TJ is a 6-year-old boy who was rushed to the emer- gency room in a state...
Daryl is a 21 year old male with a history of Type 1 Diabetes. He is brought to the ER by his parents because he seems anxious and confused and has been experiencing nausea and vomiting. Upon exam he appears ill with dry mucous membranes and decreased skin turgor. His breath smells fruity, his pulse is rapid and weak, and his respirations are rapid and deep. His laboratory values include the following: Glucose 350 mg/dl, K+ 5.9 mEq/L, and his...
A 6-year-old boy is rushed to the emergency department by a neighbor who found him wandering in the street wearing only a dirty undershirt, seemingly dazed. He is covered in what appear to be cigarette burns, is cachectic, and has bruises on his wrists and ankles. He appears fearful and confused and does not respond to questioning except to say "I hurt. I don't feel good." 1. What is your first priority? 2. What would you include in your documentation...
Mr. Jimenez is a 61-year-old Spanish-speaking man who presented to the emergency room with his wife. His wife also speaks Spanish but does understand some English. Mr. Jimenez complains of nausea and vomiting for the last two days and symptoms of confusion. His blood glucose is 796 mg\deciliter. He has a past medical history of coronary artery disease (CAD) and hypertension (HTN). He has smoked one pack per day of cigarettes for the last 35 years as well as drinking...
Please help Please help to answer question Case Study TJ, a 60-year-old man, underwent heart transplant surgery 2 days ago, and has been doing well in recovery. So far, the surgery looks like it will be successful, however, the nurses are wary, and keep a vigilant eye on him. This is two question, Please answer separate please. Really? I ask again that mean you not answer right. I pay for you to repase the old one Question TJ has been...
On a cold February day, a 6-year-old boy was brought to the emergency room by his frantic mother because he had passed red urine and looked very pale. He was a normal, active boy, and in fact has played out in the snow the day before. He had the "flue" for about 1 week about 10 days before this episode. He had not received any medication except acetaminophen. On admission, his CBC values were: WBC 12.0 x 10^9L, RBC 3...
. A 9-year –old boy has a history of a reagent viral infection. He now feels faint and is feverish, and he is generally not well. He has to urinate frequently and is very thirsty. His breath smells fruity. He is seen in an urgent care clinic, where blood is drawn and urine collected for routine urinalysis. The following urinalysis results were obtained: Physical Appearance Color: Pale Transparency: Clear Chemical Screening pH: 5.0 Specific gravity (refractometer): 1.029 Specific gravity (reagent...
Case Scenario: A 12-year-old boy presents with a blood sugar of 600. He is lethargic, and parents state he has had the flu. He has been fatigued and has lost 15 pounds in the last two weeks. This boy’s history is small for age, lack of focus at times, reoccurring bladder infections for the last six months, states his mouth is dry all the time, is often irritable, and has few interests or friends. The doctors’ notes state he has...
Mr. X is a 33 year-old Hispanic male (Spanish speaking only) who presented to the ED with a compliant of muscle aches and just not feeling good. He is a construction worker and has been working outside in 100-105 f degree weather for the last 3 days. His past medical and surgical history is negative. His mom has diabetes and his father has hypertension. He does not take any prescription medications and denies any over the counter medications, herbal products...
J.G. is a 26-year-old male who was admitted to the emergency room complaining of “feeling sick” and nauseated during the past 2 days. The history revealed that he had cleaned the tiles on the wall of his girlfriend’s unvented bathroom with a cleaning solution containing carbon tetrachloride 2 days ago. During the cleaning process, the two of them drank several beers in the kitchen. Since that time he had not been feeling well. He also noted that he had only...
The patient is an 88-year-old man with an extensive cardiac history who has been a resident of a skilled nursing facility for the past 3 years. Comorbid conditions include type 2 diabetes (15 years) and severe peripheral vascular disease. For 6 months the patient has suffered from a serious left leg wound that has not responded to treatment and that has become much worse over the past 2 months. At this point, the leg is gangrenous to above the ankle,...