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You are an emergency room physician. Marcus, a 7-year-old boy, has just presented in the ER complaining that (1) his chest hurts, his heart feels funny, and his ankles and knees hurt. His mother says that he has had a fever for the past 24 hours. (2) Upon physical examination, you notice that his ankles and knees are red and swollen, and examination with a stethoscope reveals unusual palpitations (his heart is fluttering). (3) You immediately order an EKG to check for signs of a heart-attack, a CBC blood draw to check for signs of infection, a throat culture to check for presence of Streptococcus, an X-ray of his legs to check for bone fractures or lesions, and a urine sample to check for bacterial contamination.
You are using the scientific method to diagnose Marcus. Which of the following statement(s) is your puzzling observation?
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Statement 1
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Statement 2
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Statement 3
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Statement 1 and 2
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Statment 2 and 3
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- You are an emergency room physician. Marcus, a 7-year-old boy, has just presented in the ER complaining that (1) his chest hurts, his heart feels funny, and his ankles and knees hurt. His mother says that he has had a fever for the past 24 hours. (2) Upon physical examination, you notice that his ankles and knees are red and swollen, and examination with a stethoscope reveals unusual palpitations (his heart is fluttering). (3) You immediately order an EKG to check for signs of a heart-attack, a CBC blood draw to check for signs of infection, a throat culture to check for presence of Streptococcus, an X-ray of his legs to check for bone fractures or lesions, and a urine sample to check for bacterial contamination. You are using the scientific method to diagnose Marcus. Which of the following statement(s) is your puzzling observation? A) Statement 1 B) Statement 2 and 3 C) Statement 2 D) Statement 3 E) Statement 1 and 2Lin, a 5-year-11-month-boy visited the outpatient clinic of a hospital, and physical examination in the department shows: well physical development, conscious, steady breathing, well mental response, no anaemic face, temperature 37.5°C. No superficial lymph nodes were obviously enlarged, skin mucosa had no petechia, purpura and ecchymosis. Skin rash (-). Clear breathing sound is heard in both lungs, no rale. Rhythmic, normal heart sound is heard, but no heart murmur- Abdomen is soft, no muscle guarding, tenderness and rebound tenderness. The liver was palpated 1.0cm below the rib with a soft texture but not palpated under the xiphoid process. The spleen was palpable 1.0cm below rib with a soft texture, tenderness (-) and rebounds tenderness (-). No neck stiffness, Kernig's sign (-), Brudzinski's sign (-), Babinski's sign (-). All joints had no swollen and tenderness. 1. What do liver and spleen palpated 1cm below the rib mean respectively? 2. What is the next stop do you think would…L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect. Come up with 5 follow up questions you could ask L.H. to further determine the appropriate skin condition? Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.
- Lin, a 5-year-11-month-boy, had a fever 20 days ago with no obvious trigger and reached the highest oral temperature of 40°C. He visited 2 pediatric hospitals and the results are as follows. 1st hospital Blood routine test: WBC: 8.7 X10°/L, N: 21%, RBC: 3.36X10°/L, BPC: 75X 10/L, Hb: 109g/L; peripheral blood smear shows: atypical cells 29%. Suspected "infectious mononucleosis" and EBV infection, thus intravenous ganciclovir was given. 2nd hospital No anaemic face, temperature 37.5°C. No superficial lymph nodes were obviously enlarged. Skin rash (-). The liver and spleen was palpable 1.0cm below rib with a soft texture, tenderness (-) and rebounds tenderness (-). All joints had no swollen and tenderness. Blood routine test: WBC: 7.2 X 10°/L, RBC: 3.1 X 10°/L, BPC: 64 X 10°/L, Hb: 90g/L, atypical cells 7%. Peripheral blood smear test: blast=18%, L=48%, N=31%. 1. Are liver and spleen palpable in child if there is no hepatosplenomegaly? 2. Why did the 1t hospital doesn't do the liver,…Chest x-rays give the lowest doses. Why?Nurse Raheela suffered a needle stick injury while passing an IV linea) What steps must be taken immediately? b) What performance requirements must be done in a hospital to prevent yourselffrom covid 19
- A. Johnny Atkinson, a 19-year-old dengue patient at Cagayan United Doctors’ Medical Center, complains that he had difficulty breathing after being transfused with one platelet concentrate unit. He also requested his mother to buy him some pain reliever for he is experiencing pain in his arm and back. His doctor immediately asks Marisol Panganiban, the medical technologist on duty, to collect blood samples from Johnny and perform necessary laboratory methods. Please answer all subparts, aligned with our honor code: a. What is the transfusion effect seen in the situation? Explain your answer by correlating with the laboratory result given. b. What are the alternatives to be made to prevent such cases? c. What is the major contributing factor seen in the transfusion reaction? One would be mistaken in diagnosing the patient because the signs and symptoms have similarities to what transfusion reaction?Brian goes to the hospital after not feeling well for a week. He has a fever of 38 °C (100.4 degrees * F) and complains of nausea and a constant migraine. Distinguish between the signs and symptoms of disease in Brian's case.1. The laboratory scientist performs a differential on the patient’s peripheral blood smear. Although there are low numbers of white blood cells, the scientist notes a few plasma cells in the peripheral smear. Plasma cells are which kind of white blood cell? Please explain no more than 3-6 sentences. A). Granulocyte B). Lymphocyte C). Monocyte 2. Plasma cells are which type of lymphocyte? Explain, No more than 3-6 sentences. A). T cells B). B cells
- In about five sentences , and in your own words , describe asthma.Lymphoma is definitively diagnosed by which of the following procedures? Physical exam Lymph node biopsy X-ray White blood cell countThe patient was a 13-month old child who, on the day of admission, seemed fine according to his mother except for a runny nose and a low-grade fever (which she treated with Tylenol). Later in the day, while riding in the car with his mother, he suddenly had a grand mal seizure with shaking of the arms and legs. The seizure lasted 2 minutes. She called an ambulance. The emergency medical technicians found him limp, unresponsive, and apparently post ictal (post seizure state). In the emergency room he had a second seizure. On physical examination, he had a temperature of 39.5 ° C, and a pulse of 160 BPM. He was noted to be lethargic, but his neck was supple. Except for a runny nose, the rest of his physical examination was normal. Blood and urine cultures were obtained to rule out sepsis, and the child was begun on IV ceftriaxone (rocephin). His vaccination record is incomplete, but his mother insists that he is up to date on all vaccines. The patient's mental status did not improve…