A 56-year-old Asian man with hypertension, hypercholesterolemia, and type 2 diabetes mellitus comes to a physician for a check-up. It has been several years since he has been to the doctor. His past medical history is significant for an acute illness at the age of nine, which involved a high fever, pleuritic chest pain, migrating joint pain, and a pink, nonpruritic rash on his torso. His blood pressure is 155/100 mm Hg and heart rate is 70/min. Auscultation of the heart reveals a low-pitched diastolic rumble heard best at the apex. What is the most likely pressure change that would be seen in this patient’s heart? (A) Decreased left atrial pressure (B) Decreased left ventricular pressure (C) Increased left atrial pressure (D) Increased left ventricular pressure (E) Increased right atrial pressure

Question:- A 25-year-old man comes to the emergency department because of a 2-day history of fever and rash. He has a history of complex partial sezure secondary to an arteriovenous malformation. He has had breath through seizure several times each despite treatment with several medication regions. Initially, treatment with phenytoin, which caused sedation. Two weeks ago, he was stitched to valproic acid and lamotrigine. He states that he has not had any seizure during topiramate and phenytoin, which caused sedation. Two weeks ago, he was switched valproic acid and lamotrigine. He states that he was not ad nay seizure during this time, and he finished his sample package of lamotrigine. He is awake and alert but appears ill. Vital signs are temperature 39.0 oC (102.2 oF), pulse 1110/min, respiration 22/min. and blood pressure 130/90 mm Hg. Examination shows extensive bullae, especially over the hands and feet. There are erosive lesions over the mouth and genital area. Which of the…

A 60-year-old woman with anemia is admitted to the hospital. Her hematocrit is 17% and she has been experiencing subtle gastrointestinal bleeding over many weeks. Her physician requests 4 units of red blood cells for transfusion. The patient’s RBCs phenotyped as group AB, D-positive. Her antibody screen is negative on the sample drawn in the emergency room, but her records indicate a previously detected anti-E. Only three group AB, D-positive red blood cell units are available in the blood bank’s inventory. The blood bank’s inventory contains RBC donor units of all ABO and D types.Having located 6 E-negative donor units, you perform crossmatching on the units. One of the units is incompatible in the antiglobulin phase (2+). The physician is becoming insistent on beginning the transfusion, since the patient is having some shortness of breath.How do you respond to the physician’s request?List several reasons to explain the one incompatible donor unit.What additional testing do you…

rash in this patient and 1) what is the name given to this type of rash? 2)Describe the red blood cell morphology in the blood film. 3) Describe the white blood cell morphology in the blood film. 4) What is the name given to this the type of anaemia present in this case? 5) Taking into consideration the clinical presentation, the full blood count results and the red blood cell morphology, what is your provisional diagnosis for this case? give right accurate answer only د A 3-year-old male presents to ED with bloody diarrhoea and a rash. Full blood count results and blood film Parameter Result Reference range Haemoglobin 92 g/L 110-140 g/L Red blood cell count 3.58 x 102/L 3.86-5.00 x 102/L Haematocrit 0.28 0.31-0.38 Mean cell volume 78.5 fL 73-85 fl Mean cell haemoglobin 25.7 pg 25-30 pg MCHC 327 g/L 310-360 g/L Reticulocyte count 150 x 10%/L 20-80 x 10%/L White blood cell count 18.6 x 10%/L 4.9-12.8 x 10%/L Platelet count 27 x 10%/L 215-450 x 10%/L 00 Blood film De

A 67 years old female patient. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT  of her head and neck. Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago.  She underwent a CT scan of the head and neck, but the results were normal. the patient was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD  This morning patient woke up at 0600 hours with a 5/10 headache. At 0700 hours she began to feel weak in her limbs, and her headache increased to…

This 58-year-old nuclear power plant worker saw his family physician because of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed that the man had pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis (UA). A follow-up appointment is scheduled for the following week. Laboratory Data The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled coin) appearance of the RBCs. The UA was normal. The patient was called and requested to return to the laboratory for additional tests. The physician ordered an ESR, kidney screening profile, liver blood profile, and radiographic skeletal survey, with the following results: ESR—50 mm/hr Kidney profile—normal Liver profile—normal, except for increased globular protein Skeletal survey—bone lesions in various sites What follow-up laboratory tests…

What are the common laboratory tests for diagnosis of pernicious anemia?  Please answer at your own words.

URN: 9833360 |PATIENT: HERMIONE GRANGERDOB: 15 APRIL 2016 | PAEDS SITUATION:Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. ' BACKGROUNDMiss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENTHer Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and…

A child comes for a routine blood test and on a differential count of leukocytes, shows the following count. Neutrophils 70% Lymphocytes 22% Eosinophils 4% Monocytes 3% Basophils 1% The possible reason could be: A bacterial infection in the body The child is anemic The child has a bleeding disorder The child is suffering from an allergy

Xin’s blood was drawn and testing was conducted. His hematocrit was 45% and white-blood cell count was 2,500 white-blood cells/mm3, with the differential showing neutrophils 65%, lymphocytes 25%, monocytes 10%. A  biopsy was taken of one of the discolored lesions and cell culture. After three days of growth the cells were confirmed as coming from malignant cancerous tissue. A magnetic resonance image (MRI) of the area around the skin lesions on Xin’s inner thigh revealed enlarged lymph nodes, a sign of potential metastasis. DNA sequencing of the lesion biopsy revealed DNA consistent with human herpesvirus 8, known as Kaposi’s sarcoma-associated herpesvirus, leading to the diagnosis of Kaposi’s sarcoma.  - What Disorders can be ruled in and out from this diagnosis?