Microbiology: An Introduction (13th Edition)
Microbiology: An Introduction (13th Edition)
13th Edition
ISBN: 9780134605180
Author: Gerard J. Tortora, Berdell R. Funke, Christine L. Case, Derek Weber, Warner Bair
Publisher: PEARSON
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Chapter 24, Problem 1CAE

In August, a 24-year-old man from Virginia developed difficulty breathing and bilateral lobe infiltrates 2 months after driving through California. During initial evaluation, typical pneumonia was suspected, and he was treated with antibiotics. Efforts to diagnose the pneumonia were unsuccessful. In October, a laryngeal mass was detected, and laryngeal cancer was suspected; treatment with steroids and bronchodilators did not result in improvement. Lung biopsy and laryngoscopy detected diffuse granular tissue. He was treated with amphotericin B and discharged after 5 days. What was the disease? What might have been done differently to decrease the patient’s recovery time from 3 months to 1 week?

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12) A 68-year old male patient has a history of long-term heavy smoking for more than 30 years, a history of chronic bronchitis for 17 years, and dyspnea with progressive aggravation in the past 3 years. Chest x-ray examination showed:The brightness of lung field increased, and the vascular texture around lung field decreased and became fine The patient's lung function test results are most likely to be() A FEV1/FVC40% B FEV1/FVC75%,RV/TLC75%,RV/TLC>40% E RV/TLC>40%,FEV1 accounted for 90% of the estimate
List three priority NANDAs for the patient post-laryngectomy.
A 5-month-old girl is brought to the emer- gency department by her parents because she is “turning blue." She is cyanotic, weak, and dyspneic. Her parents state that she has expe- rienced similar episodes in the past, but never this severe. Physical examination reveals the lungs are clear to auscultation, with no wheez- ing, rales, or rhonchi. Cardiac examination reveals a regular rate and rhythm, normal S1, single S2, a grade III rough systolic murmur at the left sternal border in the third intercos- tal space, and a palpable right ventricular lift. Echocardiography demonstrates unusual posi- tioning of the aorta, which overrides both the left and right ventricles in the long axis view. In this condition, the primary developmental defect occurs in which portion of the primitive heart? (A) Bulbus cordis (B) Conal septum (C) Left and right horns of the sinus venosus (D) Primitive atria (E) Primitive ventricle
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