A 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions. Her symptoms are most likely due to

A 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions. Her symptoms are most likely due to

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter2: Where, Why, And What

Section: Chapter Questions

Problem 4FITB

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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…
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 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. Neutropenia
CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…
Mr. Henry is a 50-year-old male who presents to the office for headaches. he has a known history of sinus infections when the seasons change, high blood pressure and depression. his medications include Lopressor 50mg, daily and Claritin 10mg daily. he has a family history significant for aneurysms and depression. His vitals are BP 196/86 right arm seated, HR 87 regular, RR 13, Temp 98 oral. What is a NANDA approved diagnosis you could give her?
CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…
A 57 year-old male patient who has a longstanding history of hypertension, type 2 diabetes and hyperlipidemia. He presents with a chief complaint of nausea, shortness of breath, lower extremity edema and abdominal swelling. He is 5 feet and 6 inches tall and weighs 77.7 kilograms (Body Surface Area: 1.90). His blood pressure is 165/92 mmHg, heart rate is 97 beats per minute. Blood has drawn and urine is collected for various clinical chemistry tests. Laboratory Data Urine Creatinine: 88 mg/dL Urine Volume: 3,777 mL/24 hrs Plasma Creatinine: 4.75 mg/dL Urea Nitrogen: 170 mg/dL Blood Uric Acid 11.7 mg/dL Questions: 1. Given these data, what is the Creatinine Clearance of this patient? What are the possibilities for his lower extremity edema? What is/are the probable cause/s for the elevated Creatinine and Urea N? 2. 3.
A 63-year-old female with a past medical history significant for diabetes mellitus,cirrhosis, gout, and a 30-pack a year smoking history presents to the emergency roomwith chest pain revealing pericarditis in the echocardiogram, secondary to recentlydiagnosed end-stage renal disease. Physical examination reveals yellowishdiscoloration to the skin and sclera, multiple bruises, 2+ bilateral edema, and weaknesslasting more than three weeks. Her medications include Glisten, a new drug for diabetesthat causes ATP sensitive potassium channels to close, thereby releasing insulin. Herrecent laboratory results are as follows: What is the correlation between her illnesses and the low vitamins (D, K, E, and A), renin, and aldosterone levels?7. Which hormone would the body elevate in response to her low calcium levels?Why?
Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…
Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Vitals at 800: Vitals at 11:20Am: Pulse: 99 HR: 72 SPO2: 99. BP: 144/97 BP: 135/82. R: 17 Temp: 95:4 HR:70 R: 16 Base on the information above can you please do a intervention for each body system. Neurological, Musculoskeletal, cardiovascular, respiratory, integumentary, GI, GU Patient…
Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the image
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…