A 39- year-old Caucasian woman presents at the clinic with complaints of epigastric pain that is cramplike, rhythmic, and just below the xiphoid. She states that it wakes her up around 1 am and that she is not sleeping well because of it. She further states that this is her third painful episode in the past year. The nurse suspects the patient has a peptic ulcer and expects to receive
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31. A 39- year-old Caucasian woman presents at the clinic with complaints of epigastric pain that is cramplike, rhythmic, and just below the xiphoid. She states that it wakes her up around 1 am and that she is not sleeping well because of it. She further states that this is her third painful episode in the past year. The nurse suspects the patient has a peptic ulcer and expects to receive what orders from the physician?
- Schedule patient for a complete
metabolic panel and a complete blood count.
- Schedule patient for laparoscopic examination.
- Schedule patient for a swallow study.
- Schedule patient for a lower gastrointestinal study
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- An 8-year-old girl is brought to the physician with the concern of irregular low-grade fever and gradually increasing fatigue for the last 2 years. She has a history of hearing loss and has not been keeping well since birth. Physical examination shows short stature, frontal bossing, and hepatosplenomegaly. An X-ray shows multiple healed fractures, generalized increased bone density, and widening of the metaphyses of the ulna and radius. Laboratory studies reveal normocytic anemia and thrombocytopenia. Which of the following is the most likely underlying mechanism of these effects? Answers A - E A Decreased osteoblast activity B Impaired synthesis of collagen C Increased osteoclast activity D Inhibition of endochondral growth E Reduced resorption of the bone O1. Female, 40 years old. The left index finger was accidentally stabbed by a shoe repair needle. In the past 3 days, the pain gradually increased, swelling, throbbing pain, and she was unable to sleep. The current primary treatment measures are ( ) Use analgesics Incision and drainage Antibiotics Elevate the affected limb Rest 2. Female, 65 years old, with a history of hepatitis B for more than 20 years. Sudden of hematemesis this morning, the color was bright red, the amount was about 1500ml, and she came to our hospital for emergency. Physical examination: pale appearance, cold limbs, BP 78/50mmHg, P 112 beats/min. Abdominal distension, shifting dullness (+), 5 cm below the spleen rib. The inappropriate treatment for this patient is: Compression of three cavities and two balloon tubes Intravenous somatostatin Emergency laparotomy for hemostasis Blood transfusion Interventional treatment with fiber gastroscopeA 16-year-old nonsmoker teenager was admitted to the outpatient clinic complaining of a 14-month history of postprandial vomiting that progressed into hematemesis the last week. The patient was suffering from fatigue, dysphagia related to solid food, and loss of appetite which led to weight loss; the body mass index (BMI) dropped from 27.7 kg/m2 to 16.3 kg/m2 during this period; before that, the patient had been seeing many clinics outside the country without any conclusive diagnosis. Clinical examination revealed a pale-colored skin with mild jaundice, and the abdomen did not show any palpable mass (hepatomegaly, splenomegaly, and enlarged lymph nodes), tenderness, or rebound tenderness. The remainder of the physical examination was unremarkable. A lower esophageal sphincter narrowing was found by an upper gastrointestinal endoscopy (UGE) corresponding with a fragile bleeding gastric mass; that prevented from taking a biopsy. CT studies supported these findings by determining a large…
- Questions 5) Discuss the health promotion educational measures that Mrs Donald will be instructed on, upon discharged from hospital to ensure proper healing of her eyes. 6) Explain briefly two complications that can occur post removal of cataraet.A 63-year old presented to a local doctor with a history of alternating constipation and diarrhoea for six months, associated with a feeling of incomplete evacuation following defaecation and several episodes of bright blood coating her bowel motion. A diagnosis was made and a portion of the left colon and rectum was removed surgically. Discuss the aetiology and pathogenesis of the disease and what you consider the most likely cause of the presenting signs and symptoms. Also explain what complications might have ensued if the lesion had not been excised.A man is experiencing cough issues after days of masturbation or sexual intercourse. What doctor he should visit to get a medical attention?
- What is the non - pharmacological and pharmacological medication for PERITONITIS. Please explain the answer.George Payton, a 52-year-old man previously diagnosed with IBS, reports that he is having 3-5 bowel movements per day. The movements are runny and loose and filled with red blood. George has not experienced any constipation. His family practitioner refers him to a gastroenterologist. 1. Describe IBS 2. Are the reported symptoms compatible with IBS? 3.Are the reported symptoms, which is most significant? Is any other disease suspect? 4. What tests is the gastroenterologist likely to order?20. An elderly woman is brought to the emergency room by her family. They relate to the nurse that the client has had mental status changes and cannot remember her grandchildren’s names. They go on to say that she is intolerant of cold and is lethargic. On physical examination, the nurse notes that the client has husky voice, her face is puffy around the eyes, and her tongue appears enlarged. What diagnosis would the nurse suspect? Myxedema Hashimoto thyroiditis Hyperthyroidism Congenital hypothyroidism
- a 23-year-old male presented to the er with a 5-day history of fever, headache, sore throat, muscle pain, nausea, and diarrhea. he described his headache as a 10/10 on a pain scale, and was worsened by bright lights, movement, or noise. He had migraines in the past but stated this felt different. He said there was not a prior history of head injury, chest pain, or ear pain. He does not have abdominal pain, dysuria, or a skin rash. No recent alcohol or illicit drug use, travel, or exposure to ticks. Upon physical exam, he had right-sided tonsillar exudates and swelling. Even though neck pain was described with his headache, the neck was supple. Following lumbar puncture, 4 nucleated cells and 87% lymphocytes were shown. CSF protein and glucose were within normal limits. He had a normal white blood cell count but a low blood lymphocyte count of 720 cells/uL (normal is 1500 - 5000/uL). Chest radiograph came back normal. CSF was sent for herpes simplex virus (HSV) PCR and for bacterial…Chief Complaint: Rajesh Kumar presents to the village health worker complaining of persistent fatigue, weakness, and occasional abdominal pain. He reports feeling increasingly tired despite getting adequate rest and experiencing discomfort in his abdomen. Rajesh describes his symptoms as ongoing for several weeks. He mentions that many other villagers have been experiencing similar symptoms, and there has been talk of a "strange illness" spreading throughout the community. He denies any recent travel or changes in diet. Social History: Rajesh is married with three children. He works as a farmer, tending to crops and livestock on his family's farm. The village is situated in a remote area with limited access to modern amenities. Rajesh mentions that he often walks barefoot around the farm and occasionally experiences minor cuts and scrapes on his feet. Physical Examination: Vital Signs: Temperature 37°C (98.6°F), Blood Pressure 120/80 mmHg, Heart Rate 80 bpm, Respiratory Rate 16 bpm…A 68-year-old male auto mechanic presents to his primary care physician with a chief complaint of bilateral, painless masses in the neck region of at least 6 months' duration. He has a 120 pack-year smoking history, and his family history includes a father and brother with thyroid cancer. His past medical history is positive for rheumatoid arthritis. On physical examination, the patient is found to have bilateral supraclavicular and cervical lymphadenopathy consisting of matted groups of lymph nodes that were painless to palpation. The patient was afebrile and had experienced an unintentional decrease in weight from 195 pounds to 180 pounds over a 6-month interval. All parameters of the initial complete blood count (CBC) were normal, and the peripheral smear was without morphological abnormality. A chest x-ray film demonstrated hilar adenopathy without any recognizable parenchymal lung lesions. Excisional biopsy of a group of nodes was performed. On microscopic examination there was…