A 42-year-old man comes to the office with rectal bleeding. He used to have occasional streaks of blood on the tissue after wiping, but for the past several days e has seen blood dripping into the toilet bowl at the end of defecation. The patient eports chronic constipation and has to strain during defecation but has no rectal or abdominal pain. He works as a truck driver, and his diet consists mainly of amburgers and French fries. Abdominal examination is unremarkable. There is no nass or tenderness on digital rectal examination, but anoscopy shows bulging uEnlich blue al locie ahoue the ntete line Rubber bend igati

Alfonso is a 67-year-old male. He is admitted to the hospital due to an infection. Alfonso only speaks Spanish and has trouble communicating with the healthcare staff. He has dysphagia, difficulty swallowing and must meet his nutritional needs via a tube feeding. At home, he is very self-sufficient and does his own bolus feedings. He has been in the hospital for nearly forty-eight hours. The nursing notes indicate that he has been tolerating his tube feeding well and administering it himself, however, when he meets with the dietitian, the patient admits that he has not had any tube feeding. The dietitian looks in the room and does not see any tube feeding products. The dietitian speaks with the RN and the Nurse Manager to discuss the situation.

Mrs. Jones is a 70-year-old woman you are admitting to the skilled nursing facility after a total hip replacement. When you obtain her past medical history, she reports a problem with a chronic rash under her breasts and in her supragluteal fold. She has tried a number of topical antifungal treatments without success. She has never seen a dermatologist. While she finds the rash a nuisance and experiences an occasional increase in itchiness, it is something she can live with. Her primary care provider diagnosed the rash as Candida and encouraged her to keep the area clean and dry and to use antifungals. Recently, her 42-year-old daughter was diagnosed with psoriasis and asked about a family history of the disease. Mrs. Jones was unaware of anyone in her or her husband’s family with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any…

All the following are the signs or symptoms of Hepatitis A Virus (HAV) infection EXCEPT: urogenital inflammation dark urine fatigue vomiting and abdominal cramping O fever O jaundice all of the above apply, no exception