would have suggested an absorption disorder. She had been receiving topical steroids for her atopic dermatitis. Her family and personal histories were unremarkable. However, after the examination it also indicated generalised bone tenderness with associated indirect pain, bilateral symmetric proximal muscle weakness and a waddling gait. What do you think is her condition? What vitamin defiency caused by it? And why?
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G8: CASE ANALYSIS
A 34-year-old Japanese woman was referred to your department with a 2-year history of slowly progressive generalised bone pain, muscle weakness and gait disturbance. The qeneralised bone pain-especially in the lower back, pelvis and legs-was aggravated by loading. The patient had been following a restricted diet (exclusion of fish and dairy products), and had been avoiding ultraviolet exposure for 8 years, which was part of the management plan prescribed by her dermatologist for worsening atopic dermatitis. The patient had no reported digestive symptoms that would have suggested an absorption disorder. She had been receiving topical steroids for her atopic dermatitis. Her family and personal histories were unremarkable. However, after the examination it also indicated generalised bone tenderness with associated indirect pain, bilateral symmetric proximal muscle weakness and a waddling gait.
What do you think is her condition? What vitamin defiency caused by it? And why?
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- identification of Drugs Used to Treat Diseases of the Blood,Inflammation & Gout Objective: To familiarize the half-life and recommended dosage of NSAIDS. Instruction: 1. Supply the missing column accordingly. HALF-LIFE (in hours) Recommended Dosage DRUG 1: Aspirin 2. Naproxen 3. Ibuprofen 4. Celecoxib 5. Ketoprofen 6. Indomethacin 7. Sulindac 8. Ketorolaс 9. SalicylateCase Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Summary: Given case: 53 years old, male History of Type-1 diabetes mellitus, CAD ( Coronary Artery Disease) PAD ( peripheral artery disease) Cigarette smoking 40 packs per year COMPLAINTS: 6 weeks ago, he developed a wound in his left heel. Despite antibiotics, patient developed a gangrene infection. ADVISE: To undergo BKA ( Below knee amputation) of left lower extremities MEDICATION: Daily insulin, aspirin 325 mg /day, pletaal 100 mg BD Post-operative Data: Post-operatively, Mr. Doe goes to the Post Anesthesia Care Unit…Case Study Hibiscus Medical Centre has been in operations for over eighteen (18) years. They specialize in Plastic and Restorative Surgery. One of their physicians has recently found himself in a lawsuit for $850 000. In administering a standard diagnostic procedure, which involved injecting the patient with a certain drug, to conduct an abdominoplasty procedure, she became paralyzed. The physician in his twenty (20) years of practice and twelve (12) years at the Centre has performed this standard procedure without any adverse effects. However, the lawyer of the Centre and the physician has notified them that more than likely the plaintiff’s legal team will utilize the res ipsa loquitur doctrine which will permit the jury to lean favorably toward the plaintiff unless the physician can prove that he was without a doubt not negligent. Questions Justify what defense the physician and his Centre’s legal team can employ against this negligence claim.
- Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Dr. Ramos is Mr. Doe’s surgeon and Dr. Reyes is Mr. Doe’s anesthesiologist. Both come to see him and discuss the surgery the evening before. How does the nurse ensure informed consent? What must the patient consent to for the procedure to be done? (Discuss in 5-6 sentences)7. Describe and give examples of signs and symptoms. Description Sign Symptom 8. Enumerate and describe briefly the non-invasive techniques. Technique Description ExamplesMAKE 5 OBJECTIVES FOR THIS DX. Main Dx: Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids) OBJECTIVES: (ex. after 10 mins, the patient will.. after nursing shift, the patient will.. THE OBJECTIVES ARE ALL ABOUT THE PATIENT.) again, PATIENT-BASED OBJECTIVE PLEASE DO NOT WRITE NON-SENSE ANSWERS AND COPIED ANSWERS. I WILL REPORT YOUR TUTOR ACC TO BARTLEBY. 1. 2. 3. 4. 5. SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as…
- Part II. Case Study Questions: 1. What is this patient's most striking clinical and laboratory result(s)? A 25-year-old man was brought to the emergency center after being found unresponsive by his family. The family gave a history of the patient having consumed a liter of whiskey earlier that evening on a dare by his friends. He had a previous history of consuming 6 pints of beer per day since the age of 10 years Physical Examination Vital signs: temperature, 98.7 °F; respiratory rate, 10 per minute; pulse, 84 beats per minute (bpm); blood pressure, 122/70 mmHg. He had no gag reflex and no response to pain. He was comatose with pinpoint (meiosis), but reactive pupils. He did not have any needle track marks. He had respiratory failure and was intubated. 2. Based on the laboratory results and symptoms, what is your initial diagnosis? Laboratory Test results (Table below) Test Patient's Results Normal Ranges 0.2-1.3 mg/dL 21-72 IU/L 14-50 IU/L 25-125 IU/L 3. Total bilirubin ALT 0.7 30 46…Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: During the admission assessment, the nurse questions Mr. Doe to determine if there is a latex allergy or sensitivity. Why is this essential to the patient’s safety? What symptoms would the nurse question Mr. Doe about in order to determine this? (Discuss in 3-5 sentences only)Case Study: Assessing Mouth, Throat, Nose, and Sinuses A 40-year-old female client visits the health care facility with complaints of having ulcers under her tongue for 3 weeks; she is concerned about her condition. The client is an attorney in a busy law firm where she works 50 to 60 hours a week. She states that many years ago when she was in college she used to get canker sores frequently when she felt stressed while studying for exams. She adds that she has been working exceptionally late for the last month on a major case. During the interview, the client appears anxious and fidgety. She tells the nurse that the long hours at the firm are exhausting her and that she is concerned because her father was recently diagnosed with oral cancer and that he had ulcers similar to hers before the diagnosis. He had to have surgery to remove a tumor in his throat. Questions: a. What subjective data should the nurse collect to elicit an accurate nursing history? b. What objective areas of…
- MAKE A INTERVENTION AND RATIONALE of these two. 1."The patient will improve the pain management for the abdominal pain and is able to verbalize pain on a scale of 1-10 during therapy." 2. "The patient will relieve abdominal pain"Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. What preoperative testing is appropriate for Mr.Doe? (Give at least 4 priority examples) Note to Tutor: Thank you so much, Ma'am/SirCase scenario A 90-year-old woman with Alzheimer’s lives in a nursing facility. A nurse notices that she has been coughing frequently and seems warm to the touch. She performs an evaluation on the woman and confirms a fever with a dry cough. She also notices that her throat seems inflamed and irritated. The woman is unable to answer questions about how she has been feeling lately to provide a history for the nurse. The nurse ensures that the woman is comfortable and returns to the nursing station to review that patient’s chart. The nurse finds that within the year that the patient has been in the nursing facility, she has had two respiratory infections diagnosed as pneumonia. The nurse calls the physician, worried that the patient may be developing pneumonia again. Review the CBC results for this patient. 1. Pneumonia is an infection of the lung that can be caused by a virus, bacteria, or fungi. What initial laboratory analysis would help to determine whether an infection is present?…