 12 years of age. She began to develop dark, coarse facial hair when she was 14 years of age, but her parents did not seek treatment or medical opinion at that time. The symptoms worsened after she gained weight in college. She got married 3 years ago and has been trying to get pregnant for the last 2 years without success. Height 66 inches and weight 198. BMI 32 kg.m2. Moderate hirsutism without virilization noted. Laboratory data reveal CMP within normal limits (WNL), CBC with manual differential (WNL), TSH 0.9 IU/L SI units (normal 0.4-4.0 IU/L SI units), a total testosterone of 65 ng/dl (normal 2.4-47 ng/dl), and glycated hemoglobin level of 6.1% (normal value ≤5.6%). Based on this information, the APRN diagnoses the patient with polycystic ovarian syndrome (PCOS) and refers her to the Women’s Health APRN for further workup and management.
Question 1 of 2:
What is the pathogenesis of PCOS?
Question 2 of 2:
How does PCOS affect a woman’s fertility or infertility?
Scenario 2: Pelvic Inflammatory Disease (PID)
A 20-year-old female college student presents to the Student Health Clinic with a chief complaint of abdominal pain, foul smelling vaginal discharge, and fever and chills for the past 4 days. She denies nausea, vomiting, or difficulties with defecation. Last bowel movement this morning and was normal for her. Nothing has helped with the pain despite taking ibuprofen 200 mg orally several times a day. She describes the pain as sharp and localizes the pain to her lower abdomen. Past medical history noncontributory. GYN/Social history + for having had unprotected sex while at a fraternity party. Physical exam: thin, Ill appearing anxious looking white female who is moving around on the exam table and unable to find a comfortable position. Temperature 101.6F orally, pulse 120, respirations 22 and regular. Review of systems negative except for chief complaint. Focused assessment of abdomen demonstrated moderate pain to palpation left and right lower quadrants. Upper quadrants soft and non-tender. Bowel sounds diminished in bilateral lower quadrants. Pelvic exam demonstrated + adnexal tenderness, + cervical motion tenderness and copious amounts of greenish thick secretions. The APRN diagnoses the patient as having pelvic inflammatory disease (PID).
Question:
What is the pathophysiology of PID?
Scenario 3: Syphilis
A 27-year-old male comes to the clinic with a chief complaint of a “sore on my penis” that has been there for 3 days. He says it burns and leaked a little fluid. He denies any other symptoms. Past medical history noncontributory. Social history: works as a bartender and he states he often “hooks up” with some of the patrons, both male and female after work. He does not always use condom.
1 A 45-year-old male comes to the clinic with a chief complaint.docx
1 A 45-year-old male comes to the clinic with a chief complaint
QUESTION 1 A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. Also, he denies nausea, vomiting, weight loss or obvious bleeding. Finally, he admits to bloating and frequent belching.
PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.
Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
1 of 2 Questions:
What factors may have contributed to the development of PUD?
2 of 2 Questions:How do these factors contribute to the formation of peptic ulcers?
QUESTION 3 A 36-year-old morbidly obese female comes to the office with a chief complaint of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. Says she has started coughing at night which has been interfering with her sleep. Also, denies palpitations, shortness of breath, or nausea.
PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2)
Family history-non contributary
Medications-amlodipine 10 mg po qd, dicyclomine 20 mg po, ibuprofen 600 mg po q 6 hr prn
Social hx- 15 pack/year history of smoking, occasional alcohol use, denies vaping
The health care provider diagnoses the patient with gastroesophageal reflux disease (GERD).
Question:
The client asks the APRN what causes GERD. What is the APRN’s best response?
QUESTION 4 A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.
Question:
What factors can contribute to an upper GI bleed?
Question 5 A 64-year-old steel worker presents to h.
Responseresponse of at least 2-4 sentences in length for each.docx
A 64-year-old man is recovering from surgery in the hospital. He has been receiving heparin as a blood thinner. His platelet count has now dropped significantly, indicating he may have developed heparin-induced thrombocytopenia (HIT). HIT occurs when antibodies form against platelet factor 4 (PF4) due to exposure to heparin, causing platelets to activate and potentially form dangerous clots. The provider suspects the patient has developed HIT based on the significant drop in his platelet count and needs to discontinue heparin and start alternative anticoagulation treatment to prevent further clotting complications.
Instructions After reading the clinical description, assign word.docx
Instructions: After reading the clinical description, assign words or phrases from the paragraph to the term that best describes that concept. Note: Not all terms will have a match. IMPORTANT: As you review and identify items, please note you are not coding the scenario; coding has many rules associated with how an encounter is coded. This exercise is purely about your ability to recognize the pathophysiology and pharmacology concepts that are found within the excerpts.
Contents
Excerpt 1 2
Excerpt 2 3
Excerpt 3 4
Excerpt 4 5
Excerpt 5 6
Excerpt 6 7
Excerpt 7 8
Excerpt 8 9
Excerpt 9 10
Excerpt 10 11
Excerpt 1
Kimberly is a 37-year-old white female who presented to her family doctor and was referred to radiation oncology department for consultation. While with the oncologist, Kimberly reported that both her mother and sister had breast cancer. She describes feeling heartburn for “a long time” and difficulty swallowing during the past 4 or 5 months. She feels like food occasionally seems to ‘catch’ in her throat, and describes pain immediately below the sternum that feels like a gnawing or burning. Other complaints include weight loss of 30 lbs. in the past 6 or 7 months, weakness and coughing at night. After performing an endoscopy and a biopsy of the esophageal tract, a cancerous tumor was identified and staged, and plans for radiation and an esophagectomy are underway.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 2
Jane is a 12 year old female who presents is being treated today for hypertension related to Congenital Adrenal Hyperplasia (CAH), which was discovered when a biopsy done of Jane’s mother’s placenta for genetic screening showed that both her parents were carriers for the gene. Fetal blood work completed confirmed an enzyme deficiency blocking gluticosteriod and mineralocorticoid hormones. Jane regularly receives hormonal treatment and future genitoplasty is being considered. Normal sexual functioning is anticipated with continued treatment.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 3
James is a 43 y.o. male who complains of chest congestion and dry cough for 30 days. He has had a history of similar problems, but was not exhibiting symptoms when he went to Buffalo to visit brother who has dogs. Patient reports experiencing shortness of breath while sleeping in the guest room bed; reports that brother is a smoker. Unsure if he has seasonal allergies. On ordering a CBC with differential, the higher presence of lymphocytes suggested an allergic reaction. The doctor prescribed oral steroids and an albuterol inhaler and recommended him to return if the cough didn’t decrease.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Pr.
April 8, 09 Ppt.
The document summarizes several case studies of patients presenting with uncommon manifestations of common diseases:
1. A man with fatigue, rash and anal fistula was diagnosed with syphilis based on a positive RPR test.
2. A man with weight loss, cough and fever was initially treated for pneumonia but was ultimately diagnosed with acute pancreatitis based on elevated amylase and lipase levels.
3. A man with syncope was initially suspected to have seizures but autopsy revealed pulmonary embolisms, consistent with factor V Leiden deficiency found post-mortem.
4. A woman with Parkinson-like symptoms visiting from Paris after using ecstasy was found to have a meningi
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Hyphae Flagellated Microbes.docx
Mr. J.R., a 73-year-old man, was admitted to the hospital with gastroenteritis and possible renal injury. His symptoms included fever, nausea, vomiting, diarrhea, weakness, dizziness, and a metallic taste. He developed acute kidney injury likely from pre-renal causes due to dehydration from vomiting and diarrhea. As his kidney damage became irreversible, he was diagnosed with chronic kidney disease and is now at risk for anemia and coagulopathies from reduced kidney function.
Urinary FunctionMr. J.R. is a 73-year-old man, who was .docx
Urinary Function:
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.
Case Study Questions
The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
Create a list of risk factors the patient might have and explain why.
Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.
Reproductive Function:
Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae
(-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci
Case Study Questions
...
