4:43 LTE

T.H., a 48-year-old man, was an admitted IV drug user and occasionally abused alcohol. Over 4 weeks, he had experienced fever, night sweats, malaise, a cough, and a 10-lb. weight loss. He was also concerned about several discolored lesions that had erupted weeks before on his arms and legs. T.H. made an appointment with a physician assistant at the neighborhood clinic. On examination, the PA noted bilateral anterior cervical and axillary lymphadenopathy and pyrexia. T.H's temperature was 39°C. The PA sent T.H. to the hospital for further studies. T.H's chest radiograph showed paratracheal adenopathy and bilateral interstitial infiltrates, suspicious of tuberculosis (TB). His blood study results were positive for HIV and showed a lymphocytopenia. Sputum and BAL (washing) fluid were positive for AFB, and a PPD skin test result was also positive. Based on these findings, T.H. was diagnosed with HIV, TB, and Kaposi sarcoma related to past IV drug abuse.

Peotuis kanles 2812 42 H. N.

Should physician provide indirect or direct assistance?

Lab #3 Part C Specimen #1 back

Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10 minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced.   As the labor progresses, there will be some discomforts Mrs. J will experience. By accomplishing the table below, you will be able to anticipate these discomforts then may be able to apply measures to alleviate or assist Mrs. J to have a safe delivery.

What is Barotrauma?

OESK MUST SIGN

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