A 30-year-old woman presents with severe sunburn that she received from using a tanning bed. She...
A 30-year-old woman presents with severe sunburn that she received from using a tanning bed. She tells you that she feels terrible and has been vomiting all morning. She also complains of feeling dizzy. All of her skin, except for the skin beneath her bikini top and bottom areas, are burned. Consider what effects a severe sunburn might have on this woman's fluid and electrolyte balance. Be as specific as you can.
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A 30-year-old woman presents with severe sunburn that she
received from using a tanning bed. She...
A 39 year-old woman is brought to the emergency department by her husband. She is conscious...
A 39 year-old woman is brought to the emergency department by her husband. She is conscious but confused and keeps repeating that her head hurts so much she feels it might “explode.” The husband tells you that she has no health problems and takes no medications other than aspirin for occasional pain. He also tells you that she entered a contest earlier today to try and drink the most water in 1 hour. She drank 10 glasses but did not...
Beth is a 42-year-old Native American woman who presents to the clinic today with several concerns....
Beth is a 42-year-old Native American woman who presents to the clinic today with several concerns. She has been feeling lightheaded, tired, weak, nauseous, and has had no appetite for the past 6 months. She has lost weight, probably about 25 pounds she estimates. She believes her skin and lips are getting darker even though she has not been in the sun recently. She always feels dehydrated. After prompting, she admits that her hair under her arms and in the...
what should she be prescribed? Sherry is a 30-year-old woman who presents with complaints of a...
what should she be prescribed?
Sherry is a 30-year-old woman who presents with complaints of a yeast infection that keeps coming back. She also reports increased thirst and urinary frequency. She has self-treated her yeast infection and says that those symptoms have cleared at the present time. Over the last few years, she has gained about 30 pounds, despite having tried many different diets. Her only other medical problem is PCOS, for which she takes Metformin ER 500 mg (2]...
A 30-year-old obese woman presents to your office with a chief complaint of recurrent yeast infections...
A 30-year-old obese woman presents to your office with a chief complaint of recurrent yeast infections and increased thirst. She also has noticed increased urinary frequency, but believes this is related to her yeast infection. Over the last several years, she has gained more than 40 lb despite having tried numerous diets, most recently a low-carbohydrate, high-fat diet. The patient’s only other pertinent history is that she was told to “watch her diet” during pregnancy because of excessive weight gain....
Armella Ottinger, a 77-year-old African American woman, was widowed almost 10 months ago. She presents with severe anxie...
Armella Ottinger, a 77-year-old African American woman, was widowed almost 10 months ago. She presents with severe anxiety and panic symptoms that have persisted since the death of her husband. She also reports having some short-term memory loss and sometimes waking up at night feeling confused. Armella was married for 58 years. She is currently living alone in the four-bedroom house where she lived with her husband and raised their five children. All of her children live far away, although...
Mrs. Gardner is 48 years old woman diagnosed with breast cancer. She has been enrolled in...
Mrs. Gardner is 48 years old woman diagnosed with breast cancer. She has been enrolled in a clinical research trial testing the effectiveness of a new chemotherapeutic agent. After her second dose of the agent, she complains of feeling light-headed when she gets out of bed in the morning. Her blood pressure is found to fall from 135/80 to 105/70 when she goes from a supine to a standing position (i.e., orthostatic hypotension). She also complains of frequent urination and...
A 68-year-old woman with an 8-year history of diabetes mellitus presents to the clinic for worsening...
A 68-year-old woman with an 8-year history of diabetes mellitus presents to the clinic for worsening dyspnea and cough. She has had chronic obstructive pulmonary disease (COPD; see the Respiratory Function chapter) since age 55. She now has dyspnea from walking one-third of a block, as well as a persistent cough. She has managed her type 2 DM with diet and exercise. Her last glycosylated hemoglobin (HgbA1c), which was measured 1 month ago, was 6.8% (normal range is 4–6%). Physical...
HIV/Immunodeficiency A 31-year-old HIV-infected woman presents with severe diarrhea and dizziness. She has long- standing HIV...
HIV/Immunodeficiency A 31-year-old HIV-infected woman presents with severe diarrhea and dizziness. She has long- standing HIV disease and her most recent CD4 count was 24 cells/mm3. For approximately 2 years, she has not taken any medications related to her HIV disease. The diarrhea began about 10 days ago and now she is having 10 to 15 watery stools per day, abdominal cramping, and nausea. Physical examination shows a thin female with a temperature of 38.1℃ blood pressure of 86/60 mmHg,...
D.W. is a 25-year-old married woman with three children under 5 years old. She was first...
D.W. is a 25-year-old married woman with three children under 5 years old. She was first seen by her physician months ago with vague complaints of intermittent fatigue, joint pain, low-grade fever, and unintentional weight loss. Her physician noted small, patchy areas of vitiligo and a scaly rash across her nose, cheeks, back, and chest at that time. Laboratory studies at that time revealed that D.W. had a positive antinuclear antibody (ANA) titer, positive dsDNA (positive lupus erythematosus), positive anti-Sm...
1. Mrs. Dean is a 75-year-old woman admitted to the hospital for a small bowel obstruction....
1. Mrs. Dean is a 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide, 20 mg daily and hydromorphone, 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning Objective 4) a. What are possible causes...
what should she be prescribed?
Sherry is a 30-year-old woman who presents with complaints of a yeast infection that keeps coming back. She also reports increased thirst and urinary frequency. She has self-treated her yeast infection and says that those symptoms have cleared at the present time. Over the last few years, she has gained about 30 pounds, despite having tried many different diets. Her only other medical problem is PCOS, for which she takes Metformin ER 500 mg (2]...
HIV/Immunodeficiency A 31-year-old HIV-infected woman presents with severe diarrhea and dizziness. She has long- standing HIV disease and her most recent CD4 count was 24 cells/mm3. For approximately 2 years, she has not taken any medications related to her HIV disease. The diarrhea began about 10 days ago and now she is having 10 to 15 watery stools per day, abdominal cramping, and nausea. Physical examination shows a thin female with a temperature of 38.1℃ blood pressure of 86/60 mmHg,...
1. Mrs. Dean is a 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide, 20 mg daily and hydromorphone, 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning Objective 4) a. What are possible causes...
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