5. Dantrolene is the only drug available to treat malignant hyperthermia. It works by inhibiting calcium channels of the terminal cisterns of the sarcoplasmic reticulum. Explain how this inhibition helps to terminate skeletal muscle contraction. What effect would this have on David's body temperature?
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- “Time to scrub in,” says Dr. Hodges. The appendectomy you are about to observe is your second surgical case in surgical technician school. The patient, David Sims, is an 18-year-old male who was healthy until two days ago when he began having severe abdominal pain, fever, and vomiting resulting in a diagnosis of appendicitis. David is in excellent health and has never had surgery before, so you anticipate the procedure to go smoothly. Your instructor asked the anesthesiologist, Dr. Hodges, if you can observe her today during the procedure. “All of the patient’s vital signs and lab work are within normal limits so we are good to go,” says Dr. Hodges as David is brought into the operating room. You help get David ready by applying the heart monitor, oxygen saturation monitor, and blood pressure cuff. After David has been sedated, Dr. Hodges places a special tube down his esophagus to measure his core body temperature and another in his trachea (an endotracheal tube) to help him breathe…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 craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove?
- A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove? Is there a relationship between the patient’s history and the findings at surgery? In general, what other types of infections might cause the current intracranial findings? Do you think the patient has a good prognosis based on the pathological findings? Could the patient be at risk for a CNS infection because of the craniotomy procedure? Please answer questions 1,2,3,4, and 5 if possible.A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove? Is there a relationship between the patient’s history and the findings at surgery? In general, what other types of infections might cause the current intracranial findings? Do you think the patient has a good prognosis based on the pathological findings? Could the patient be at risk for a CNS infection because of the craniotomy procedure? Please answer questions 3, 4, and 5.Riley D. is a certified medical assistant who has worked for Dr. Cormell, a dermatologist, for two years. She usually assists her in the surgical procedures performed in the office. Manuel C. is also a certified medical assistant who was hired recently. He is undergoing training with Riley because Dr. Cormell is opening a new location. Today, Riley will assist the doctor with a biopsy on a patient with a mole that changed color two months ago. Riley invited Manuel for him to observe the preparations for the procedure. She educates him on surgical handwashing and sterile gloving, and Manuel is amazed at how Riley assembles the instruments on the Mayo table for the doctor to reach out. Riley warns him not to talk or touch the table during the procedure and reminds him to put on his mask and to always keep his hands in front. The procedure is short and going well. The doctor is now preparing to suture, and Manuel is intensely observing the entire process; however, he suddenly feels the…
- This 58-year-old nuclear power plant worker saw his family physician because of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed that the man had pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis (UA). A follow-up appointment is scheduled for the following week. Laboratory Data The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled coin) appearance of the RBCs. The UA was normal. The patient was called and requested to return to the laboratory for additional tests. The physician ordered an ESR, kidney screening profile, liver blood profile, and radiographic skeletal survey, with the following results: ESR—50 mm/hr Kidney profile—normal Liver profile—normal, except for increased globular protein Skeletal survey—bone lesions in various sites What follow-up laboratory tests…Mrs. Jones is a 70-year-old woman you are admitting to the skilled nursing facility after a total hip replacement. When you obtain her past medical history, she reports a problem with a chronic rash under her breasts and in her supragluteal fold. She has tried a number of topical antifungal treatments without success. She has never seen a dermatologist. While she finds the rash a nuisance and experiences an occasional increase in itchiness, it is something she can live with. Her primary care provider diagnosed the rash as Candida and encouraged her to keep the area clean and dry and to use antifungals. Recently, her 42-year-old daughter was diagnosed with psoriasis and asked about a family history of the disease. Mrs. Jones was unaware of anyone in her or her husband’s family with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any…Ms. Gonzaga visits the outpatient center and tells the nurse that she wants to "stay healthy." The nurse observes that the client has diffuse neck enlargement, is perspiring, and is quite fidgety. The client tells the nurse that she is "hungry all the time, but I have lost weight." a. How did the nurse assessed the patient to arrive with such observations? b. What clinixal tests would you do on this patient?
- I need help with the following questions regarding SYLPHILLIS. Please make sure to asnwer all the things asked in each question. Totasl questions asked are TWO. Please add the image in the question requesting the image. Image can be from online source but to make sure to add the source. If any information is missing the the answer, i will it incomplete. thank you 1) The Disease Signs and Symptoms: if different stages, forms with LOTS of clinical pictures. 2) The Disease Diagnosis: by symptoms, visual exam, scans, phenotypic (stain, culture), genotypic (PCR, etc), serological (specific as ELISA, IFA, etc.); explain acronymsThe nurse is cleaning an open abdominal wound that hasunapproximated edges. What are accurate steps in thisprocedure? Select all that apply. a. Use standard precautions or transmission-based precau-tions when indicated. b. Moisten a sterile gauze pad or swab with the prescribedcleansing agent and squeeze out excess solution.c. Clean the wound in full or half circles beginning on theoutside and working toward the center.d. Work outward from the incision in lines that are parallel toit from the dirty area to the clean area. e. Clean to at least one inch beyond the end of the new dress-ing if one is being applied. f. Clean to at least three inches beyond the wound if a newdressing is not being applied.A 48-year-old businessman, presents at the emergency room with a 12-day history of headache, myalgia, nausea, and vomiting. Patient history reveals that the patient is a consulting engineer for the tropical area. On his latest trip, he failed to take his prophylaxis for malaria. According to his general physician’s records, all his immunizations are up to date. His fever was 39°C at the time of initial examination, but alternated with periods of extreme cold and cyanosis. A complete blood count was ordered, along with parasite examination and urinalysis. What parasite do you suspect? Which morphological factor will be important in deciding the species of this organism? Which morphological form you may observe in the peripheral blood of this patient? How did the patient contract this parasitic infection? Why this species can cause much more serious result than other species among this organism? Please list name of three parasites that lead to anemia as the main symptoms, and their…