Walden Module 7 Pathophysiology Knowledge Check.docx
The document describes 10 clinical scenarios involving various pathophysiological conditions. The first scenario describes a case of polycystic ovarian syndrome (PCOS) in a 28-year-old woman presenting with irregular periods and excess hair growth. The second scenario involves a college student with pelvic inflammatory disease (PID) presenting with abdominal pain and vaginal discharge. The third scenario is a man with a sore on his penis diagnosed with syphilis.
Scenario 1 Polycystic Ovarian Syndrome (PCOS)A 28-year-old woma.docx
Scenario 1: Polycystic Ovarian Syndrome (PCOS)
A 28-year-old woman presents to the clinic with a chief complaint of hirsutism and irregular menses. She describes irregular and infrequent menses (five or six per year) since menarche at 12 years of age. She began to develop dark, coarse facial hair when she was 14 years of age, but her parents did not seek treatment or medical opinion at that time. The symptoms worsened after she gained weight in college. She got married 3 years ago and has been trying to get pregnant for the last 2 years without success. Height 66 inches and weight 198. BMI 32 kg.m2. Moderate hirsutism without virilization noted. Laboratory data reveal CMP within normal limits (WNL), CBC with manual differential (WNL), TSH 0.9 IU/L SI units (normal 0.4-4.0 IU/L SI units), a total testosterone of 65 ng/dl (normal 2.4-47 ng/dl), and glycated hemoglobin level of 6.1% (normal value ≤5.6%). Based on this information, the APRN diagnoses the patient with polycystic ovarian syndrome (PCOS) and refers her to the Women’s Health APRN for further workup and management.
Question 1 of 2:
What is the pathogenesis of PCOS?
Question 2 of 2:
How does PCOS affect a woman’s fertility or infertility?
Scenario 2: Pelvic Inflammatory Disease (PID)
A 20-year-old female college student presents to the Student Health Clinic with a chief complaint of abdominal pain, foul smelling vaginal discharge, and fever and chills for the past 4 days. She denies nausea, vomiting, or difficulties with defecation. Last bowel movement this morning and was normal for her. Nothing has helped with the pain despite taking ibuprofen 200 mg orally several times a day. She describes the pain as sharp and localizes the pain to her lower abdomen. Past medical history noncontributory. GYN/Social history + for having had unprotected sex while at a fraternity party. Physical exam: thin, Ill appearing anxious looking white female who is moving around on the exam table and unable to find a comfortable position. Temperature 101.6F orally, pulse 120, respirations 22 and regular. Review of systems negative except for chief complaint. Focused assessment of abdomen demonstrated moderate pain to palpation left and right lower quadrants. Upper quadrants soft and non-tender. Bowel sounds diminished in bilateral lower quadrants. Pelvic exam demonstrated + adnexal tenderness, + cervical motion tenderness and copious amounts of greenish thick secretions. The APRN diagnoses the patient as having pelvic inflammatory disease (PID).
Question:
What is the pathophysiology of PID?
Scenario 3: Syphilis
A 27-year-old male comes to the clinic with a chief complaint of a “sore on my penis” that has been there for 3 days. He says it burns and leaked a little fluid. He denies any other symptoms. Past medical history noncontributory. Social history: works as a bartender and he states he often “hooks up” with some of the patrons, both male and female after work. He does not always use condom.
1 A 45-year-old male comes to the clinic with a chief complaint.docx
1 A 45-year-old male comes to the clinic with a chief complaint
QUESTION 1 A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. Also, he denies nausea, vomiting, weight loss or obvious bleeding. Finally, he admits to bloating and frequent belching.
PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.
Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
1 of 2 Questions:
What factors may have contributed to the development of PUD?
2 of 2 Questions:How do these factors contribute to the formation of peptic ulcers?
QUESTION 3 A 36-year-old morbidly obese female comes to the office with a chief complaint of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. Says she has started coughing at night which has been interfering with her sleep. Also, denies palpitations, shortness of breath, or nausea.
PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2)
Family history-non contributary
Medications-amlodipine 10 mg po qd, dicyclomine 20 mg po, ibuprofen 600 mg po q 6 hr prn
Social hx- 15 pack/year history of smoking, occasional alcohol use, denies vaping
The health care provider diagnoses the patient with gastroesophageal reflux disease (GERD).
Question:
The client asks the APRN what causes GERD. What is the APRN’s best response?
QUESTION 4 A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.
Question:
What factors can contribute to an upper GI bleed?
Question 5 A 64-year-old steel worker presents to h.
Responseresponse of at least 2-4 sentences in length for each.docx
A 64-year-old man is recovering from surgery in the hospital. He has been receiving heparin as a blood thinner. His platelet count has now dropped significantly, indicating he may have developed heparin-induced thrombocytopenia (HIT). HIT occurs when antibodies form against platelet factor 4 (PF4) due to exposure to heparin, causing platelets to activate and potentially form dangerous clots. The provider suspects the patient has developed HIT based on the significant drop in his platelet count and needs to discontinue heparin and start alternative anticoagulation treatment to prevent further clotting complications.
Instructions After reading the clinical description, assign word.docx
Instructions: After reading the clinical description, assign words or phrases from the paragraph to the term that best describes that concept. Note: Not all terms will have a match. IMPORTANT: As you review and identify items, please note you are not coding the scenario; coding has many rules associated with how an encounter is coded. This exercise is purely about your ability to recognize the pathophysiology and pharmacology concepts that are found within the excerpts.
Contents
Excerpt 1 2
Excerpt 2 3
Excerpt 3 4
Excerpt 4 5
Excerpt 5 6
Excerpt 6 7
Excerpt 7 8
Excerpt 8 9
Excerpt 9 10
Excerpt 10 11
Excerpt 1
Kimberly is a 37-year-old white female who presented to her family doctor and was referred to radiation oncology department for consultation. While with the oncologist, Kimberly reported that both her mother and sister had breast cancer. She describes feeling heartburn for “a long time” and difficulty swallowing during the past 4 or 5 months. She feels like food occasionally seems to ‘catch’ in her throat, and describes pain immediately below the sternum that feels like a gnawing or burning. Other complaints include weight loss of 30 lbs. in the past 6 or 7 months, weakness and coughing at night. After performing an endoscopy and a biopsy of the esophageal tract, a cancerous tumor was identified and staged, and plans for radiation and an esophagectomy are underway.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 2
Jane is a 12 year old female who presents is being treated today for hypertension related to Congenital Adrenal Hyperplasia (CAH), which was discovered when a biopsy done of Jane’s mother’s placenta for genetic screening showed that both her parents were carriers for the gene. Fetal blood work completed confirmed an enzyme deficiency blocking gluticosteriod and mineralocorticoid hormones. Jane regularly receives hormonal treatment and future genitoplasty is being considered. Normal sexual functioning is anticipated with continued treatment.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 3
James is a 43 y.o. male who complains of chest congestion and dry cough for 30 days. He has had a history of similar problems, but was not exhibiting symptoms when he went to Buffalo to visit brother who has dogs. Patient reports experiencing shortness of breath while sleeping in the guest room bed; reports that brother is a smoker. Unsure if he has seasonal allergies. On ordering a CBC with differential, the higher presence of lymphocytes suggested an allergic reaction. The doctor prescribed oral steroids and an albuterol inhaler and recommended him to return if the cough didn’t decrease.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Pr.
April 8, 09 Ppt.
The document summarizes several case studies of patients presenting with uncommon manifestations of common diseases:
1. A man with fatigue, rash and anal fistula was diagnosed with syphilis based on a positive RPR test.
2. A man with weight loss, cough and fever was initially treated for pneumonia but was ultimately diagnosed with acute pancreatitis based on elevated amylase and lipase levels.
3. A man with syncope was initially suspected to have seizures but autopsy revealed pulmonary embolisms, consistent with factor V Leiden deficiency found post-mortem.
4. A woman with Parkinson-like symptoms visiting from Paris after using ecstasy was found to have a meningi
1.The APRN is giving a pathophysiology lecture to APRN students on .docx
1. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, glomerular filtration rate, autoregulation, and related hormone factors regulating renal blood flow
Question:
What would be the most important concept of hormonal regulation that the APRN should address?
2. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, related hormones, and glomerular filtration rate.
Question:
What would be the most important concept of glomerular filtration rate that the APRN should address?
A 46-year-old Caucasian female presents to the PCP’s office with a chief complaint of severe, intermittent right upper quadrant pain for the last 3 days. The pain is described as sharp and has occurred after eating french fries and cheeseburgers and radiates to her right shoulder. She has had a few episodes of vomiting “green stuff”. States had fever and chills last night which precipitated her trip to the office. She also had some dark orange urine, but she thought she was dehydrated.
Physical exam: slightly obese female with icteric sclera as well as generalized jaundice. Temp 101˚F, pulse 108, respirations 18. Abdominal exam revealed rounded abdomen with slightly hypoactive bowel sounds. + rebound tenderness on palpation of right upper quadrant. No tenderness or rebound in epigastrium or other quadrants. Labs demonstrate elevated WBC, elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum bilirubin (indirect) 2.5 mg/dl. Abdominal ultrasound demonstrated enlarged gall bladder, dilated common bile duct and multiple stones in the bile duct. The APRN diagnoses the patient with acute cholecystitis and refers her to the ED for further treatment.
Question 1 of 2:
Describe how gallstones are formed and why they caused the symptoms that the patient presented with.
Question 2 of 2:
Explain how the patient became jaundiced
3. Ruth is a 49-year-old office worker who presents to the clinic with a chief complaint of abdominal pain x 2 days. The pain has significantly increased over the past 6 hours and is now accompanied by nausea and vomiting. The pain is described as “sharp and boring” in mid epigastrum and radiates to the back. Ruth admits to a long history of alcohol use, and often drinks up to a fifth of vodka every day.
Physical Exam: Temp 102.2F, BP 90/60, respirations 22. Pulse Oximetry 92% on room air.
General: thin, pale white female in obvious pain and leaning forward. Moving around on exam table and unable to sit quietly.
CV-tachycardic. RRR without gallops, rubs, clicks or murmurs
Resp-decreased breath sounds in both bases with poor inspiratory effort
Abd- epigastric guarding with tenderness. No rebound tenderness. Negative Cullen’s and + Turner’s signs observed. Hypoactive bowel sounds x 2 upper quadrants, and no bowel sounds heard in both lower quadrants.
The APRN makes a tentative diagnosis of acute pancreatitis based on history and ph.
OSCE REVISION .pptx
1. The document provides guidance on preparing for and approaching different stations in the OSCE exam, including clerking, counseling, physical examination, and clinical vignettes.
2. It outlines topics to focus on for different exam stations, such as taking a focused history for patients presenting with leg ulcers, neck masses, jaundice and more.
3. Examples of clinical vignettes involving assessments of children with fever and diarrhea, newborns with abnormal movements, and sexually transmitted infections in women are provided to practice diagnosis and management.
Molar pregnancy ( Case Presentation)
A 25-year-old woman presented with irregular vaginal bleeding following evacuation of a molar pregnancy 6 weeks prior. On examination, she was anemic and her uterus was enlarged to 16 weeks size. Ultrasound and beta-hCG levels confirmed incomplete evacuation of molar tissue. She underwent a second suction and evacuation procedure where a large amount of molar tissue was removed. She was advised follow up monitoring of beta-hCG levels and contraceptive use, and warned to report any symptoms like bleeding or vision changes during recovery.
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 2Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days du ...
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 16Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days d ...
Casesesophagus.pptx
Case 1 involves a 58-year-old man with difficulty swallowing and weight loss. Endoscopy revealed an esophageal mass with ulceration and biopsy showed abnormal cells. Case 2 describes a 37-year-old woman with similar symptoms who underwent a barium swallow. Case 3 involves a 42-year-old man with chest pain on eating evaluated with barium swallow for suspected diffuse esophageal spasm. Case 4 describes a 35-year-old HIV+ woman with esophageal ulcers. Case 5 presents a 32-year-old intoxicated man who vomited blood.
1.A 52-year-old obese Caucasian male presents to the clinic wit.docx
1.
A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated. Physical exam remarkable for a temp of 101.2, pulse 108, respirations 18 and BP 160/88. Right great toe (first metatarsal phalangeal [MTP]) noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.
Question 1 of 2:
Describe the pathophysiology of gout.
QUESTION 2
1. A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated. Physical exam remarkable for a temp of 101.2, pulse 108, respirations 18 and BP 160/88. Right great toe (first metatarsal phalangeal [MTP]) noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.
Question 2 of 2:
Explain why a patient with gout is more likely to develop renal calculi. 1 points
QUESTION 3
1. Stan is a 45-year-old man who presents to the clinic complaining of intermittent fevers, joint pain, myalgias, and generalized fatigue. He noticed a rash several days ago that seemed to appear and disappear on different parts of his abdomen. He noticed the lesion below this morning and decided to come in for evaluation. He denies recent international travel and the only difference in his usual routine was clearing some underbrush from his back yard about a week ago. Past medical history non-contributory with exception of severe allergy to penicillin resulting in hives and difficulty breathing. Physical exam: Temp 101.1 ˚F, BP 128/72, pulse 102 and regular, respirations .
patient_record.pdf
A 35-year-old female presented with abdominal pain, vomiting, diarrhea and high fever. She was diagnosed with septic shock due to E. coli bacteremia. Tests did not reveal the source of the infection. She was treated with antibiotics and improved. She was discharged on cefpodoxime with instructions to follow up with her primary care physician after completing the antibiotic course.
is a girl who lives with her family on a.docx
R.O. is a 12-year-old girl who presented to the emergency department with worsening abdominal pain. An abdominal CT scan confirmed acute appendicitis. She underwent an appendectomy, but her appendix had ruptured, causing peritonitis and abscesses. Post-operatively, she developed signs of an intra-abdominal abscess, requiring further surgery to drain the abscess and remove necrotic bowel. Her abdominal wound was left open and required daily packing and irrigation.
12SOAP Note Patient with UTIUnited State
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Client’s Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: “ I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroom”.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
· Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
· Denies history of chronic medical problems with father or mother.
· Preventative care: None indicated
· Surgeries: Denies
· Hospitalizations: Denies
· LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
· Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patient’s mother has hypertension that she manages by taking daily medication and exercising. The patient’s father has hypertension too a ...
12SOAP Note Patient with UTIUnited State
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Client’s Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: “ I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroom”.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
· Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
· Denies history of chronic medical problems with father or mother.
· Preventative care: None indicated
· Surgeries: Denies
· Hospitalizations: Denies
· LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
· Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patient’s mother has hypertension that she manages by taking daily medication and exercising. The patient’s father has hypertension too a ...
UWSA 1 2021 For USMLE Step 1 Exam
UWSA 1 2021 For USMLE Step 1 Exam Sample
Download full book from > usmlematerials.net
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239243105 group-j-case-study
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Botulism
Farah, a medical student, experienced vision problems, difficulty swallowing and speaking while riding her scooter after eating at a beach restaurant. She was brought to the emergency room where her breathing was becoming labored. The physician suspected botulism from canned vegetables used at the restaurant. Tests of Farah's blood and food samples were ordered. Botulism toxin produced by Clostridium botulinum causes descending paralysis by blocking acetylcholine release at neuromuscular junctions. Treatment includes respiratory support, antitoxin antibodies and monitoring for complications. Most patients recover fully within months with supportive care and antitoxin.
DOC_PATIENT.pdf
A 35-year-old female presented with abdominal pain, vomiting, diarrhea and high fever. She was found to have septic shock from E. coli bacteremia. Tests did not reveal the source of infection. She was treated with antibiotics and improved. She was discharged on cefpodoxime with instructions to follow up with her primary care physician in one week after completing the antibiotic course.
