A 55 year old females patient who is positive for MRSA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to covert to an open cholecystectomy. Which category of medication will be used during the intraoperative cholangiography segment of the procedure? Name 3 medications from this category.
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A 55 year old females patient who is positive for MRSA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to covert to an open cholecystectomy. Which category of medication will be used during the intraoperative cholangiography segment of the procedure? Name 3 medications from this category.
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- A 55-year-old female patient who is positive for MR SA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy. Which category of medications will be used during the "Intraoperative cholangiography" segment of the procedure? Name three medications from this category.A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Questions: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Question: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?
- A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Question: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?The additional test is von willebrand test because it's specific for clotting factor 8. Why is it necessary?The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. NeutropeniaThe patient is male, 50 years old. Chronic liver disease for 15 years. Sudden vomiting 400ml blood. Physical examination: chronic disease appearance, mild yellow discoloration of the sclera. The abdomen was soft without tenderness, the liver and ribs cannot be palpable, and the shifting dullness was positive. The most likely diagnosis is ( ) Biliary bleeding Duodenal ulcer bleeding Bleeding from gastric cancer Esophageal variceal bleeding Hemorrhagic gastritis A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the…
- A 2-year-old boy of Greek descent is admitted to the hospital with a fractured arm, leg and hepatosplenomegaly. There is also the presence of a bacterial infection. The patients' haematology results are shown below. From the information provided, what is the most likely diagnosis for this patient? sickle cell trait sickle cell anaemia beta-thalassaemia trait alpha-thalassaemia major beta-thalassaemia majorA craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove?A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove? Is there a relationship between the patient’s history and the findings at surgery? In general, what other types of infections might cause the current intracranial findings? Do you think the patient has a good prognosis based on the pathological findings? Could the patient be at risk for a CNS infection because of the craniotomy procedure? Please answer questions 1,2,3,4, and 5 if possible.
- A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove? Is there a relationship between the patient’s history and the findings at surgery? In general, what other types of infections might cause the current intracranial findings? Do you think the patient has a good prognosis based on the pathological findings? Could the patient be at risk for a CNS infection because of the craniotomy procedure? Please answer questions 3, 4, and 5.A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds).Diagnosis: Liver Disease Provide strong evidence of the diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds). What is the most likely diagnosis? Support your answer. How can the PT result support your diagnosis? Can this be considered a vitamin k deficiency? Why or why not? Provide strong evidence of your diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.