Read the following Case studies and Diagnosis each person with a disorder from this chapter and explain why you picked that diagnosis 1) Marcy, a 28-year-old woman, was offered a job promotion with a substantial raise; however, she declined it because she would have to move her office to the seventh floor.
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Read the following Case studies and Diagnosis each person with a disorder from this chapter and explain why you picked that diagnosis
1) Marcy, a 28-year-old woman, was offered a job promotion with a substantial raise; however, she declined it because she would have to move her office to the seventh floor. She will not consider buying a two-story house and she has never been outside the country she lives in because she refuses to fly on an airplane; also, she will never climb a tree or ladder.
2) Bud, a 50-year-old male, seems to always be sick. When he has a headache, he fears it is a brain tumor. When he has indigestion problems, he fears it is an ulcer. He interpreted bruising as the first sign of AIDS. He has been to the doctor but tested negative for HIV.
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- For the following cases, what are the signs AND symptoms mentioned, whether the patient has them or not? A 35-year-old woman is seen for easy fatigue for many months. She is now 24 weeks pregnant with her 3rd child in 3 years. She does not see any obstetrician and does not take any vitamins. Lately, she has developed a taste for eating ice. She has no other complaint. Family and past history are negative. She does not smoke or drink. Physical examination is positive for pale conjunctiva, mild spooning of nails, and an II/VI systolic murmur at left lower sternal border. Stools are negative for occult blood.A 54-year-old man with a medical history significant for bipolar disease presents to his physician with complaints of polyuria. He states that he must get up three or four times each night to urinate. He also notes frequent thirst. He denies polyphagia, urinary urgency, difficulty initiating urination, and postvoiddribbling. His medical history is notable only for bipolar disease. He has a long-standing history of noncompliance with medications for this disease, with frequent hospitalizations for both mania and depression, but has been stable on lithium for the past 6 months. He denies any symptoms of mania ordepression at this time. He takes no other medications. Family history is notable for depression and substance abuse but is otherwise negative. The patient has a history of polysubstance abuse but has been “clean and sober” for the past 6 months. On examination, the patient’s vital signs are within normal limits. Head-neck examination reveals slightly dry mucous membranes. Rectal…A 54-year-old man with a medical history significant for bipolar disease presents to his physician with complaints of polyuria. He states that he must get up three or four times each night to urinate. He also notes frequent thirst. He denies polyphagia, urinary urgency, difficulty initiating urination, and postvoiddribbling. His medical history is notable only for bipolar disease. He has a long-standing history of noncompliance with medications for this disease, with frequent hospitalizations for both mania and depression, but has been stable on lithium for the past 6 months. He denies any symptoms of mania ordepression at this time. He takes no other medications. Family history is notable for depression and substance abuse but is otherwise negative. The patient has a history of polysubstance abuse but has been “clean and sober” for the past 6 months. On examination, the patient’s vital signs are within normal limits. Head-neck examination reveals slightly dry mucous membranes. Rectal…
- A 25 -year-old female teacher was brought by her husband to the Out-Patient-Department due to frequent verbal and physical attacks every time they have personal problems, even minor ones. On such occasions, she was unusually talkative and was always up and about. During certain months prior to this, she was however unusually silent manifesting signs and symptoms of “exaggerated sadness” for no reason at all. She insisted on remaining alone in their room. What is her illness and what drug should be used for treatment?A 54-year-old man with a medical history significant for bipolar disease presents to his physician with complaints of polyuria. He states that he must get up three or four times each night to urinate. He also notes frequent thirst. He denies polyphagia, urinary urgency, difficulty initiating urination, and postvoid dribbling. His medical history is notable only for bipolar disease. He has a long-standing history of noncompliance with medications for this disease, with frequent hospitalizations for both mania and depression, but has been stable on lithium for the past 6 months. He denies any symptoms of mania or depression at this time. He takes no other medications. Family history is notable for depression and substance abuse but is otherwise negative. The patient has a history of polysubstance abuse but has been “clean and sober” for the past 6 months. On examination, the patient’s vital signs are within normal limits. Head-neck examination reveals slightly dry mucous membranes.