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A 72-year-old man has a radical prostatectomy for localized prostate cancer. After surgery his PSA level was undetectable. He presents 5 years later having been “lost to follow up.” He complains of pain in his hip and lower back. His PSA level is now markedly elevated.
What initial investigations are warranted?
What therapies are available for this complication?
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- A 45 year old male presents to the emergency department complaing of intense joint pain. The previous night, the patient experienced similar pain accompanied by inflammation and redness of his wrists and large toe. The physician on-call orders testing for serum uric acid concentration with a reporting value of 9.1 mg/dL. Identify the diagnosis consistent with the patients presentation. Fanconi syndrome, Alzheimer's disease, Lesch-Nyhan syndrome, or gout?A patient presents with the following symptoms: Constipation, increased sensitivity to cold temperature, fatigue/run down/weakness, heavier and irregular menstrual periods, joint or muscle pain, paleness or dry skin, sadness or depression, thin, brittle hair or fingernails, weight gain, and a pronounced goiter. What is the probable diagnoisis?Charles Christian Baletbet is a 38-year-old woman who has breast cancer. She is receiving radiation and chemotherapy. Mr. Baletbet is experiencing significant nausea and vomiting. Her physician orders ondansetron 32 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day: 30 minutes before meals and at bedtime. For what adverse effects would you assess Mr. Baletbet, in relation to ondansetron?
- DISCUSS THE CURRENT INDICATION FOR THE USE OF IV FLUIDS IN THE TREATMENT OF HAEMORRHAGIC SHOCK.Case Study:A 24-year-old woman notes vaginal itching and irritation with a slight discharge. Previously, shedeveloped a yeast infection that was treated with over-the-counter medications and resolved.Thinking that this was a recurrence, she again self-treated. This time, however, the symptomsdid not resolve, and now there is a pungent odor, along with a frothy discharge. She presentsto her HMO for diagnosis, and the nurse practitioner takes a swab of the secretions to performa rapid point-of-care test and microscopy. A wet mount of the swab demonstrates swimmingprotozoan with characteristic jerky motility. A stained smear also showed pear-shapedtrophozoite with flagella. Diagnosis: Bacterial vaginosisCausative Agent: Gardnerella vaginalis 1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year) 5. Diagnosis and Causative agent6.…Match the potential therapeutic to the primary stage of prostate cancer the drug would target Anticoagulant Answer 1 Drug inhibiting production of osteoblasts Answer 2 HIFalpha inhibitor Answer 3 Protease inhibitor Answer 4
- Case Study:A 24-year-old woman notes vaginal itching and irritation with a slight discharge. Previously, shedeveloped a yeast infection that was treated with over-the-counter medications and resolved.Thinking that this was a recurrence, she again self-treated. This time, however, the symptomsdid not resolve, and now there is a pungent odor, along with a frothy discharge. She presentsto her HMO for diagnosis, and the nurse practitioner takes a swab of the secretions to performa rapid point-of-care test and microscopy. A wet mount of the swab demonstrates swimmingprotozoan with characteristic jerky motility. A stained smear also showed pear-shapedtrophozoite with flagella. Diagnosis: Bacterial vaginosisCausative Agent: Gardnerella vaginalis 1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and Causative agent6.…What is the rationale for routine Papanicolaou testing for cervical cancer?What is carcinoid syndrome ? please explain briefly.
- Diagnose this patient: - 67 year old obese woman - patient - Eats a lot of junk food and drinks wine frequently - Doesn't excersize - Father passed away from heart attack and mother has type 2 diabetes and hypertension - Patient has had hypertension for a few years taking beta blockers - Experiences shortness of breath and pain in the chest when walking but when the patient sits down she feels fine - light headed, weak, nauseous, dizzy, - ECG shows the patient has high ST elevation and blood test shows high levels of myocardium-specific troponin in her blood - The patient is given heparin intravenously as well as an anti-platelet and a fibrinolytic drug What is the diagnosis and why did symptoms disappear when the patient sat down?A patient is asking about the use of saw palmetto for prostate health. The nurse tells him that drugs that interact with saw palmetto include: a) acetaminophen (Tylenol).b )nitrates.c )nonsteroidal antiinflammatory drugs.d )antihypertensive drugsidentify 15 unique medical terms. Identify the prefix, word root, and suffix for each medical term. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322016/