CC I have itchy white discharge”HPI Patient is a 32 African.docx
A 32-year-old African American female presented with increased vaginal itching and thick white discharge for 2 days. She reported using Monistat 3 days ago without relief and increased pain after sex. On examination, the patient had a fever and curdy white vaginal discharge with inflamed mucosa. A diagnosis of vulvovaginal candidiasis was made and a KOH smear was ordered to confirm. The patient was prescribed a single dose of oral fluconazole or topical antifungal and educated on maintaining a dry environment and use of probiotics to prevent recurrence.
Yan 2Yichao YanKara WilliamsESL 10696 April 2019 Rough.docx
Yan 2
Yichao Yan
Kara Williams
ESL 1069
6 April 2019
Rough Draft Analysis of Argument Essay
In the article “What Else Can I Do to Get the School Supplies My Student Need?” the author discusses that, textbook still plays an important role in today’s class. There are so many debates about weather using online text book or physical textbook in school nowadays. The author as a college teacher claims that physical textbook helps her students have better understanding of knowledges. Also, she thinks physical textbook reduced the financial burden on students. However, online source or online textbook should have more benefit then the physical textbook.
First of all, the author claims that physical textbook could helps student read and understand better of new knowledges. The resources that teachers need for their teaching are so differently. It depended on student’s grade and their teaching style. Even people nowadays assume textbooks are outdated, inefficient and biased, author still think using textbook is very important for students to know about some academic basic information, which could help students master the course better.
APPENDIX I r Reports
DIAGNOSES include:
1. Chronic pelvic pain secondary to pelvic metastatic clear cell carcinoma
of unknown PrimarY location.
2. Yeta cava sy.rdromi post placement of Hickman catheter'
3. Anemia due to chronic disease.
4. Hypertension.
HOSPITAL COURSE: The patient is a 78-year-old female whom we have
been following in our clinic ior hypertension and also chronic pudendal
nerve pain. Shie had been recently biagnosed with pelvic me,tastatic clear
cell caicinoma, which her primaiy location is unknown at this time' She
will be discussing this further after the pathology reports are, read. During
her hospital stalia Hickman catheter was placed in order to have IV access
for pain medication or future cancer therapy. She was also admitted for
chronic pain. she did develop swelling of her arms and neck. She was
broughtio interventional radiology and she did have venography and the
Hickman catheter was removed. Her swelling to her arms and neck have
decreased greatly. She denies any shortness of breath. No choking sensation
as previouily noted. Her pain has been managed well with fentanyl patch at
175 mcg. She has also been on IV heparin therapy for anticoagulation
followitig the vena cava syndrome. Today, the patient hasbeen having
complaiits of nausea. She did get some dexamethasone IV for her nausea,
which did improve later this morning. Her blood plessure has been under
good control. Her labs today include a wBC of 5.18, hemoglobin 7.8,
f,ematocrit 23.7, protime 74.4,INR 1'5, PTT 39'6, BUN 6, sodium 139'
potassium 4.2, CO2 27.2.
DISCHARGE, PLANS:
1. IV heparin is discontinued. She will be switched ovel to Lovenox
r mg/kg subcutaneously daily. The patient will have Home Health to
help her set uP these iniections.
2. She will continue with the fentanyl patch 175 mcg for the pain..
Take home-exam (1)
A 54-year-old African American woman presented with a 1-month history of intermittent, burning epigastric abdominal pain that radiated toward her back. She noted nausea and vomited once. Her medical history included two clean-based antral ulcers treated 5 years prior with lansoprazole and intermittent omeprazole use. The main diagnosis is likely peptic ulcer disease given her symptoms and medical history of treated ulcers. Further workup and treatment would include tests like a stool occult blood test, labs, upper endoscopy, and medications like PPIs while avoiding NSAIDs. Nursing care would focus on pain management, nutrition, and anxiety reduction through education.
178352604 case-presentation-2012-chole
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Kc.pdf
The document describes several patient cases involving various endocrine disorders:
1) A 67-year-old woman presenting with confusion was diagnosed with SIADH due to antidepressant medication and referred for further evaluation and management.
2) A 43-year-old woman presenting with vomiting and weakness was diagnosed with secondary hypocortisolism due to lack of prednisone intake.
3) A 64-year-old woman with hypercalcemia was diagnosed with primary hyperparathyroidism and referred to an endocrinologist.
Which of the following statements regarding components of a time ser.docx
Which of the following statements regarding components of a time series are true? (Check all that apply.)
[removed]
1
Trend is a constant or steady increase or decrease in the data/measurements over time.
[removed]
2
Cyclical variation is gradual movement around the trend line that is
always
attributable (caused by) the business cycle and economic conditions.
[removed]
3
Seasonal variation is
unpredictable
increases and decreases that occur within a calendar year.
[removed]
4
Irregularity is what is left after taking into account Trend, Cyclical, and Seasonal behavior. It has no observable patterns. It is random.
.
Which of the works we read was used by President Bushs 2002 appoint.docx
Which of the works we read was used by President Bush's 2002 appointed bioethical committee as a warning about possible problems/dangers with embryonic stem cell research?
Explain the importance of the
setting
(of INSIDE the house) in "Home Burial."
(a) Identify the
author
of
Fences
, (b) discuss his/her
ongoing drama project
for the 29th century, (c) the
progress completed
on that project, and (d)
how
Fences
fits into the project
.
Identify the effect of Troy's actions throughout the drama on Rose, Cory, and Raynell.
What is the
symbolic role
of "fences" in the drama
Fences
? (Identify at least
three uses
of fences throughout the play.)
If we consider these two stories
together,
DISCUSS
two types of literary criticism
that might best be used to study them as a
whole
: "The Story of an Hour," "The Birthmark," and "Home Burial."
DO NOT USE READER RESPONSE AS ONE OF THE LITERARY APPROACHES.
Identify
two literary works
from the works we have studied in these units and explain how
GENDER CRITICISM
might best be used to aid in understanding the works. Be sure to identify
specific time
periods
and how these time periods might affect a contemporary gender reading.
(Do not use ,"The Story of an Hour," "The Birthmark" or "Home Burial" to answer this questions)
Identify
two literary works, along with their authors,
from those that we studied and explain specifically how
BIOGRAPHICAL CRITICISM
might be used to aid in understanding the works. Remember that biographical criticism can be used only when there is a known established connection between the author and his/her work so that means you will have to connect the works to the authors' lives.
Identify
one literary work
from the works we studied and explain how
HISTORICAL CRITICISM
might best be used to aid in understanding this particular wor. Be sure to identify the specific time periods during which the work was written.
(Do not use "The Story of an Hour," "Home Burial" or "The Birthmark" to answer this question.)
Discuss the similarities and differences between the character in O'Brien's "The Things They Carried" and in Henry in Erdrich's "The Red
Convertible."
The frist five just couple sentences and next five a little bit longer than
.
More Related Content
Similar to Urinary Function Mr. J.R. is a 73-year-old man, who was admitte.docx
1.The APRN is giving a pathophysiology lecture to APRN students on .docx
1. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, glomerular filtration rate, autoregulation, and related hormone factors regulating renal blood flow
Question:
What would be the most important concept of hormonal regulation that the APRN should address?
2. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, related hormones, and glomerular filtration rate.
Question:
What would be the most important concept of glomerular filtration rate that the APRN should address?
A 46-year-old Caucasian female presents to the PCP’s office with a chief complaint of severe, intermittent right upper quadrant pain for the last 3 days. The pain is described as sharp and has occurred after eating french fries and cheeseburgers and radiates to her right shoulder. She has had a few episodes of vomiting “green stuff”. States had fever and chills last night which precipitated her trip to the office. She also had some dark orange urine, but she thought she was dehydrated.
Physical exam: slightly obese female with icteric sclera as well as generalized jaundice. Temp 101˚F, pulse 108, respirations 18. Abdominal exam revealed rounded abdomen with slightly hypoactive bowel sounds. + rebound tenderness on palpation of right upper quadrant. No tenderness or rebound in epigastrium or other quadrants. Labs demonstrate elevated WBC, elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum bilirubin (indirect) 2.5 mg/dl. Abdominal ultrasound demonstrated enlarged gall bladder, dilated common bile duct and multiple stones in the bile duct. The APRN diagnoses the patient with acute cholecystitis and refers her to the ED for further treatment.
