i need the answer quickly 3. A 15-year-old boy presented with a history of episodic vomiting associatedwith subacute encephalopathy from the age of one ycar. There were 2-3 monthsof asymptomatic periods betwcen the episodes. He was born of non-consanguincous parents at full term had a normal perinatal period with noevidence ofbirth asphyxia. During the hospital stay he had 2 episodesofconvulsiveseizures. Investigations revealed high blood ammonia (288 ug/dL, normallevel is 40-80 ug/dL), markedly clevated levels of citrulline (2200 umoles/L.normal is 1-55 umolcs/L), and low blood urea (5 mg/dL, normal is around 7 to20 mg/dL). He was treated with anticonvulsives and sodium benzoate, adviseda restricted protein diet. What is the reason for the presented symptoms? Whyblood urea concentration is reduced? For the answer:a) specify the compound 90% of body nitrogen is excreted in;b) write down the process damaged in this patient:c) point out the enzyme deficient in this clinical case;d) cxplain the mcchanisms of ammonia toxicity;e) explain the expedicncy of preseribed diet and sodium benzoate.

UCD or urea cycle disorder is an inherited genetic condition in which the mechanism of amino acid…

Answered: 3. A 15-year-old boy presented with a…

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

Chapter16: Gastrointestinal Drugs

Section: Chapter Questions

Problem 6CRQ

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2. A 74-year old women 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 hes started to get worse over the past two months. In the pest week, she's hed a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the ebdomen. On physical exemination, the patient's juguler veins were noticeably distended. Auscultation of the heert revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra "S.' heart sound. (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 ankles reveals significant "pitting oedema". Explain this finding. (v) What is the general term describing this condition?
Arterioschlerosis Describe the • Type symptoms here symptoms & treatment Type treatment here of this disease/disorder. SYMPTOMS TREATMENT ΤΥΡE 21
23. A 48-year-old woman comes to the emergency department 2 hours after the sudden onset of severe flank pain. She also has a 2-month history of mild exacerbation of her baseline constipation. She has had no fever, chills, pain with urination, or increased urinary frequency. She has a history of infrequent urinary tract infections, with the most recent occurring more than 5 years ago. She has no personal or family history of renal calculi. Her pulse is 92/min, and blood pressure is 138/88 mm Hg. Physical examination shows no other abnormalities. Laboratory studies show: Serum Na* 144 mEq/L K+ 3.8 mEq/L CI- 100 mEq/L HCO₂- Ca2+ 27 mEq/L 10.6 mg/dL Urea nitrogen 19 mg/dL Creatinine Phosphorus Urine blood Which of the following is the most likely cause of these findings? A) Hyperoxaluria B) Hyperparathyroidism C) Hyperuricemia D) Hypervitaminosis D. E) Milk-alkali syndrome 0.8 mg/dL 2.9 mg/dL 2+
2. 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 "Ss heart sound. (i) What is causing this murmur? (ii) Is the history of rheumatic fever relevant to the patient's current symptoms? Explain. (ii) 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…
Diagnosis: Small bowel obstruction secondary to Ascaris lumbricoides infectionCase Study 4:A 5-year-old boy who lived in a slum area in Cebu City presents to the ER with abdominal painand vomiting. He was ill for a day, but his symptoms have worsened in the past few hours, andhis parents panicked when they saw a reddish-yellow worm in his vomitus. He has no significantmedical history and has taken no medications. On examination, his abdomen has high-pitched,tinkling bowel sounds on auscultation and is diffusely tender to palpation. An abdominal x-rayshows air- fluid levels consistent with a small bowel obstruction. Stool examination reportsrevealed positive for parasite ova/egg (unfertilized corticated ova).Case study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and…
21.Write the pathophysiology of patient with peritonitis?
A 38-year-old woman came in the outpatient department because of headache.She has no vomiting, fever, changes in sensorium and nuchal rigidity. Shedescribed the headache as ”band-like” and has been occurring intermittentlyespecially during stressful situations. Vital signs and physical examinations areall normal. The physician diagnosed her as having tension headache andprescribed Acetaminophen 1g/ tab PO q6H for 3 days. The pharmacy only hasthe 250mg tablet preparation. How many tablets does she need to take perdose? How many tablets should the pharmacist give her to complete the entiretreatment regimen?
A fever is considered to be a ____________________________. prognosis sign symptom syndrome
Pain is classified as a ________________________ diagnosis sign symptom syndrome
Which statement is true about a giardiasis diagnosis? O Women are more likely than men to get it. O The organism can be found in blood. O The patient will always have diarrhea. O It can cause cirrhosis of the liver. O Cysts can be found in stool samples.
1. Please describe the clinical manifestations of strangulated intestinal obstruction fully. 2. Female, 40 years old, sudden right upper abdomen and heart fossa knife colic with paroxysmal exacerbation for 1 day, 12 hours after the onset, chills, high fever, yellow sclera, deep tenderness on the right side of the xiphoid process, mild muscle tension in the right upper abdomen, Body temperature 38℃, WBC15×109/L, TBIL 65umol/L, urobilinogen (-), urinary bilirubin (2+), she should be diagnosed as（） Acute pancreatitis Acute cholecystitis Common bile duct stones High appendicitis Duodenal perforation
4. An established 14-year-old client who recently returned from camp presents to the clinic c/o chills, severe headache, myalgias, malaise, Gl upset/tenderness, diarrhea, cough, conjunctival injection & a fever. On exam, the provider notes a rash of faint pink spots on the wrists, forearms, ankles & the trunk. What is the most likely diagnosis? Answer-rocky mountain spotted fever

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