45. A 5-year-old girl with a history of recurrent infections since the age of 4 months is brought to the physician for a follow-upexamination. She has had multiple episodes of pneumonia, sinusitis, otitis media, and diarrhea. She is at the 20th percentile forheight and weight. Her temperature is 37.4°C (99.3°F). Mild crackles are heard bilaterally over the lower lung lobes. Laboratorystudies show:Leukocyte countSegmented neutrophilsEosinophils10,500/mm³ (N=5500-15,500)57%2%Lymphocytes34%CD3+ T lymphocytes67%CD19+ B lymphocytes28%CD56+ natural killer cells5%Monocytes7%SerumIgAIgGIgMundetectable (N=14-159 mg/dL)25 mg/dL (N=345-1236)410 mg/dL (N=43-207)This patient most likely has an abnormality of which of the following immune system components?A) Activation-induced deaminaseB) CD40 ligandOC) Class II MHC proteinD) Common y chain of the interleukin-2 (IL-2) receptorE) Recombination-activating gene 1F) Terminal complement

The objective of the question is to identify the immune system component that is most likely…

Answered: 45. A 5-year-old girl with a history of…

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter9: A Breath Of Fresh Air

Section: Chapter Questions

Problem 1CP

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A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?
A 5-month-old girl is brought to the emer- gency department by her parents because she is “turning blue." She is cyanotic, weak, and dyspneic. Her parents state that she has expe- rienced similar episodes in the past, but never this severe. Physical examination reveals the lungs are clear to auscultation, with no wheez- ing, rales, or rhonchi. Cardiac examination reveals a regular rate and rhythm, normal S1, single S2, a grade III rough systolic murmur at the left sternal border in the third intercos- tal space, and a palpable right ventricular lift. Echocardiography demonstrates unusual posi- tioning of the aorta, which overrides both the left and right ventricles in the long axis view. In this condition, the primary developmental defect occurs in which portion of the primitive heart? (A) Bulbus cordis (B) Conal septum (C) Left and right horns of the sinus venosus (D) Primitive atria (E) Primitive ventricle
During a health screening, a 35-year-old presents with a persistent dry cough and mild shortness of breath. Which of the following questions would be most pertinent to ask in the history taking? A. "Do you have any allergies?" B. "Have you had any recent travel history?" C. "Is there a family history of asthma?" D. "Have you been exposed to airborne irritants at work?"
An 86-year-old woman with a history of diabetes and hypertension presents to the emergency room with a complaint of chest pain x 4 hours. And I noticed intense nausea with two bouts of vomiting, too. She is now free of chest pain. Her blood pressure is 130/70, heart rate 50, breathing 20, and oxygen saturation 95% in room air. A physical examination reveals normal breathing sounds. 1- What is the medical diagnosis? 2- What is the specific investigation in order of priority? 3 What is the link between a patient's history and diagnosis? 4- Nursing care for this patient.
A) Intercostal B) Long thoracic Gross Anatomy 124. A 73-year-old man comes to the physician because of a 3-week history of progressive shortness of breath. He is found to have a large right pleural effusion. A diagnostic turacortesis s scheduled. This will entail inserting a needle above the left 10th posterior rib through the parietal pleura. Prior to the procedure, which of the following nerve structures should be anesthetized to reduce the pain associated with piercing the parietal pleura? OC) Phrenic OD) Sympathetic trunk OE) Vagus 18 M
Sylvia Gaylord works as a legal aide on the 12th floor of a tall glass-and-steel monument to modern architectural technology. On clear days, the views are spectacular. From her cubicle, Sylvia’s eye catches the edge of the beautiful blue-and-white skyscraper as she reaches for her inhaler. This is the third attack since she returned from lunch 4 hours ago—her asthma is really bad today. But if she leaves work early again, her boss will write her up for it. Sylvia concentrates on breathing normally. Her roommate, Kelly, is a respiratory therapist at the county hospital. Kelly says Sylvia’s asthma attacks are probably triggered by the city’s high level of air pollution. That can’t be true. They both run in the park every morning before work, and Sylvia rarely needs to use her inhaler. The problems start when she gets to work. The wheezing and coughing were so bad today that by the time she got up the elevator and into her cubicle, she could hardly breathe. Last night, the cable news ran…
What would be the complete Nursing Diagnosis of Impaired Comfort to the given case scenario? Scenario: Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospitalon September 3 due to a two-week progression of episodic shortness of breath. The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor. The patient had been referred to Hospital two years prior with a…
1. A 3-year-old girl is brought to the physician by her mother because of a 2-day history of cough and runny nose. She attends a day-care center. The mother says that the patient’s appetite and activity levels are only mildly decreased and that she sleeps through the night. Her temperature is 37.8C (100 F) pulse is 100/min, and respirations are 19/min. Physical examination shows mildly injected conjunctivae, clear nasal discharge, and mild pharyngitis. A throat culture grows viridans streptococci. A heterophile antibody titer is negative. Which of the following is most likely the diagnosis?A. Common ColdB. Infectious mononucleosis c. croup d. pertussis e. streptococcal pharyngitis 2. A 33-year-old woman comes to the physician’s office because of increasing fatigue and shortness of breath over the past 2 years. She has also noted chest pressure with exertion and recently almost fainted while walking. Examination shows increased jugular venous distention, a right ventricular heave,…
Case History: Andy, age 3, passed NBHS, but has had a history of severe allergies, eustachian tube dysfunction and otitis media. He had one set of PE tubes placed at 18 months of age. The PE tubes extruded (came out) about 4 months ago. Since a severe upper respiratory infection approximately 2 months ago, Andy's mother has noticed that he appears even more congested than usual. He is breathing almost exclusively through his mouth and snores at night. He appears to be ignoring much of the time and often says, "What?" His speech has become "slushier" or "mushier." He also seems to be reverting to "baby talk" at times. Group Member #1 - Audiological findings: Otoscopy = bulging tympanic membranes with yellow fluid visible behind the TM Tympanometry = Type B right; Type B left %3D -10 -10 LIJ 10 10 30 30 40 40 50 50 60 60 70 70 80 80 90 90 100 100 110 110 120 120 130 130 0.125 0.25 0.5 1 Frequency-kHz. Group Member #2 – Effect of the hearing loss: What challenges / difficulties is this…
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…
CASE: A 12-year-old girl with a history of asthma presented to the emergency department with a three-day history of increased work of breathing, cough, and wheezing. She reported no clear trigger for her respiratory symptoms, although she had noted some mild upper respiratory tract infection symptoms. With this episode, the patient used a short-acting bronchodilator more frequently than before, without the expected resolution of symptoms. On the presentation day, the patient awoke feeling ‘suffocated,’ and her mother noted her lips to be blue. In the emergency department, her oxygen saturation was 85%, and her respiratory rate was 40 breaths/min. She had significantly increased work of breathing and poor air entry bilaterally to both lung bases, with wheezing in the upper lung zones. She was treated with salbutamol/ipratropium and received intravenous steroids and magnesium sulfate. Her chest x-ray showed hyperinflation and no focal findings. Her medical history revealed that a…
A male patients X-ray result reveals bilateral white- outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from:

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