28. A previously healthy 17-year-old boy is brought to the emergency department because of a 12-hour history of temperatures to 39.7°C (103.5°F), nausea, muscle aches, and progressive confusion. He has had anepisode of syncope. His palpable blood pressure is 80 mm Hg. Physical examination shows a rash on his lower extremities and feet. His leukocyte count is 26,000/mm³. Serum tumor necrosis factor-a andinterleukin-1 (IL-1) concentrations are increased. Blood and cerebrospinal fluid cultures grow an oxidase-positive, gram-negative diplococcus. Which of the following effector cells is primarily responsible forproduction of the factors inducing the patient's hemodynamic state?O) AB lymphocytesB) EosinophilsC) MacrophagesD) NeutrophilsE) T lymphocytes

what is syncope?? Syncope is the medical term for fainting or a temporary loss of consciousness. it…

Answered: 28. A previously healthy 17-year-old…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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21. A 45-year-old man is brought to the physician because of a 3-week history of fever and facial pain. His temperature is 38°C (100.4°F), pulse is 74/min, and respirations are 14/min. Physical examination shows tenderness, edema, and erythema around the left zygomatic bone. A CT scan of the head shows that the left maxillary sinus is filled with fluid. Fiberscopic rhinoscopy is done to examine the maxillary sinus. The inserted endoscope is most likely to traverse which of the following spaces before immediately entering the maxillary sinus in this patient? OA) Frontonasal duct B) Inferior meatus Oc) Middle meatus OD) Nasolacrimal duct E) Parotid duct OF) Sphenoethmoidal recess G) Superior meatus the
A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. How is this case consistent with cystic fibrosis diagnosis? What tests could be ordered to confirm the diagnosis? What interventions could help to alleviate respiratory distress?
Case #12: A21-year-old female, recently married, returns from her honeymoon with complaints of dysuria, urgency, frequency and suprapubic pain for 1-2 days. This morning she noted hematuria. She has not had fever, chills or back pain.
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,…
make a pathophysiology flow chart (in drawing if possible) of Upper Respiratory Tract Infection with a data of: 3 months old baby, has sunken eyeballs, admitted due to having a fever for 3 days, A chief complaint of 4 Days PTA, onset of fever on and off, cbc shows high wbc has high infection, is warm to touch and crackles sound can be heard with no sneezing, system chart states only oral mucos, infant is not breast fed and is drinking a formulated milk, vital signs shows normal. with details explained
Case 8: An 18-year-old male college student was on spring break in the Florida Keys. He presented to the E.R. complaining of remittent fever, chills, and headaches. A blood smear revealed ring-shaped cells in his blood cells. What disease does the young man have, and what organism is most likely responsible? How did he contract this disease?
Case # 3. Clinical History: A 25 year-old woman had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm³ with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. 1. What is the MOST LIKELY diagnosis AND the likely causative agent? 2. What is a likely complication of this disease? A. PID B. Infertility C. Tubo-ovarian abscess D. ALL of the above 3. Which of the following statement about this disease is FALSE? A. It is usually associated with endometriosis B. May be complicated by strictures and infertility C. May also involve the adjacent ovary D. May result in a hydrosalpinx E. May be complicated by septicemia F. ALL of the above statements are false regarding this disease. G. NONE of the above statements are false regarding this disease.
A 5-month-old girl is brought to the emer- gency department by her parents because she is “turning blue." She is cyanotic, weak, and dyspneic. Her parents state that she has expe- rienced similar episodes in the past, but never this severe. Physical examination reveals the lungs are clear to auscultation, with no wheez- ing, rales, or rhonchi. Cardiac examination reveals a regular rate and rhythm, normal S1, single S2, a grade III rough systolic murmur at the left sternal border in the third intercos- tal space, and a palpable right ventricular lift. Echocardiography demonstrates unusual posi- tioning of the aorta, which overrides both the left and right ventricles in the long axis view. In this condition, the primary developmental defect occurs in which portion of the primitive heart? (A) Bulbus cordis (B) Conal septum (C) Left and right horns of the sinus venosus (D) Primitive atria (E) Primitive ventricle
Lin, a 5-year-11-month boy. He had a fever 20 days ago with no-obvious trigger and reached- the highest oral temperature of 40°C, no obvious cough, runny nose, vomiting. headache. dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He visited a local hospital and underwent a blood-routine test: WBC 8.7X 10°/L. N 21%. RBC 3.36X 10/L. BPC 75 X 10°L, Hb 109g/L; peripheral blood smear shows: atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus intravenous ganciclovir was given and his blood was extracted to check for anti-EBV antibody simultaneously. 1.- What are the main symptoms found on this patient? According to the patient's history and- presentations, what are the probable issues that you will need to think of?
An 18-year-old patient reports a low-grade fever, itchy and red eyes, pain in the right ear, as well as a mild cough and runny nose. Vitals Temperature - 100.1 °F Heart Rate - 88 bpm Respiratory Rate - 18 bpm Oxygen Saturation - 94 BP - 124/78 What is the diagnosis?
A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. 4) What is the rationale behind the poor weight gain? 5)What counseling or family education should be provided to the Family about cystic fibrosis before the child goes home? 6) What genetic counseling should be provided?
make a pathophysiology flow chart (in drawing if possible) of Upper Respiratory Tract Infection with a data of: 3 months old baby, has sunken eyeballs, admitted due to having a fever for 3 days, A chief complaint of 4 Days PTA, onset of fever on and off, cbc shows high wbc has high infection, is warm to touch and crackles sound can be heard with no sneezing, system chart states only oral mucos, infant is not breast fed and is drinking a formulated milk, vital signs shows normal. with details explained

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