Week 6 case study Scenario 1 D.W. is a 23-year-old married woman with 3 children under 5 years old. She came to her physician 2 years ago with vague complaints of (C/O) intermittent fatigue, joint pain, low-grade fever, and unintentional weight loss. Her physician noted small patchy areas of vitiligo and a scaly rash across her nose, cheeks, back, and chest at that time. Laboratory studies revealed that D.W. had a positive antinuclear antibody (ANA) titer, positive dsDNA (positive lupus erythematosus), positive anti-Sm (antismooth muscle antibody), elevated C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), and decreased C3 and C4 serum complement. Joint x-ray fi lms demonstrated joint swelling without joint …show more content…
Is that right?” How should you respond to his concerns? Scenario 2 K.D. is a 36-year-old gay professional man who has been human immunodeficiency virus (HIV) positive for 6 years. Until recently, he demonstrated no signs and symptoms (S/S) of acquired immunodeficiency syndrome (AIDS). The appearance of purplish spots on his neck and arms persuaded him to make an appointment with his physician. When he arrives at the physician’s office, the nurse performs a brief assessment. His vital signs (VS) are 138/86, 100, 30, 100.8° F. K.D. states that he has been feeling fatigued for several months and is experiencing occasional night sweats, but he also has been working long hours, has skipped meals, and has been particularly stressed over a project at work. K.D.’s physical examination is within normal limits (WNL) except for his rapid heart rate and respirations, low-grade fever, and skin lesions. The doctor orders a chest x-ray (CXR), CBC, lymphocyte studies, ultra viral load, Cytomegalovirus (CMV) assay, and a PPD (purified protein derivative) test. K.D. made an appointment to return in 5 days to discuss the results of his tests. Over the next 2 weeks, K.D. develops a fever of 101° F, nonproductive cough, and increasing shortness of breath (SOB). Late one night he becomes acutely SOB, so his roommate, J.F., takes him to the emergency department (ED) where he is subsequently admitted to the hospital with probable
acute pain-a protective mechanism that alerts the individual to a condition or experiece that is immediately harmful
1. Some people accuse sociologists of observing conditions that are obvious. How does looking at sociology as “making the familiar strange” help counter this claim? How does sociology differ from simple commonsense reasoning?
No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,
3. Microbiologists employee a number of approached to acquiring a pure culture from a from sample containing a number of different types of bacteria. Briefly describe three different procedures commonly used to secure pure cultures from a mixed culture. The use of simple labeled diagrams may be quite helpful.
During the Late Kaskaskia (Cratonic Sequence 3), what type of deposition predominated on the craton?
The Acquired Immune Deficiency Syndrome denotes a spectrum of conditions that are caused by the HIV virus. Infection with this disease does not result in the instant occurrence of the related signs and symptoms. However, an individual is likely to experience flu-like symptoms after he or she is infected with it. Eventually, the person experiences a prolonged period of apparent health with no visible signs. On progression, the infection adversely interferes with the immune system of the individual. The weakening of the body’s defense system increases the risk of recurrence of common infections and opportunistic illnesses that
Patient was in the ER room when first seen. PT was with her family members and family states that she speaks little English and that she has had abdominal pain for the past day along with bloody stools. Family states that she is on calcium supplements and no other medications. Last oral intake is 24 hours ago. Family states no known past medical history. Pt is in the hospital bed in the fetal position and towards the right side. Patient's airway is clear and breathing is normal. Skin is warm and dry. Patent is AAOx4. Assessment of head, neck, and chest show no signs of deformities. Abdominal area not assessed due to severe pain. Back is without deformity. The upper extremity shows no sign of deformities or trauma. The lower extremity shows
Some of the positive things about China’s location was that it was separated from the rest of the world which caused very few conflicts to occur with other early civilizations. However due to this separation from other civilizations, China did not have as much influence in technology or culture from other civilizations.
Which of the following was evidence to support Vanzetti's innocence during the Braintree robbery and double murder trial?
Who benefited from the Magna Carta? The English NobilityThe English nobility gained the most benefits from the Magna Carta, which established limitations on the power of the king.
Mr. P, a 27-year-old African American man, was brought to the emergency department (ED) by his wife. The patient reported polyuria for the past three days, few episodes of vomiting prior to arrival and polydipsia. On assessment, the patient appears flushed, and his lips and mucous membranes are dry and cracked. His skin turgor is very poor. He has deep, rapid respirations and there is an acetone smell to his breath. He is alert and oriented X 2 and is having trouble focusing on the questions.
1. The difference between opinion and facts is that an opinion can be used as a topic of an essay. An opinion makes the essay more interesting for the reader. However, facts can not be used as a topic since there will be no one to persuade, making the essay less interesting
Onset: When did you first notice the fever? Where were you when you first began having the symptoms?
Skin:color consistent with ethnicity, dry, smooth, soft and warm to touch. No rashes or bruises present, nailbeds were pink. Temperature was 99.0F. No edema, jaundice or milia on her nose but a little peeling off her legs. No abnormal moisture or turgor
Skin- she has some mild equimosis on her skin and some anathema. She has patches but no obvious skin breakdown. She has no fissuring in the buttocks crease.