140. A 42-year-old man is brought to the emergency department by his wife because of a 24-hour history of severe abdominal pain. His wife says that he has been drinking excessive amounts ofalcohol for the past 3 days. His blood alcohol concentration is 160 mg/dL. Physical examination shows scleral icterus and right upper quadrant tenderness of the abdomen. Microscopicexamination of a liver biopsy specimen shows hepatocyte necrosis, bridging portal fibrosis, and macrovesicular steatosis. There are numerous Mallory bodies and neutrophilic infiltrates.Which of the following abnormalities is most likely in this patient?A) Globules of a-antitrypsinOB) Impaired synthesis of fatty acidsC) Increased conjugation of bilirubinD) Increased generation of ATP by mitochondriaE) Increased NADH/NAD* ratioF) Increased oxidation of fatty acids

Case Summary: The patient is a 42-year-old man who presents to the emergency department with severe…

Answered: 40. A 42-year-old man is brought to the…

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter13: Diagnostic Procedures

Section: Chapter Questions

Problem 2CS

See similar textbooks

Similar questions

A 51-year-old man with diabetes mellitus and who is on oral hypoglycemics, recently underwent surgery to remove his appendix after being diagnosed with acute appendicitis and was discharged after two days. Three days later, he notices increasing pain, redness, and swelling around the surgical incision site. He has a fever of 37.9°C and a foul odor emanating from the wound, in addition to some pus discharge. He decides to seek medical attention and is diagnosed as having acute wound infection.a. Discuss the infection prevention and control practices that should be incorporated to decrease the risk of spreading infection when providing care.b. Discuss the teaching strategies that should be implemented with the client and family to help control and eliminate the infection and potential reservoirs where pathogens can liveHere are two subpartsof the same ques, keep that in your mind. answer on your own, don't copy from ai. Otherwise be prepared for downvote
42. A 25-year-old woman comes to the physician because of a 2-week history of left flank pain. She has had progressive weakness and decreased appetite during this period. Her temperature is 38°C (100.4°F). Physical examination shows left flank tenderness. Laboratory studies show a leukocyte count of 18,500/mm³. Urinalysis shows numerous RBCs and WBCS. A CT scan of the abdomen confirms an abscess of the lower pole of the left kidney. Which of the following is most likely preventing the spread of the infection to the surrounding organs? A) Fatty layer (Camper fascia) of the abdominal tela subcutanea B) Greater omentum C) Membranous layer (Scarpa fascia) of the abdominal tela subcutanea D) Pararenal fascia E) Perirenal (Gerota) fascia
A 16-year-old nonsmoker teenager was admitted to the outpatient clinic complaining of a 14-month history of postprandial vomiting that progressed into hematemesis the last week. The patient was suffering from fatigue, dysphagia related to solid food, and loss of appetite which led to weight loss; the body mass index (BMI) dropped from 27.7 kg/m2 to 16.3 kg/m2 during this period; before that, the patient had been seeing many clinics outside the country without any conclusive diagnosis. Clinical examination revealed a pale-colored skin with mild jaundice, and the abdomen did not show any palpable mass (hepatomegaly, splenomegaly, and enlarged lymph nodes), tenderness, or rebound tenderness. The remainder of the physical examination was unremarkable. A lower esophageal sphincter narrowing was found by an upper gastrointestinal endoscopy (UGE) corresponding with a fragile bleeding gastric mass; that prevented from taking a biopsy. CT studies supported these findings by determining a large…
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 43-year-old patient complains of pain in the right hypochondrium, periodic body temperature rises of up to 38°C, periodic icteric skin color changes, heartburn, nausea. Ultrasound examination revealed an increase in the size of the liver and gall bladder. Multiple small stones were found in the lumen of the gall bladder and bile ducts, Questions: 4. Describe the disorders of pigment exchane. 5. Can skin itching be typical for this kind of jaundice? 6. Explain the most likely mechanism of possible dyspeptic disorders in the patient. 7. What changes in the cardiovascular system are typical for this type of jaundice.
