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?
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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?
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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 ?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 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?
- 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?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 7 years old Italian-born female fell, unconscious, but recovered quickly. This was followed by a week of vomiting. One month later she developed headaches, intermittent drowsiness, and convulsions. She presented to an Emergency Room, where physical examination showed neck stiffness, hyperactive knee jerks, a positive Kernig sign and a Babinski reflex. The patient went into a deep coma with occasional involuntary motions. She died two days later. At autopsy, a 250 gram, 5 by 10 cm white-walled cyst (arrow) bulged out of the cerebrum... a. Define Kernig sign b. Define Babinsky reflex c. In what organs are these cysts usually found? d. How was the infection acquired?
- A 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. The surgeon is concerned that the patient might have some postoperative liver inflammation leading to nausea and vomiting. What single medication would the surgeon ask the anesthesia care provider to give intraoperatively to treat this possibility?a 60-year-old Patient was taken to the hospital by ambulance for an obturation intestinal obstruction caused by a sigmoid colon tumor. General condition of the patient of moderate severity. During the operation, it turned out that the adductor intestine was clogged with fecal matter. There are no visible metastases. The tumor is mobile, but upon examination, it is found to have a thinning decaying area where perforation may occur. What should I do in this situation?Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs Answer the following questions, using the medical information of Ruth. 1. Examine Ruth’s serological studies and answer the following: A. What type of viral hepatitis is Ruth infected with? How did she get it? B. Is it an acute or a chronic infection? Explain your answer C.…
- Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs Answer the following questions, using the medical information of Ruth. 1. What do you think is the health issue of Ruth? Provide medical evidence. 2. What do you think caused the liver disease of Ruth? Explain your answer 3. Examine Ruth’s serological studies and answer the…Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs 1. Assume that the physician ordered a serological test for an HDV antibody profile. The results are the following Anti- HDV: POSITIVE IgM Anti- HBc : NEGATIVE HBsAg: POSITIVE Question: Is Ruth infected with Hepatitis D virus? If yes, is it a superinfection or coinfection?…Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs Assume that the physician ordered a serological test for an HDV antibody profile. The results are the following Anti- HDV: POSITIVE IgM Anti- HBc : NEGATIVE HBsAg: POSITIVE1. Why do you think that HDV is not screened in blood products unlike Hepatitis B?