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Mrs. Reyes is an 80 year old mother of twelve and grandmother of45 children. She complains of sudden, overwhelming desire to void that cannot be controlled long enough to reach the toilet. She urinates frequently and in small amounts. Even her sleeping at nights is interrupted because she needs to go to the toilet.
1. What can possibly happen if incontinence is not manage well?
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- Mrs. Reyes is an 80 year old mother of twelve and grandmother of45 children. She complains of sudden, overwhelming desire to void that cannot be controlled long enough to reach the toilet. She urinates frequently and in small amounts. Even her sleeping at nights is interrupted because she needs to go to the toilet. 1. What do you think caused this type of incontinence? Explain it briefly.Mrs. Reyes is an 80 year old mother of twelve and grandmother of45 children. She complains of sudden, overwhelming desire to void that cannot be controlled long enough to reach the toilet. She urinates frequently and in small amounts. Even her sleeping at nights is interrupted because she needs to go to the toilet. 1. What type of incontinence does Mrs. Reyes have? Support your answer.6-year-old Abby is brought to the ER by her mother. She ishyperventilating and vomiting. Abby’s mother states that her daughter has not seemed like herself lately. She has been nauseated several times during the past week. Abby is very thin although her mother indicates she has been eating and drinking continuously. Her urinary frequency has increased dramatically. She has even been having trouble with bed-wetting although this previously had not been a problem. What disease do you suspect and why?• What laboratory tests would confirm your suspicions?• Can you explain the child’s nausea and hyperventilation?• What glands and hormones are involved?• What treatment options are available for Abby?
- For the past 2 weeks, she was experiencing abdominal pain that make her woke up at night, but it is relieved by food and antacids. She was diagnosed with Grave’s disease 3 months ago with symptoms of hyperthyroidism and tachycardia. She also has chronic renal dysfunction due to polycystic kidney disease. Moreover, she has IBS with complaints of diarrhea and constipation, with increasing episode over past 2 months. She was also diagnosed with iron deficiency anemia. CJ was married and had 2 children. She smoke ½ pack per day and drinks 2 glasses of wine per day with dinner and coffee 2-6 cups per day. Medication: PTU 200 mg PO q6h Magnesium hydroxide/Al hydroxide Susp 15mL PO PRN Propranolol 20 mg PO qid. Allergies: NKA Physical Examination: Gen: Well developed, thin female in mild distress VS: BP 140/88, HR 84, RR 18, T 37oC. Wt 55 kg, Ht 165cm HEENT: Small symmetric goiter, much smaller than previous clinic visit Coronary: Normal S1 and S2, no murmurs, rubs, or gallops Chest: WNL…A 43-year-old patient complains of pain in the right hypochondrium, periodic body temperature rises of up to 38°C, periodic icteric skin color changes, heartburn, nausea. Ultrasound examination revealed an increase in the size of the liver and gall bladder. Multiple small stones were found in the lumen of the gall bladder and bile ducts, Questions: 7. What changes in the cardiovascular system are typical for this type of jaundice.1. You learn that Mrs. Brown’s stools have been liquid, in very small amounts, and at infrequent intervals, generally occurring when she feels the urge to defecate. What additional data are important to obtain from her?2. What nursing intervention is most appropriate before making suggestions to correct or prevent the problem she is experiencing?3. What suggestions can you give her about maintaining a regular bowel pattern?4. Explain why cathartics and laxatives are generally contraindicated for people in Mrs. Brown’s situation.
- A 39 yearold woman comes to the clinic complaining of diarrhea and abdominal pain. “I feel so weak.” She reports having four to five loose, occasionally bloody stools per day for the past two weeks, with abdominal cramping beginning over the past 48 hours. She has been self-treating with occasional other-the-counter (OTC) antidiarrheals without success. She denies recent antibiotic use. She complains of severe fatigue. She gave birth to her third child 6 weeks ago. She is not breast feeding. A complete blood count, blood chemistry (including electrolytes, renal function tests and blood glucose) and serum iron is ordered along with stool cultures, colonoscopy and upper gastrointestinal (UGI) endoscopy with small bowel follow-through. Lab Data: Sodium 140 mmol/L Potassium 3.5 mmol/L Chloride 105 mmol/L Urea 3.57 mmol/L Serum creatinine 115 µmol/L Glucose 7.8 mmol/L Iron 4.3 µmol/L Hb 132 g/L Hct 0.39 L/L WBC 7.68 x 109 with normal differential She…A 24-year-old woman presents to the emergency department with severe diarrhea forthe past days. She looked acutely ill and very dehydrated. Although her usual bloodpressure is 120/80mmHg, it has now dropped. When she is supine (lying down), herblood pressure is 90/60 mm Hg and her heart rate is 100 beats/min. When she ismoved to a standing position, her heart rate further increases to 120 beats/min. She isimmediately started on normal saline i.v fluids. a. What is the physiological explanation behind the drop in blood pressure? b. Explain physiologically the fast baroreceptor mechanisms that will be employedto compensate for the drop in blood pressure. c. What accounts for the change in heart rate on changing positions? d. How will iv fluids improve her blood pressure?A 36-year-old, alcoholic woman presents with a 1-week history of yellow skin and sclerae. She has suffered persistent headaches. Her vital signs are normal. Physical examination reveals jaundice. Laboratory studies disclose markedly elevated levels of AST and ALT (956 and 1,400 UIL. respectively). A few days later, she develops hepatic encephalopathy and renal failure. A liver biopsy shows prominent centrilobular necrosis. Which of the following is the most likely diagnosis? (A) Acetaminophen toxicity (B) Fatty liver of pregnancy (C) Metastatic carcinoma (D) Reye syndrome (£) Wilson disease
- A child was brought to hospital with vomiting, dizziness and sweating. The child developed all these problems and diarrhoea only after consumption of fruits, fruit juices or sweets made from jaggery and sugar. The child mother informed on questioning that the child was normal on breast feeding. On examination his weight was found to below normal and had liver enlargement. His blood glucose level was below normal but reducing substances were found in urine. Write your diagnosis.1. A 57-year-old man is admitted to the emergency department with complaints of acute onset of intense abdominal pain. On physical examination, the pain appears to be localized to the upper abdomen near the epigastric area and radiating to the back. While being examined, the patient experiences nausea and vomiting. The patient denies recent alcohol consumption and states that he has not been feeling well during the past few days. A. What diagnoses should be considered for the patient? B. What laboratory tests can aid in making a definitive diagnosis?A 14-year-old male student was seen by his physician. His chief complaints were fatigue; weight loss; and increases in appetite, thirst, and frequency of urination. For the past 3 to 4 weeks, he had been excessively thirsty and had to urinate every few hours. He began to get up three to four times a night to urinate. The patient has a family history of diabetes Mellitus Question: What further tests might be performed to confirm the diagnosis?