Question 1 of 2:
Describe how gallstones are formed and why they caused the symptoms that the patient presented with.
Question 2 of 2:
Explain how the patient became jaundiced
3. Ruth is a 49-year-old office worker who presents to the clinic with a chief complaint of abdominal pain x 2 days. The pain has significantly increased over the past 6 hours and is now accompanied by nausea and vomiting. The pain is described as “sharp and boring” in mid epigastrum and radiates to the back. Ruth admits to a long history of alcohol use, and often drinks up to a fifth of vodka every day.
Physical Exam: Temp 102.2F, BP 90/60, respirations 22. Pulse Oximetry 92% on room air.
General: thin, pale white female in obvious pain and leaning forward. Moving around on exam table and unable to sit quietly.
CV-tachycardic. RRR without gallops, rubs, clicks or murmurs
Resp-decreased breath sounds in both bases with poor inspiratory effort
Abd- epigastric guarding with tenderness. No rebound tenderness. Negative Cullen’s and + Turner’s signs observed. Hypoactive bowel sounds x 2 upper quadrants, and no bowel sounds heard in both lower quadrants.
The APRN makes a tentative diagnosis of acute pancreatitis based on history and ph.
OSCE REVISION .pptx
1. The document provides guidance on preparing for and approaching different stations in the OSCE exam, including clerking, counseling, physical examination, and clinical vignettes.
2. It outlines topics to focus on for different exam stations, such as taking a focused history for patients presenting with leg ulcers, neck masses, jaundice and more.
3. Examples of clinical vignettes involving assessments of children with fever and diarrhea, newborns with abnormal movements, and sexually transmitted infections in women are provided to practice diagnosis and management.
Molar pregnancy ( Case Presentation)
A 25-year-old woman presented with irregular vaginal bleeding following evacuation of a molar pregnancy 6 weeks prior. On examination, she was anemic and her uterus was enlarged to 16 weeks size. Ultrasound and beta-hCG levels confirmed incomplete evacuation of molar tissue. She underwent a second suction and evacuation procedure where a large amount of molar tissue was removed. She was advised follow up monitoring of beta-hCG levels and contraceptive use, and warned to report any symptoms like bleeding or vision changes during recovery.
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 2Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days du ...
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 16Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days d ...
Casesesophagus.pptx
Case 1 involves a 58-year-old man with difficulty swallowing and weight loss. Endoscopy revealed an esophageal mass with ulceration and biopsy showed abnormal cells. Case 2 describes a 37-year-old woman with similar symptoms who underwent a barium swallow. Case 3 involves a 42-year-old man with chest pain on eating evaluated with barium swallow for suspected diffuse esophageal spasm. Case 4 describes a 35-year-old HIV+ woman with esophageal ulcers. Case 5 presents a 32-year-old intoxicated man who vomited blood.
1.A 52-year-old obese Caucasian male presents to the clinic wit.docx
1.
A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated. Physical exam remarkable for a temp of 101.2, pulse 108, respirations 18 and BP 160/88. Right great toe (first metatarsal phalangeal [MTP]) noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.
Question 1 of 2:
Describe the pathophysiology of gout.
QUESTION 2
1. A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated. Physical exam remarkable for a temp of 101.2, pulse 108, respirations 18 and BP 160/88. Right great toe (first metatarsal phalangeal [MTP]) noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.
Question 2 of 2:
Explain why a patient with gout is more likely to develop renal calculi. 1 points
QUESTION 3
1. Stan is a 45-year-old man who presents to the clinic complaining of intermittent fevers, joint pain, myalgias, and generalized fatigue. He noticed a rash several days ago that seemed to appear and disappear on different parts of his abdomen. He noticed the lesion below this morning and decided to come in for evaluation. He denies recent international travel and the only difference in his usual routine was clearing some underbrush from his back yard about a week ago. Past medical history non-contributory with exception of severe allergy to penicillin resulting in hives and difficulty breathing. Physical exam: Temp 101.1 ˚F, BP 128/72, pulse 102 and regular, respirations .
patient_record.pdf
A 35-year-old female presented with abdominal pain, vomiting, diarrhea and high fever. She was diagnosed with septic shock due to E. coli bacteremia. Tests did not reveal the source of the infection. She was treated with antibiotics and improved. She was discharged on cefpodoxime with instructions to follow up with her primary care physician after completing the antibiotic course.
is a girl who lives with her family on a.docx
R.O. is a 12-year-old girl who presented to the emergency department with worsening abdominal pain. An abdominal CT scan confirmed acute appendicitis. She underwent an appendectomy, but her appendix had ruptured, causing peritonitis and abscesses. Post-operatively, she developed signs of an intra-abdominal abscess, requiring further surgery to drain the abscess and remove necrotic bowel. Her abdominal wound was left open and required daily packing and irrigation.
12SOAP Note Patient with UTIUnited State
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Client’s Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: “ I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroom”.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
· Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
· Denies history of chronic medical problems with father or mother.
· Preventative care: None indicated
· Surgeries: Denies
· Hospitalizations: Denies
· LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
· Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patient’s mother has hypertension that she manages by taking daily medication and exercising. The patient’s father has hypertension too a ...
12SOAP Note Patient with UTIUnited State
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Client’s Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: “ I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroom”.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
· Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
· Denies history of chronic medical problems with father or mother.
· Preventative care: None indicated
· Surgeries: Denies
· Hospitalizations: Denies
· LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
· Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patient’s mother has hypertension that she manages by taking daily medication and exercising. The patient’s father has hypertension too a ...
UWSA 1 2021 For USMLE Step 1 Exam
UWSA 1 2021 For USMLE Step 1 Exam Sample
Download full book from > usmlematerials.net
usmle ,usmle step 2 ,usmle recalls ,usmle step 1 ,usmle ck
239243105 group-j-case-study
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Botulism
Farah, a medical student, experienced vision problems, difficulty swallowing and speaking while riding her scooter after eating at a beach restaurant. She was brought to the emergency room where her breathing was becoming labored. The physician suspected botulism from canned vegetables used at the restaurant. Tests of Farah's blood and food samples were ordered. Botulism toxin produced by Clostridium botulinum causes descending paralysis by blocking acetylcholine release at neuromuscular junctions. Treatment includes respiratory support, antitoxin antibodies and monitoring for complications. Most patients recover fully within months with supportive care and antitoxin.
DOC_PATIENT.pdf
A 35-year-old female presented with abdominal pain, vomiting, diarrhea and high fever. She was found to have septic shock from E. coli bacteremia. Tests did not reveal the source of infection. She was treated with antibiotics and improved. She was discharged on cefpodoxime with instructions to follow up with her primary care physician in one week after completing the antibiotic course.
CC I have itchy white discharge”HPI Patient is a 32 African.docx
A 32-year-old African American female presented with increased vaginal itching and thick white discharge for 2 days. She reported using Monistat 3 days ago without relief and increased pain after sex. On examination, the patient had a fever and curdy white vaginal discharge with inflamed mucosa. A diagnosis of vulvovaginal candidiasis was made and a KOH smear was ordered to confirm. The patient was prescribed a single dose of oral fluconazole or topical antifungal and educated on maintaining a dry environment and use of probiotics to prevent recurrence.
Yan 2Yichao YanKara WilliamsESL 10696 April 2019 Rough.docx
Yan 2
Yichao Yan
Kara Williams
ESL 1069
6 April 2019
Rough Draft Analysis of Argument Essay
In the article “What Else Can I Do to Get the School Supplies My Student Need?” the author discusses that, textbook still plays an important role in today’s class. There are so many debates about weather using online text book or physical textbook in school nowadays. The author as a college teacher claims that physical textbook helps her students have better understanding of knowledges. Also, she thinks physical textbook reduced the financial burden on students. However, online source or online textbook should have more benefit then the physical textbook.
