What type of infection is suggested by his foul breath? What group of organisms could be responsible for this patient's condition? What complications are associated with this infection?v
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A 35 year alcoholic male who had a heart surgery before was admitted with a three week history of fever and gum infection which leads to poor appetite since he cannot eat properly. On physical examination, his body temperature is at 39 degrees celsius. Pulse is 96 beats per minute, respiratory rate is 20 breaths per minute, and BP is 120/80 mm. There are many missing teeth with gingivitis and dental caries which gives off an unpleasant breath odor every time he speaks. He has with him a pack of sugar candies that he brought secretly.
What type of infection is suggested by his foul breath?
What group of organisms could be responsible for this patient's condition?
What complications are associated with this infection?v
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- A 65 year old man comes to the physician because of a one month history of an itching, red lesion on his left forearm that has become enlarged and ulcerated during the past two weeks. He has had no fever, chills, or weight loss. He recently returned from a six week trip to Suriname, China, and the Philippines. He has type two diabetes, mellitus that is well controlled with diet. His temperature is 37.2 C, pulse 84/min, and blood pressure 150/80 mmhg. Examination of the left upper extremity shows a 3 cm, non purulent ulcer with the raised borders over the forearm. Laboratory studies show a leukocyte count of 10,000 mm3. and the fasting serum glucose of 120mg/dl. Which of. the following is the most likely causal organism? A) Bruga malayi B) leishmania tropica C) schistosoma japonicum D)toxoplasma gondii E) trichinella spiralisA 45-year-old man had a 10-day history of appetite loss, flu-like symptoms, and nausea. He noticed that upon urination, his urine had been dark in color over the past 4 days. On examination, he had tenderness in his upper right quadrant of his abdomen. Laboratory tests show: Total Bilirubin- 4.5 mg/dL Direct Bilirubin- 2.5 mg/dL Indirect Bilirubin- 2.0 mg/dL 1. What is the clinical importance of the result of: a. Total Bilirubin b. Direct Bilirubin c. Indirect Bilirubin 2. What does the dark-colored urine indicate? 3. What is the diagnosis of the patient? 4. What other tests are needed to be done to support your diagnosis?Alfred a 45 year-old African-Spanish male two days ago complained of awakening with severe, 8 out of 10 left knee pain, erythema, and swelling three days prior. He the pain was “in and all around the joint area.” he denied being able to ambulate without his wife’s assistance and stayed home from work as a teacher. He thought he “overdid it” playing with his kids. The pain persisted throughout the day despite taking two OTC NSAID tablets. The pain mostly subsided by the next morning. Peter also said that he had a similar episode of sudden onset pain upon waking in the morning in his right great toe, but thought he stubbed his toe. He denies injury, fever, rash, chills or decreased range of motion. Alfred’s History Height: 5’11’’; Weight: 239 lbs History of hypertension Takes 25 mg HCTZ a day Reports drinking beer on most weekends John’s Vitals upon examination Temp: 98.8°F HR: 79 bpm BP: 136/78 Resp: 17 Question: What are the parameters to confirm that it is therefore gout?
- Mr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.Mr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. He also offered you (the interviewer) a sachet of crystal clear methamphetamine. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /l Hb 71 g/l PCV 24% Plt 8.0 X109/l WBC 1.2 X109/l Differential Segmented Neutrophils 2% Lymphocytes 94% Monocytes 4% Reticulocyte count 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…
- Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /1 Hb 71 g/l 24% 8.0 X10/1 PCV Plt WBC 1.2 X109/1 Differential Segmented Neutrophils Lymphocytes Monocytes Reticulocyte count 2% 94% 4% 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and there were no malignant cells present. 1- Connect these clinical symptoms with her laboratory-screening…A 28 years-old, male Foodpanda rider involved in a motor vehicle crash with a car. He was hit by the car from the back and then fall down on his left side. On arrival, the victim was lying by the roadside, probably moved by the other road users. He looked pale and tachypneic. He complained pain on the left leg. On examination, the victim had hematoma on his abdomen. The left ankle is swollen and movement is restricted. The vital signs: - HR: 110 beat/min - BP: 90/68 mmHg - RR: 22 breath/min - SpO₂: 90% Question 1: a) Identify possible hazards at the scene and explain your precaution steps taken before you approach the victim. b) Explain the possible injuries suffered by the victim. c) Describe the proper management for the victim at scene.A man is experiencing cough issues after days of masturbation or sexual intercourse. What doctor he should visit to get a medical attention?
- A 40-year-old woman presents with a "skin rash." Questioning reveals easy bruising on minimal trauma, menorrhagia, and frequent| bouts of epistaxis. She is not taking any medications, and there is no history of toxic exposures. Physical examination reveals multiple petechial hemorrhages, most prominently on the dependent portions of the lower extremities. Splenomegaly is not detected. Laboratory studies reveal marked thrombocytopenia, and a bone marrow aspiration reveals increased numbers of megakaryocytes. Which of the following is the most likely mechanism of this disorder? Physical destruction of platelets while negotiating through partially block microvasculature. DIC with consumption of platelets and coagulation factors Myeloid stem cell suppression in bone marrow, with inability to produce platelets Intravascular spontaneous lysis of platelets due to increased osmotic fragility Antibody-mediated platelet destruction.An old patient suffers from difficulty in evacuation process and lose of weights. During the diagnostic procedures, the physician examine his bowel sounds and identify the presence of mild ascites. He also noted the following symptoms and signs: Phlebitis, Aphthous ulcer, episcleritis and spider naevus. His total bilirubin is 1.5 mg/dl , albumin is 4 g/dl and prothrompine time is 3 sec. laboratory measured In addition, skip lesions between healthy areas diagnosed during the study of the inside of view of the entire colon. A) Calculate and explain the scoring for the Child-Pugh Grading with this case and identify his class. B) Identify the specific types of diseases he is suffering from and the physical examination that used in this case.It’s Day One in the St. Mary’s ER for nursing student, Toni Santos, as he embarks on clinical rounds with his preceptor, Nurse Martinez. His bond with a patient presenting suspicious lung-related symptoms takes him by surprise, as does his family’s. He is 56 symptoms are coughing and having trouble breathing, wheezing for about two weeks. He was a heavy smoker, dranks alcohol, and use heroin four year prior. Mr. Jones was severely overweight. The clinical manifestations for Mr. Jones were: the chronic cough, wheezing, hoarseness in the voice, and the lesion in the right upper lobe the x-ray revealed. Possible treatment/management is to stop smoking, lifestyle changes, chemotherapy, immunotherapies, radiation and eventually going in for surgery for either a wedge resection or lobectomy on the right lung,A risk factor... Increases the chance of a disease or condition developing. Yup! It increases the chances of developing a disease or condition. Mr. Jones’ risk factors are... Alcohol…
