A man has frequent abdominal pains before eating his food, his pain only subsides after eating. His lab results : fecalysis has occult blood on his feces, and microcytic normochromic anemia in his blood test. When he went to have his stomach endoscopy, the doctor found that he has wounds in his lumen. It was found out that he has Peptic Ulcer disease, why does he have microcytic normochromic anemia ?
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A man has frequent abdominal pains before eating his food, his pain only subsides after eating.
His lab results : fecalysis has occult blood on his feces, and microcytic normochromic anemia
in his blood test. When he went to have his stomach endoscopy, the doctor found that he has wounds in his lumen.
It was found out that he has Peptic Ulcer disease, why does he have microcytic normochromic anemia ?
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- A man has frequent abdominal pains before eating his food, his pain only subsides after eating.His lab results : fecalysis has occult blood on his feces, and microcytic normochromic anemia in his blood test. When he went to have his stomach endoscopy, the doctor found that he has wounds in his lumen.What is the patient's disease?A 48-year-old male complains of abdominal discomfort after meals, especially, high fat meals. At those times he also has aching in his right shoulder and back. An ultrasound of the upper abdomen revealed cholelithiasis. A consult with a gastroenterologist determined that cholelithotripsy was considered but it was decided that a laparoscopic cholecystectomy would be the first procedure attempted. If complications were encountered then an open cholecystectomy would be performed. Significant medical history: patient had a coronary angiography performed at age 46 following suspected MI (myocardial infarction). Give definitions for the BELOW medical terms taken from the Medical Record: ultrasound cholelithiasis - gastroenterologist - cholelithotripsy - laparoscopic cholecystectomy - open cholecystectomy - coronary angiography - MI (myocardial infarction) -A teenage boy presents with moderate to severe epigastric pain. Physical examination reveals extensive eruptive xanthomas and hepatosplenomegaly. A blood sample reveals milky plasma. Which of the following is the most likely lipoprotein to be elevated in this patient's plasma? A Chylomicrons B Chylomicron remnants HDL D IDL E LDL
- A 62 year old man was "found down" in his home by a family member earlier this AM. Per the paramedics bring him into the ER, family members state that he's a diabetic and a chronic alcoholic. Additionally, he'd been having bouts of fairly severe diarrhea for about 3 days prior to admission. On presentation to the ER, the gentlemen is nonresponsive and slightly blue. The paramedics tried to intubate but were unsuccessful, so they have been "bagging" him as best as they could en route. Labs taken upon entrance to the ER: ABG: 7.1/49/120/14 135 | 100 | 54 / 265 6 | 14 | 2.4 \ What do you think, by history and by labs and presentation, do you think is happening, at least in reference to his ACID/BASE STATUS; additionally, you may want to think about what underlying processes may be contributing to his overall condition.Intrinsic Factor is a protein that plays a role in how the body absorbs Vitamin - This protein is secreted by the cells which are found in the gastric mucosa. A 75 year old male who recently had surgery on the ileum presents with a beefy red tongue. He reports feeling extremely fatigued and numbness and tingling in the hands. The doctor orders a peripheral blood smear. Based on your knowledge of this chapter, he is most likely to be diagnosed with and is ordered to receive supplementary Vitamin by intramuscular injection.A 62-year-old man has had dull, constant back pain for 3 months. He recently developed a cough productive of yellowish sputum. On physical examination there are crackles at the right lung base. A plain film radiograph of the spine reveals several 1 to 2 cm lytic lesions of the vertebral bodies. Laboratory studies show glucose 78 mg/dL, urea nitrogen 49 mg/dL, creatinine 5 mg/dL, total protein 8.3 g/dL, albumin 3.7 g/dL, alkaline phosphatase 176 U/L, AST 45 U/L, ALT 22 U/L, and total bilirubin 1.2 mg/dL. A sputum culture grows Streptococcus pneumoniae. Which of the following pathologic findings is most likely to be seen in a bone marrow biopsy from this man? Scattered small granulomas Hypercellularity with many blasts Nodules of small mature lymphocytes Numerous plasma cells Occasional Reed-Sternberg cells.
- Boying is a 5 year-old boy who was brought to you because of diarrhea and vomiting for 5 days. You noted that the patient is weak-looking and severely dehydrated. His weight is 10 kg and his height is 97 cm. Upon taking the nutritional history, the mother told you that since the pandemic, they haven't eaten any meat and just eat vegetables that they harvest from their backyard. Boying: Diarrhea and dehydration (diarrhea and vomiting for 5 days) Lack protein in the diet Incomplete nutrition intake The ordinary height for a 5-year-old is 40 to 45 inches - Boying: 97 cm (38.2 in) The average weight for a 5-year-old boy is about 16 kg and the average height is about 104 cm. Boying: 10kg Questions: What is the nutritional status of the patient? Plot the Z-score and interpret, how did you come up with the z-score What other pertinent history will you ask? What are the micronutrients that you think the patient need? Explain your answer. How are you going to manage the patient? Expound…A 74-year old woman with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she’s had in her ankles for years has started to get worse over the past two months. In the past week, she’s had a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the abdomen. On physical examination, the patient’s jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra “S3” heart sound. (i) What is causing this murmur? (ii) Is the history of rheumatic fever relevant to the patient’s current symptoms? Explain. (iii) Examination of the patient’s abdomen reveals an enlarged liver (hepatomegaly) and a moderate degree of ascites (‘water’ in the pericardial cavity). Explain these findings. (iv) Examination of the patient’s…A 74-year old woman with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she’s had in her ankles for years has started to get worse over the past two months. In the past week, she’s had a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the abdomen. On physical examination, the patient’s jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra “S3” heart sound. (i) Examination of the patient’s ankles reveals significant “pitting oedema”. Explain this finding. (ii) What is the general term describing this condition?
- Measurement of sweat chloride concentration is useful in the screening of children suspected of having which of the following pancreatic diseases? 1) Cystic fibrosis 2 Insulinoma 3) Zollinger-Ellison syndrome 4) Pancreatic insufficiency no references, just homeworkCould you tell me the factors or things that stimulate gastric emptying? In a previous assignment I chose, "partially digested proteins" as the thing that does not stimulate gastric emptying, and I was marked wrong. Other options are 1. Distention of the stomach 2. Gastrin 3.CCKA 55-year-old female 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 convert to an open cholecystectomy. what are three medications that might be used to control bleeding on the liver bed intraoperatively?