First of all, the author claims that physical textbook could helps student read and understand better of new knowledges. The resources that teachers need for their teaching are so differently. It depended on student’s grade and their teaching style. Even people nowadays assume textbooks are outdated, inefficient and biased, author still think using textbook is very important for students to know about some academic basic information, which could help students master the course better.
APPENDIX I r Reports
DIAGNOSES include:
1. Chronic pelvic pain secondary to pelvic metastatic clear cell carcinoma
of unknown PrimarY location.
2. Yeta cava sy.rdromi post placement of Hickman catheter'
3. Anemia due to chronic disease.
4. Hypertension.
HOSPITAL COURSE: The patient is a 78-year-old female whom we have
been following in our clinic ior hypertension and also chronic pudendal
nerve pain. Shie had been recently biagnosed with pelvic me,tastatic clear
cell caicinoma, which her primaiy location is unknown at this time' She
will be discussing this further after the pathology reports are, read. During
her hospital stalia Hickman catheter was placed in order to have IV access
for pain medication or future cancer therapy. She was also admitted for
chronic pain. she did develop swelling of her arms and neck. She was
broughtio interventional radiology and she did have venography and the
Hickman catheter was removed. Her swelling to her arms and neck have
decreased greatly. She denies any shortness of breath. No choking sensation
as previouily noted. Her pain has been managed well with fentanyl patch at
175 mcg. She has also been on IV heparin therapy for anticoagulation
followitig the vena cava syndrome. Today, the patient hasbeen having
complaiits of nausea. She did get some dexamethasone IV for her nausea,
which did improve later this morning. Her blood plessure has been under
good control. Her labs today include a wBC of 5.18, hemoglobin 7.8,
f,ematocrit 23.7, protime 74.4,INR 1'5, PTT 39'6, BUN 6, sodium 139'
potassium 4.2, CO2 27.2.
DISCHARGE, PLANS:
1. IV heparin is discontinued. She will be switched ovel to Lovenox
r mg/kg subcutaneously daily. The patient will have Home Health to
help her set uP these iniections.
2. She will continue with the fentanyl patch 175 mcg for the pain..
Take home-exam (1)
A 54-year-old African American woman presented with a 1-month history of intermittent, burning epigastric abdominal pain that radiated toward her back. She noted nausea and vomited once. Her medical history included two clean-based antral ulcers treated 5 years prior with lansoprazole and intermittent omeprazole use. The main diagnosis is likely peptic ulcer disease given her symptoms and medical history of treated ulcers. Further workup and treatment would include tests like a stool occult blood test, labs, upper endoscopy, and medications like PPIs while avoiding NSAIDs. Nursing care would focus on pain management, nutrition, and anxiety reduction through education.
178352604 case-presentation-2012-chole
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Kc.pdf
The document describes several patient cases involving various endocrine disorders:
1) A 67-year-old woman presenting with confusion was diagnosed with SIADH due to antidepressant medication and referred for further evaluation and management.
2) A 43-year-old woman presenting with vomiting and weakness was diagnosed with secondary hypocortisolism due to lack of prednisone intake.
3) A 64-year-old woman with hypercalcemia was diagnosed with primary hyperparathyroidism and referred to an endocrinologist.
Similar to Urinary Function Mr. J.R. is a 73-year-old man, who was admitte.docx (20)
1.The APRN is giving a pathophysiology lecture to APRN students on .docx
1.The APRN is giving a pathophysiology lecture to APRN students on .docx
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1.A 52-year-old obese Caucasian male presents to the clinic wit.docx
1.A 52-year-old obese Caucasian male presents to the clinic wit.docx
CC I have itchy white discharge”HPI Patient is a 32 African.docx
CC I have itchy white discharge”HPI Patient is a 32 African.docx
Yan 2Yichao YanKara WilliamsESL 10696 April 2019 Rough.docx
Yan 2Yichao YanKara WilliamsESL 10696 April 2019 Rough.docx
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Which of the following statements regarding components of a time ser.docx
Which of the following statements regarding components of a time series are true? (Check all that apply.)
[removed]
1
Trend is a constant or steady increase or decrease in the data/measurements over time.
[removed]
2
Cyclical variation is gradual movement around the trend line that is
always
attributable (caused by) the business cycle and economic conditions.
[removed]
3
Seasonal variation is
unpredictable
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[removed]
4
Irregularity is what is left after taking into account Trend, Cyclical, and Seasonal behavior. It has no observable patterns. It is random.
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Explain the importance of the
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Identify the effect of Troy's actions throughout the drama on Rose, Cory, and Raynell.
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If we consider these two stories
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DO NOT USE READER RESPONSE AS ONE OF THE LITERARY APPROACHES.
Identify
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Identify
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BIOGRAPHICAL CRITICISM
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Identify
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HISTORICAL CRITICISM
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Discuss the similarities and differences between the character in O'Brien's "The Things They Carried" and in Henry in Erdrich's "The Red
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ARTICLE:
Butler, T. and Lees, L. (2006). Super-gentrification in Barnsbury, London: Globalization and Gentrifying Global Elites at the NeighbourhoodLevel.
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Part 2
Select the best answer from the choices provided. (Each question is worth one point)
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Abilene, Kansas was the nation's first "cow town" because
Answer
A. barbed wire was invented here.
B. Abilene city-bosses had lobbied Congress to become the nation's first town for cattle shipment.
C. most cowboys came from Kansas.
D. from here, cattle could be shipped by rail to meatpacking plants in Chicago.
E. the town had an old and established meatpacking tradition.
The entrepreneurs that served as the main stimulants of economic growth in the United States between 1865 and 1915 were all of the following, EXCEPT:
Answer
A. aggressive.
B. far-sighted.
C. incorruptible.
D. opportunistic.
E. innovative
The Transcontinental Railroad was completed in
Answer
A. 1877.
B. 1864.
C. 1873.
D. 1869.
E. 1859.
The person who cornered the market on oil refining in the late 1800s was
Answer
A. John D. Rockef.
Which of the following studies would require a scientist to have e.docx
Which of the following studies would require a scientist to have extensive knowledge in geology, meteorology, and astronomy?
Save
Question 2
(1 point)
If a scientist is studying whether there are tornadoes on planet Venus, what areas of earth science are involved?
Save
Question 3
(1 point)
A scientist with extensive knowledge in the areas of astronomy and meteorology would be best suited to study which of the following?
Save
Subsection
Question 4
(1 point)
Oceanography formally began as a discipline in the 1800s with studies by
Save
Question 5
(1 point)
Which earth science area has its formal beginning in the 1800s with studies by Darwin, Cook, and Thompson?
Save
Question 6
(1 point)
Which earth science area was involved in producing the first calendars?
Save
Subsection
Question 7
(1 point)
A scientist who investigates how to generate electricity from the ocean's tides would most likely study
Save
Question 8
(1 point)
A scientist who examines dinosaur fossils to understand what they ate would most likely study
Save
Subsection
Question 9
(1 point)
Which planet is the appropriate distance from the Sun to have liquid water?
Save
Question 10
(1 point)
Which of the following is true concerning planet Earth?
Save
Subsection
Question 11
(1 point)
Which of the following is true concerning Venus?
Save
Question 12
(1 point)
Which of the following is one reason Venus can NOT sustain life?
Save
Question 13
(1 point)
What characteristic of Mars leads scientists to believe it may have once sustained life?
Save
Subsection
Question 14
(1 point)
Which of the following is NOT an example of technology in medicine?
Save
Question 15
(1 point)
Which of the following is an example of technology?
Save
Subsection
Question 16
(1 point)
Which of the following is true concerning technology?
Save
Question 17
(1 point)
Which of the following is an example of a positive effect of technology on childhood obesity?
Save
Subsection
Question 18
(1 point)
Which of the following statements is NOT true concerning the scientific method?
Save
Question 19
(1 point)
When you perform an experiment, you are completing which step of the scientific method?
Save
Question 20
(1 point)
Generally, the first step of the scientific method is
Save
Subsection
Question 21
(1 point)
A well-tested concept that explains a wide range of observations is known as a(n)
Save
Question 22
(1 point)
Which of the following is NOT true concerning laws?
