What follow-up laboratory tests might be ordered to assist in establishing a definitive diagnosis? What is the nature of the protein found in the urine? What is the most significant laboratory finding in this disorder?
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This 58-year-old nuclear power plant worker saw his family physician because of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed that the man had pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis (UA). A follow-up appointment is scheduled for the following week.
Laboratory Data
The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled coin) appearance of the RBCs. The UA was normal. The patient was called and requested to return to the laboratory for additional tests. The physician ordered an ESR, kidney screening profile, liver blood profile, and radiographic skeletal survey, with the following results:
- ESR—50 mm/hr
- Kidney profile—normal
- Liver profile—normal, except for increased globular protein
- Skeletal survey—bone lesions in various sites
- What follow-up laboratory tests might be ordered to assist in establishing a definitive diagnosis?
- What is the nature of the protein found in the urine?
- What is the most significant laboratory finding in this disorder?
- What type of immunologic defect exists in this disease process?
- Does this patient have a risk of occupational exposure?
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- Two patients presented to the Emergency Department. They were experiencing two different sets of signs and symptoms. The first patient, Patient A, is a very old woman who presented with cardiac issues. Her ECG (electrocardiogram) result was very abnormal. She was admitted to the ICU on the same day. She told the physician on duty that she had diarrhea for 1 and a half months. The admission laboratory work showed a potassium level of 1.1 mEq/L. The other patient, Patient B, is a 15-year-old female, of Chinese descent, who experiences dizziness, malaise, nausea, loss of appetite, chilly sensation, dyspnea, and projectile vomiting. Her laboratory results show a significant decrease/deficiency with the trace element selenium. A. What is a likely reason for Patient A's cardiac abnormalities? Explain why. B. Why was Patient A's potassium level so low? Discuss your answer. C. What is the most probable diagnosis for Patient B? D. What other diseases are associated with selenium defiency?Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)The healthcare provider orders erythromycin 20 mg/kg/day every 8 hours in equally divided dose.The child weighs 44 pounds. How many rilligrams per dose should the nurse administer?
- Use the information provided to fill out the table ( Anesthesia surgery log ) 1- They will use the information from the attached case https://www.clinvetpeqanim.com/index.php?pag=articulo&art=230 2- HR data = 100 -110-120-100-127-122-127-127-120-110-120-127. 3- RR data = 14-14-12-8-12-14-18-18-18-12-14-18. 4- temperature data = 100-101-99-99. 5-Choose the start and end time of anesthesia 6- Set the start and end time of surgery. 7- Choose time for intubation and extubation. 8- Set the oxygenation data must be between 97% 98-99-100-100-96-97-97-99-95-100-100% in a period of one hour. 9- EtCO2 = 35-38-30-22-40-32-35-38-45-45-40-45 10- sitstolica :97, 117, 110, 121, 120, 120, 106, 120, 132, 154, 120, 110 11-diastolic :69, 77, 50, 75, 70, 80, 71, 80, 87, 93, 80, 80 12-MAP :79-97-89-89 -87 -92-87-93-96- 96-92-87Using the following word parts, build or complete medical terms from the definitions below: hem/o hyper- tachy- py/o -ptysis a- -osmia -sphyxia an- -pnea -thorax dys- 1. Increase in depth of breathing: 2. Excessive or rapid breathing: 3. Blood in the chest (pleural space): hemo 4. Not breathing: 5. Pus in the chest (pleural space): __empy 6. Spitting up blood: 7. Abnormal breathing (shortness of breath): 8. No sense of smell: 9. Lack of pulse: струетаWhat diagnostic imaging device would be used for the following conditions? 1.Brain tumor 2.Cancer of the stomach 3.Liver disease 4.Pregnancy
- Mr. B is a 57-year-old man who was admitted yesterday after starting to pass black stools. He has a two-day history of severe stomach pains and has suffered on and off with indigestion for some months. He is a life-long smoker, with mild chronic heart failure (CHF) for which he has been taking enalapril 5 mg twice daily for 2 years. He also recently started taking naproxen 500 mg twice daily for arthritis. He works a stressful job and drinks large amounts of caffeinated coffee daily. Yesterday his hemoglobin was reported as 9.3 g/dL, hematoocrit 30%, RBC's 3.2, platelets 162, INR 1.1 with Liver Function Test normal. He was mildly tachycardic (110 bpm) and had a slightly low blood pressure of 100/77 mmHg and was given 1.5 L of saline. He has just returned from an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. They took a biopsy to determine if he is positive for H-pylori. He has been written up for his usual medication for tomorrow if he is…The 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…I nend help with this question please SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital…
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