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?
SCENARIO Identifying Data: This 72-year-old female presents with a biopsy proven adenocarcinoma of the sigmoid colon at 20 cm. History of Present Illness: The patient has been noted to have some bright red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had intensification of rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, probably unrelated. Recent colonoscopy by Dr. Scoma revealed a large sessile (attached by a broad base) polyp, which was partially excised at 20-cm level, showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection. 1. Using the scenario above, answer the following questions: A. What chronic symptoms did this patient have? Describe the symptoms using medical…
A 37-year-old patient was hospitalized with the diagnosis "Infectious hepatitis". On examination: intensive icteric colour of the skin and mucous membranes is noted. In the blood is found an increase in indirect bilirubin, the fecal masses are discolored. Questions: 4. Describe the pathogenesis of patient's disorders in the pigment exchange. 5. What changes in hepatic transferase activity and bile acid concentration are characteristic for this pathology,
Mr. Jones is a 69-year-old man who was admitted to the hospital 10 days earlier with a diagnosis of acute diverticulitis. He was given intravenous fluids and empiric antibiotic coverage with ceftriaxone and metronidazole. His antibiotics were stopped after 7 days, and he continued to do well until today, when he developed abdominal pain, fever, and diarrhea. A diagnosis of Clostridium difficile colitis was made, and antibiotic treatment was initiated. Discuss the following questions: What diagnostic test would confirm the diagnosis? What risk factors did Mr. Jones have to acquire a Clostridium difficile infection? Why is oral but not intravenous vancomycin a potential treatment option for this infection? One person from each group should respond to this discussion with a link to their group’s recording and a summary of the discussion that took place.
A man is experiencing cough issues after days of masturbation or sexual intercourse. What doctor he should visit to get a medical attention?
5:44 ◄ Search Module 3: Discussion: Family A All Sections NUR 1390 06 Module 3: Discussion: Family A patient with gastritis is admitted to the healthcare facility. The patient is a single parent of two school-age children and finds it difficult to take care of the family. He also says that he has taken to alcohol since his wife's death and that everything has been going wrong since. He fears that he might lose his job soon. 1. What signs of an altered family function should the nurse look for when assessing the patient? Search entries or author 个 | ↓ 12 14 Unread C 35
A 63-year-ol woman presented with increasing darkening of the skin, dizziness, and easy fatigability, nausea with occasional vomiting and progressive weight loss over eight months prior to presentation. There were no headaches, blurred consciousness nor change in her bowel habit. The medical history and systemic review revealed no abnormality and were not significant as to the likely cause of her disease state. Physical examination revealed an elderly lady, pale, asthenic with generalized hyperpigmentation especially on the face, oral mucosa, palmar creases and knuckles. No features of malnutrition or hypovitaminosis. vision, and neither loss of There was no significant peripheral lymphadenopathy. Main findings in the systemic examination were a pulse of 106 bpm, regular and small; blood pressure 100/60 mmHg supine and 70/40mmHg sitting. She could not stand on account of severe postural dizziness. The apex beat was normal. Fundoscopy revealed a normal fundus. All other systems were…

SEE MORE QUESTIONS

Recommended textbooks for you

Surgical Tech For Surgical Tech Pos Care

Health & Nutrition

ISBN:

9781337648868

Author:

Association

Publisher:

Cengage

Essentials of Pharmacology for Health Professions

Nursing

ISBN:

9781305441620

Author:

WOODROW

Publisher:

Cengage

Surgical Tech For Surgical Tech Pos Care

Health & Nutrition

ISBN:

9781337648868

Author:

Association

Publisher:

Cengage

Essentials of Pharmacology for Health Professions

Nursing

ISBN:

9781305441620

Author:

WOODROW

Publisher:

Cengage

SEE MORE TEXTBOOKS