Save
Question 23
(1 point)
Which of the following is true concerning scientific theories and laws?
Save
Subsection
Question 24
(1 point)
Which of the following is NOT true concerning models?
Save
Question 25
(1 point)
Which of the following is true concerning models?
Save
Subsection
Question 26
(1 point)
You have completed an experiment to test the hypothesis: "If plant growth is dependent on nitrogen, then plants given more nitr.
Which of the following statements is true about the Internet[remo.docx
Which of the following statements is true about the Internet?
[removed] Its regulations have decreased over time so that greater numbers of people can use it for illegal purposes.
[removed] It has expanded from a source of static information to a meeting place used to organize political events.
[removed] Its role has remained limited to providing facts about elected officials and laws at various levels of government.
[removed] It was designed to be a forum for social and political change but is now used almost exclusively for entertainment.
Question 13
(Multiple Choice Worth 3 points)
(Courts and Civil Liberties 04.05 LC)
Countries with autocracy-based governments have
[removed] a small group of leaders with similar political views
[removed] regular elections to select representative officials
[removed] a single ruler who may be a monarch or dictator
[removed] shared decisions between citizens and leaders
Question 14
(Multiple Choice Worth 3 points)
(Citizenship 01.01 LC)
Which of the following is an example of government affecting citizens' daily lives?
[removed] Voting booths are set up at a library.
[removed] Local doctors speak to a citizen group.
[removed] A local group organizes a park cleanup.
[removed] Road traffic is heaviest in the afternoon.
Question 15
(Multiple Choice Worth 3 points)
(Citizenship 01.02 MC)
The naturalization process in the United States
[removed] can be achieved within a few weeks because very few immigrants choose to apply to be legal citizens
[removed] usually takes months to years because officials investigate and find that most applicants are here illegally
[removed] can be achieved within a few weeks because it only requires that a person have a job and a driver's license
[removed] usually takes months to years because a person must complete several steps including time as a legal resident
Question 16
(Multiple Choice Worth 3 points)
(Citizenship 01.01 LC)
In an indirect democracy, major laws and rules are made by
[removed] majority vote of the people
[removed] the top executive official
[removed] elected representatives
[removed] state-level executives
Question 17
(Multiple Choice Worth 3 points)
(Citizenship 01.01 LC)
Republic means the same as
[removed] individual rights
[removed] direct democracy
[removed] consent of the governed
[removed] representative democracy
Question 18
(Multiple Choice Worth 4 points)
(Policy and Elections 03.05 HC)
"Our aim is a democratic peace, a peace founded upon the dignity and rights of every man and woman."
—President Bush, 2004 State of the Union Address
© 2012 Jupiterimages Corporation
The image represents Theodore Roosevelt, president from 1901 to 1909, known for the phrase "speak softly and carry a big stick."
Which of the following is a valid statement about the artist's judgment in the image compared to the quote?
[removed] President Roosevelt was a much tougher leader than President Bush, who clearly was unwilling to go to war.
[removed] Pres.
Which of the following occurred after the Civil WarAnswer.docx
Which of the following occurred after the Civil War?
Answer
Plantation owners lost their free labor.
Southern infrastructure was left intact.
Plantations were given to the freed African-Americans.
none of the above
1 points
Question 2
Which of the following is a term given to farmers who rented land to farm?
Answer
tenant farmer
sharecropper
carpetbagger
both a and b
1 points
Question 3
The Freedman's Bureau was established by
Answer
the federal government.
state governments.
charity organizations.
churches.
1 points
Question 4
________ prior to the end of Reconstruction.
Answer
Northern support for reconstruction increased
The number of military troops increased in the South
White southern Democrats took control of state government
all of the above
1 points
Question 5
Whose Republican group wanted full equality for African-Americans after the Civil War?
Answer
Andrew Johnson
Rutherford Hayes
Abraham Lincoln
Charles Sumner
1 points
Question 6
The Transcontinental Railroad connected
Answer
Oregon and Washington, D.C.
Texas and Chicago.
New York and California.
Kansas and Utah.
1 points
Question 7
The Timber Culture Act gave land to setters who
Answer
cut down timber for homes.
planted trees on the land.
cleared land for industry.
none of the above
1 points
Question 8
A common use for sod by settlers in the Great Plains was to
Answer
build houses.
burn for fuel.
plant cotton.
none of the above
1 points
Question 9
Which of the following statements is true?
Answer
Most Native American families in the late 1800s were living on their own land under the Dawes Severalty Act.
Most Native Americans in the late 1800s died from disease.
Most Native Americans in the late 1800s were either dead or living on reservations.
none of the above
1 points
Question 10
Who built the Union Pacific track of the Transcontinental Railroad?
Answer
Leland Stanford
Thomas Durant
Cornelius Vanderbilt
John D. Rockefeller
1 points
Question 11
Where were the first factories built?
Answer
South America
Asia
Europe
Canada
1 points
Question 12
Select the statement below that is true.
Answer
Many girls worked in cotton mills to pay for their college education.
Many girls worked in cotton mills to get free schooling
Many girls worked in cotton mills to pay for a male family member's education
Many girls worked in cotton mills because there were no other opportunities for women.
1 points
Question 13
Patents were issued to
Answer
inventors.
manufacturers.
government employees.
laborers.
1 points
Question 14
In which type of system does supply and demand control price?
Answer
merchant economic sy.
Which of the following statements about bodhisattvas is true..docx
Which of the following statements about bodhisattvas is true?
.aThey are rejected in Mahayana Buddhism
.bThey are laypeople in Theravada Buddhism
.cThey are enlightened beings who refrain from entering nirvana in order to save others.
.dThey are monks who failed to enter nirvana and are sentenced to work for the poor.
.
Which of the following statements about Mexican immigration to.docx
Which of the following statements about Mexican immigration to the United States are accurate?
The flow of population from Mexico has not been stimulated by U.S. employers.
Mexican Americans continue to be treated as a colonized group as a result of the political and economic systems that were formed in the 19th century.
Discrimination toward Mexican immigrants declines as a sense of competition and threat between such immigrants and other racial and ethnic groups increases.
All of the above.
None of the above.
5 points
QUESTION 2
This key leader in the Chicano movement sought to protect the rights of migrant farm workers and advocated nonviolent protest, particularly the use of boycotts:
José Angel Guttiérrez.
Rodolfo Gonzalez.
Reies López Tijerina.
César Chávez.
None of the above.
5 points
QUESTION 3
Which of the following statements best describes research and data on Latino acculturation in the United States?
Second generation immigrants are more likely to speak English than their parents.
The majority of Hispanics speak Spanish only.
The majority of Hispanics speak English only or are bilingual.
Both A and B.
Both A and C.
5 points
QUESTION 4
Which of these characteristics demonstrates the third wave of mass immigration to the United States?
It began after 1965 as a result as a shift in U.S. immigration policy.
It is more diverse than previous waves of immigration.
While the number of immigrants arriving per year is higher than earlier waves of immigration, the percentage of immigrants that comprise the U.S. population is lower today than in the past.
All of the above.
None of the above.
5 points
QUESTION 5
This policy, passed in 2001, allows for long-term detention of suspects and more latitude for searches and surveillance and raised concerns about how to balance the need for public safety with individual civil liberties:
USA Patriot Act.
Executive Order 13769.
Muslim Ban.
Civil Rights Act.
All of the above.
5 points
QUESTION 6
According to sociologist Douglas Massey, which statement does NOT characterize differences between contemporary and historic assimilation patterns?
The ease and speed of modern modes of communication and transportation will maintain cultural and linguistic diversity.
Immigrants today face an economy and labor market similar to that experienced by Europeans immigrants in the late 19th and early 20th centuries.
Immigration today is continuous rather than cyclical.
All of the above.
None of the above.
5 points
QUESTION 7
You are a sociologist who is making an argument that traditional assimilation theory applies to recent immigrants. Which of the following statements would you include in your argument?
