You are ALL required to produce a full write up on "Paroxysmal Nocturnal Haemoglobinuria (PNH)"." The write up should include (but not limited to) the following areas: VPathophysiology. vClinical & laboratory findings. VDifferent screening procedures employed in its diagnosis. VTreatment.

A 57 year old male presented to the Tulane Emergency department at 4:00 AM with the acute onset of right-sided facial drooping, speech slurring, and difficulty with lifting his right upper extremity.  Upon presentation, he is unable to communicate with medical staff, as he cannot get any words out; when asked about his birthday, he attempted to speak but was unable to produce any words, but he was able to write his birthdate down correctly when asked to do so. He was unable to lift his right arm, turn his head toward the right side, or   He has a strong history of heart issues, dating back to his 40’s when he suffered from a myocardial infarction (heart attack) which required two stents placed in his left anterior descending (LAD) artery. He was prescribed Plavix (Clopidogrel) and aspirin 80 mg daily after his heart attack, and he was advised to stop smoking.  He had successfully stopped smoking for 2 months prior to restarting. He currently smokes 2 packs of Marlboro Menthol Light…

A client says to the nurse, “Things I once did for pleasure are no longer fun for me.” How would the nurse document this comment? Question 34 options: Anhedonia Flat Affect Dysthymia Euphoria

A 62-year-old man who is a chronic smoker with a history of widespread atherosclerotic vascular disease complains of a 3-h history of severe midabdominal pain, accompanied by nausea and vomiting. He has a history of myocardial ischemia and peripheral vascular disease. On examination, he is writhing in pain. His abdomen has normal bowel sounds and minimal tenderness. A small amount of blood is present in the stool specimen. The electrolytes show a low bicarbonate level at 15 mEq/L, and the serum lactate level is high, which are indicative of tissue receiving insufficient oxygenation leading to tissue injury. A surgeon, who is concerned about mesenteric ischemia, has been called to evaluate the patient. Which of the following is the most likely diagnosis? Appendicitis Cholecystitis Gastritis Superior mesenteric thrombosis Amebic colitis