Female,54 years old, with a history of gallstone for 8 years. Severe upper abdominal pain for 2 days radiating to the waist, accompanied by nausea and vomiting,and the blood amylase increased twice The following most valuable check is() A Abdominal X-ray B Upper gastrointestinal barium meal C ECG D Abdominal CT E Endoscopy
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- A 26-year-old woman presents at 4 weeks post partum with headaches, profound weakness, nausea, and vomiting. She had been breast-feeding. Physical examination fi ndings are unremarkable. Magnetic resonance imaging (MRI) of the head shows a sellar mass with suprasellar extension but without chiasmal compression. Laboratory test results (and reference ranges) include the following: serum sodium 125 mEq/L (136–142 mEq/L), serum prolactin 72 ? g/L (4–30 ? g/L), 8 am serum cortisol 3 ? g/dL (5–25 ? g/dL), serum adrenocorticotropic hormone (ACTH) 10 pg/mL (10–60 pg/mL), and normal values for serum free thyroxine and thyrotropin. Which of the following is the most likely diagnosis? a. Primary adrenal insuffi ciency (Addison disease) b. Prolactin-producing pituitary tumor c. Nonfunctioning pituitary tumor d. Pituitary apoplexy (Sheehan syndrome) e. Lymphocytic hypophysitisMr. 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 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
- 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…please answer the following questions with detailed explanation. thanksAnswer each question for 5-6 sentences: 1. Write the instructions that must be given to patients as regards the collection of stool specimen for occult blood test, including the dietary restrictions. 2. What is the most sensitive and specific method for the detection of occult blood? 3. Draw the microscopic structure found normally and abnormally in the feces.
- A 52-year-old female with cirrhosis has returned for an urgent follow-up visit concerning new weight gain and swelling in her abdomen. Which of the following physical exam techniques is most helpful in identifying ascites? Answers: A - D A Palpation for suprapubic masses on supine patient B Percussion from the area of distal tympany to the area of dullness on a suspine patient C Inspection for jaundice and striae D Percussion from the area of central tympany to the area of dullness on a supine patient O OA 24 yr old presents in the emergency department with a history of cramping legs and lethargy. On detailed history, the nurse understood that the client is suffering from diarrhea for the last one week. What should the nurse do first? Answer Choices: a. Administer anti-diarrheal medications b. Give IV fluid c. Monitor serum electrolyte d. Collect stool for C/SMAKE AN SCIENTIFIC AND SITUATIONAL ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO (for reference): Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time…
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