…A 54-year-old man with a medical history significant for bipolar disease presents to his physician with complaints of polyuria. He states that he must get up three or four times each night to urinate. He also notes frequent thirst. He denies polyphagia, urinary urgency, difficulty initiating urination, and postvoid dribbling. His medical history is notable only for bipolar disease. He has a long-standing history of noncompliance with medications for this disease, with frequent hospitalizations for both mania and depression, but has been stable on lithium for the past 6 months. He denies any symptoms of mania or depression at this time. He takes no other medications. Family history is notable for depression and What might occur if this patient were unable to maintain sufficient water intake? substance abuse but is otherwise negative. The patient has a history of polysubstance abuse but has been “clean and sober” for the past 6 months. On examination, the patient’s vital signs are within…
- . A 19-year-old male with known generalized epilepsy was brought to the emergency department for convulsive status epileptics. He has had nausea, emesis, and a low grade fever for the last 5 days and has been unable to take his home antiepileptic drug. He is having ongoing low amplitude, rhythmic clonic movements of his bilateral arms and legs. His vitals are as follows: heart rate 86, blood pressure 106/68, SpO, 100% on 2 L nasal canula, temperature 100.2°C. EMS administered 2 mg of lorazepam and had cessation of clonic movements but still altered and not back to baseline mental state. What is the next best medication treatment for this patient? A. Intubate the patient and start propofol B. Monitor the patients for few hours and order EEG C. Additional lorazepam to dose of 0.1 mg/kg followed by fosphenytoin with loading dose of 15 mg/kg IV D. Obtain CT head to further evaluate the etiology and rule out structural abnormalitiesPatient is a 73 year old male with gradual memory loss for the 5 years with difficulty learning and remembering new information, deterioration in personal hygiene and appearance, loss of eye contact with a fearful look in his face. When daughter ask about time and place he is not able to responds correctly. In the last 2 years has been experiencing changes in mood and personality as well as problems with words in speaking and writing.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?
- Risk factors for schizophrenia include: Question 1 options: a) Maternal infections, parental age, birth in a rural setting, childhood stressors and genetic vulnerability b) Infections in the prenatal period, lower parental age, birth in an urban setting, early developmental difficulties and genetic vulnerability c) Stressors in the prenatal period, parental age, birth in an urban setting, childhood stressors and genetic vulnerability d) Stressors during adolescence, higher paternal age, birth in rural setting, childhood stressors and childhood CNS infectionsA 25-year-old female presents with the following body habitus. She complains of muscle weakness, easy bruising, and weight gain. Although the patient has not eaten since the previous night’s dinner, a finger-prick blood glucose measurement in the office reads 140 mg/dL. Research the patient’s symptoms and identify a possible diagnosis. Note that this patient is not taking any medications. Describe the two major etiologies of this disorder. Again note that this patient is not taking any medications. What lab test(s) can be done to confirm which form of the disorder this patient has? Provide a brief physiological explanation for each of the patient’s complaints and explain why her blood glucose levels are so high. Choose another 3 characteristics from the following and provide a brief physiological explanation for them: Red cheeks, moon face, fat pads buffalo hump, thin skin, bruisability ecchymoses, High b.p., red striation, pendulous abdomen, thin arms and legs, osteoporosis, and…Janice is a 56 years old mother of two teenagers she complains of difficulty sleeping and staying up all night with a burst of energy. She has been cleaning her house for the past 2 nights non –stop. You also notice that her speech is marked by a flight of ideas, when she is admitted, she is heard telling her roommate that she wishes that she could kill herself because she is tired of living like this. Discuss the probable DSM-V diagnosis that she is experiencing. Explain what would be the priority nursing diagnosis and included in her plan of care containing both pharmacologic and non-pharmacologic interventions.