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- *Case Study* A 2-year-old boy fell from a backyard gym set. His shoulder and upper arm became very swollen shortly after the fall. The boy’s mother took him to the emergency department a few hours after th incident because he was complaining of pain. On physical examination, the physician noted that large hematoma had formed in the upper part of the boy’s right arm. There was no history of surgery (he had not been circumcised), injury, or illness. The boy was receiving no medication. Emergency department treatment consisted of aspirating the hematoma Subsequent to this treatment, the boy began to bleed extensively. He was admitted to the hospital. The following laboratory tests were ordered: a hemoglobin and hematocrit, platelet count, and bleeding time. Because the bleeding continued, a type and crossmatch for two units of fresh blood were ordered on a standby basis. Additional information from the mother revealed that the boy’s cousin had “bleeding problem.” Laboratory Data…I. Instructions: Write 10 medical terms. Identify and give the meaning of the root word, prefix (if any), and suffix of each term. Define the medical terms and use them in a complete sentence. Use the table below. Medical Term Root Word/ Prefix/ Suffix/ Meaning Meaning Meaning Meaning of the Term Example: cyt = cell poly = many -emia = blood increase number of blood cells Polycythemia Sentence: May was diagnosed to be suffering from polycythemia. 1. Hyperdycomica glyc=sugar hyper=excatiel -cmia= blood too much in the blood aty pica! sugar Patients with hyperghycemia heed regular fating bload glucese testing on pamipychochies 2. 4. 5. 3.Describe the Molecular Mechanism of Hypertrophic cardiomyopathy: --> Normal molecular physiology and/or biochemistry: describe the relevant biochemical structures, cellular organelles, 2nd messengers, DNA/RNA, etc. related to Hypertrophic cardiomyopathy Explained clearly using your own words and provide any citation used, please.
- b. What is her CrCl? 4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) for broad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600). WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that is appropriate for JC. a. What is the dosing weight? CrCl ? b. What LD & MD & interval would you recommend? c. When should you order a vancomycin trough for J.C? Now, lets adjust his dose Assume his initial dose was 1750mg g 12h scheduled at 0900 & 2100. Assume his doses were given on time. The hospital policy required an infusion time of 2hr. The peak was 45ug/ml drawn after the 4th dose at 1230, 3.5hr after the start of the infusion. The trough level was 21ug/ml drawn at 2030, 11.5hr after the 4th dose. How would you adjust the dose? a. Calculate the patient specific k b. Calculate Cmax & Cmin c. Calculate the AUC d. Calculate patient specific Vd e. Calculate new dosing interval f. Calculate new…What part of the claim consists of the physician component of the CMS-1500 form and what does it consist of?Case study 2 40-year-old man with no history of any chronic liver disease, presented with acute liver failure (ALF). After carrying out extensive laboratory screening, it was suspected that the ALF was due to auto-immune liver disease namely Autoimmune Hepatitis. Answer the question with both details and clear, Discuss the pathophysiology of the disorder and critically evaluate current laboratory methods identify were relevant with overview of method aims and how it meets the pathophysiological criteria for the classification of the disorder.
- a 58-year-old Asian male .He visited his physician because he noticed dark colored lesions on his inner thighs, have increased in number, size. For the last three months he has been feeling weaker and more fatigued than usual; his weight dropped from 170 to 155 pounds. Xin’s blood was drawn and testing was conducted. His hematocrit was 45% and white-blood cell count was 2,500 white-blood cells/mm3, with the differential showing neutrophils 65%, lymphocytes 25%, monocytes 10%. A biopsy was taken of one of the discolored lesions and grown in cell culture. After three days of growth the cells were confirmed as coming from malignant cancerous tissue. A magnetic resonance image (MRI) of the area around the skin lesions on Xin’s inner thigh revealed enlarged lymph nodes, a sign of potential metastasis. What possible Diagnosis or disorders can you rule out for this paitentThe Klein and Mancinelli (2021) textbook describes a Level IX and a Level X on the RLA. How would a clinician working in an outpatient facility find those extra levels useful when treating their clients with TBI?Anti-A Anti-B Anti-Rh Blood Type Slide #1: Mr. Smith Agglutination No Agglutination Agglutination A+ Slide #2: Ms. Jones No agglutination Agglutination No agglutination B- Slide #3: Mr. Green Agglutination Agglutination Agglutination AB+ Slide #4: Ms. Brown No agglutination No agglutination No agglutination O- What ABO antigens are present on the red blood cells of Mr. Green’s blood? What ABO antibodies are present in the plasma of Mr. Green’s blood?
- A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…Individual questions:- 1. Describe the skin lesions that are signs of three common infectious illnesses in young children. For each illness, describe the signs that would allow you to distinguish the infectious illness from a hypersensitivity reaction or other non-infectious cause of skin lesions.