Contemporary assimilation will not follow the same course that it followed for European immigrants in the late 19th and early 20thcenturies.
Studies of acculturalization show that contemporary immigrants achieve Engl.
Which of the following statements is NOT true of an atomthat.docx
Which of the following statements is NOT true of an atom
that it is composed of extremely small particles that are too small to be seen with an optical microscope and that size at the atomic level is measured on the nanoscale.
There are three basic particles in the atom (proton, neutron, and electron).
The Proton is Positive, the neutron is negative and the electron is neutral
The atom is the basic building block of all matter.
.
Which of the following is true of chemical properties (2 points).docx
Which of the following is true of chemical properties? (2 points)
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Which of the following is NOT true of dialects (Points 1) .docx
Which of the following is NOT true of dialects? (Points : 1)
[removed] [removed] [removed] [removed]
.
Which of the following is true in a monopolyA.)Business owner.docx
Which of the following is true in a monopoly?
A.)Business owners should focus on pricing products correctly so customers will choose it over other products.
B.)Business owners should focus on other business functions, since advertising will not impact the success of their products.
C.)Business owners should use marketing to emphasize the unique features offered by their products.
D.)Business owners should bring their products to market quickly, before another company can create a similar product
This is the Passage for this question
1. Suppy and Demand
The law of demand in economic terms is defined as a downward sloping curve on a graph where price is the y-axis and quantity is the x-axis. What we're going to see is as price goes down, quantity sold increases. So, as a product becomes more available at a lower price, people will tend to want to buy more of it, and therefore, the quantity demanded will go up.
The law of supply, on the other hand, is the opposite story. As the price increases, more producers will want to get into the market, which will affect how much product will be available in the market, because more people are coming in and trying to make a profit on the current price. As price goes lower, the law of supply says that the quantity will also go down.
1a. Market Price and Equilibrium
Market price
is the current price of a good or service at which a customer is willing to pay. Let's put our supply and demand curves together on a graph, and set the market price at the point marked with the dot. This will represent, given the current situation, what a customer is willing to pay.
hint Keep in mind that these things are always in flux, so you'll never see them static, like they're represented here. This is just for the sake of demonstration.
Equilibrium price
is the price at which quantity demanded and quantity supplied will meet. Recall where we set our market price, the price at which a customer is willing to pay given the supply of a particular product. What's going to happen is that the lines will move around until equilibrium is met, as shown below.
This is the price, given the supply and demand curves, where price will be at an equilibrium, all other things being equal.
terms to know
Market Price The current price of a good or service which a customer is willing to pay Equilibrium Price The price at which quantity demanded and quantity supplied meet
1b. Surplus and Shortage
Surplus
is when there's more supply of a product than demand.
Shortage
is when there's more demand for a product than there is supply.
This is going to affect the price, obviously. Surpluses will mean lower prices, while shortages mean higher prices.
The size of a business is going to have an effect on how they can cope with surpluses and shortages. Larger organizations have more flex--more money--available, and they're able to look for more substitutions for a product than a smal.
Which of the following psychological perspectives is most likely to .docx
Which of the following psychological perspectives is most likely to focus on the interrelations among the mind, body,
and behaviour?
a. the biological perspective
b. the cognitive perspective
c. the behavioural perspective
d. the evolutionary perspective
.
Which of the following is true a. Economics is the study of the .docx
Which of the following is true?
a. Economics is the study of the choices we make among our many wants and desires, given our scarce resources.
b. In a world of scarcity, our unlimited wants exceed our limited resources.
c. Rational behavior involves doing the best you can, based on your values and information, under current and anticipated future circumstances.
d. Choices are costly because they require that we must give up other opportunities that we value.
e. All of the above are true.
.
Which of the following is the net requirement using an MRP program i.docx
Which of the following is the net requirement using an MRP program if the gross requirement is 10,000 and the inventory on hand is 4,000?
·
[removed]
14,000
·
[removed]
4,000
·
[removed]
6,000
·
[removed]
10,000
2
Which of the following is a characteristic that can be used to guide the design of service systems?
·
[removed]
Quality work means quality service.
·
[removed]
Services cannot be inventoried.
·
[removed]
Services businesses are inherently entrepreneurial.
·
[removed]
Services are all similar.
Which of the following is considered a major process flow structure?
·
[removed]
Project
·
[removed]
Lead Time
·
[removed]
Lean Manufacturing
·
[removed]
Fabrication
4
Which of the following is an analytical tool used in Six-Sigma quality improvement programs?
·
[removed]
Pareto charts
·
[removed]
Pedigree charts
·
[removed]
Tree charts
·
[removed]
Gantt charts
5
Which of the following is ISO 14000 primarily concerned with?
·
[removed]
Time management
·
[removed]
Quality management
·
[removed]
Environmental management
·
[removed]
Continuous improvement management
6
Considering Hau Lee’s uncertainty framework for classifying supply chains, which of the following is given to a supply chain which has an evolving supply process based on functional products?
·
[removed]
Risk hedging
·
[removed]
Forward looking
·
[removed]
Agile
·
[removed]
Efficient
7
Which production process term best describes the situation when activities in a stage of production must stop because there is no work?
·
[removed]
Buffering
·
[removed]
Blocking
·
[removed]
Starving
·
[removed]
Staging
8
Which of the following is one of Dr. Eli Goldratt's rules of production scheduling for optimized production technology?
·
[removed]
If you lose an hour at a bottleneck it is better than making scrap.
·
[removed]
Utilization and activation of a resource are not the same.
·
[removed]
An hour saved at a bottleneck operation does not increase the process flow.
·
[removed]
Do not allow bottlenecks to govern the flow of the line.
9
Which of the following is considered an organizational blueprint, which prescribes the quantity and time frame for when each end product will be assembled?
·
[removed]
MPS (Master Production Schedule)
·
[removed]
ERP (Enterprise Resource Planning)
·
[removed]
MRP (Material Requirements Plan)
·
[removed]
WBS (Work Breakdown Structure)
10
There are many applications of poka-yokes in service organizations. Which of the following is one of the three-T's used to classify poka-yokes?
·
[removed]
Trust
·
[removed]
Time
·
[removed]
Teamwork
·
[removed]
Task
11
Which of the following is usually included as an inventory holding cost?
·
[removed]
Order placing
·
[removed]
Typing up an order
·
[removed]
Breakage
·
[removed]
Quantity discounts
12
Which of the following terms describes the time a unit spends actually being worked on together with the time spent waiting in a queue?
·
[removed]
Cycle time
·
[removed]
Flow time
·
[.
Which of the following is not a way managers generally benefit from .docx
Which of the following is not a way managers generally benefit from acquisitions?
A.
Social prominence
B.
Shielding against risk
C.
Consolidation of other senior executives
D.
Increased compensation
E.
Political power
What measure, that depends on how much of a firm’s revenues are attributable to product market activities that have shared technological characteristics, production characteristics, or distribution channels, is used to determine how diversified a firm is at a given time?
A.
Relatedness
B.
Rumelt score
C.
Conglomerate level
D.
Integration level
E.
Activity share
Which of the following is not generally a potential benefit of diversification?
A.
Economies of scale and scope
B.
Control systems rewarding/penalizing division managers based on business unit objective
C.
Identifying undervalued firms
D.
Economizing on transaction costs
E.
Diversifying shareholder portfolios
Suppose the cost of producing a 30 second commercial for television is $100,000. If airtime on the evening news costs $200,000 and is viewed by 5 million people, what is the advertising cost per potential customer?
A.
$.02 per potential customer, or $2.00 per 1000 customers
B.
$.06 per potential customer, or $6.00 per 100 customers
C.
$.03 per potential customer, or $3.00 per 1000 customers
D.
$.04 per potential customer, or $4.00 per 1000 customers
E.
none of the above
.
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Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
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Any substance (other than food) that is used to prevent, diagnose, treat, or relieve symptoms of a
disease or abnormal condition
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- 1. Urinary Function: Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. Case Study Questions 1. The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury. 2. Create a list of risk factors the patient might have and explain why. 3. Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his
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