Homework Answers
Anticholinergic activity is the common action of three drugs that cause these signs and symptoms.
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Case 4 A 70-year-old woman presents to an urgent care center agitated, tachycardic and with difficulty...
Case 2 A 45-year-old woman presents to an urgent care center complaining of pruritic hives after...
Case 2 A 45-year-old woman presents to an urgent care center complaining of pruritic hives after being stung by a bee. She takes propranolol, 80 mg twice a day, for hypertension. She is given epinephrine 0.3 mg sc, and diphenhydramine, 50 mg iv. 1. What is the expected response to epinephrine? To diphenhydramine? 2. How might propranolol alter these responses?
Judith Kline (J. K.), a 55-year-old woman, arrived at an urgent care center complaining of generalized...
Judith Kline (J. K.), a 55-year-old woman, arrived at an urgent care center complaining of generalized malaise, an overwhelming feeling of exhaustion that was not relieved with rest, and difficulty walking more than 10 ft. She has thinning scalp hair, scaly skin, and puffiness around her eyes. She appears to be anxious. She is married and responsible for raising three grandchildren (2, 4, and 8 years old). She is employed full time as a college professor and is worried that...
Chief Complaint: Nausea & Vomiting History of Present Illness A 24-year-old woman presents to your urgent care clini...
Chief Complaint: Nausea & Vomiting History of Present Illness A 24-year-old woman presents to your urgent care clinic complaining of nausea and vomiting for the past 4 weeks. She had no prior gastrointestinal problems until the onset of symptoms 4 weeks ago. She generally develops nausea about 1/2 hour after eating and then vomits non-bloody material about an hour later. Solid food causes more symptoms than liquids, and the amount of food needed to cause symptoms has been decreasing. Otherwise,...
Ms. Kline, a 55-year-old white woman, arrived at an urgent care center complaining of generalized malaise,...
Ms. Kline, a 55-year-old white woman, arrived at an urgent care center complaining of generalized malaise, an overwhelming feeling of exhaustion that was not relieved with rest, and difficulty walking more than 10 ft. She has thinning scalp hair, scaly skin, and puffiness around her eyes. She appears to be anxious. She is married and responsible for raising three grandchildren (2, 4, and 8 years old). She is employed full time as a college professor, and is worried that she...
Case 2: Elisabeth, 27-year-old female Subjective The patient presents today for a set of strange symptoms...
Case 2: Elisabeth, 27-year-old female Subjective The patient presents today for a set of strange symptoms She recalls that about 4 days ago she started experiencing unexplained restlessness muscle twitching, diarrhea, and muscle twitches You are updating her medication list and make note that 5 days she went to Urgent Care for an acute migraine and was prescribed sumatriptan 25 mg tablets. Her current medication list is as follows: o Sumatriptan 25mg, fluoxetine 20mg, birth control Objective Vitals: Heart Rate...
Case Scenario: A 45-year-old woman presents with a drooping left eye, has fallen four times in...
Case Scenario: A 45-year-old woman presents with a drooping left eye, has fallen four times in the last month, and complains of weakness in her neck such that at times “it feels like my head is so heavy.” She has no prior health problems and has played tennis since she was a teen. She has no children and is married. She states her marriage is strong and they have an active church life. In the last six months, she has...
Sleep Case Study: Sheena, a 42-year-old woman, is referred to the sleep disorders center with a...
Sleep Case Study: Sheena, a 42-year-old woman, is referred to the sleep disorders center with a complaint of chronic, severe insomnia affecting her daytime functioning. The single mother of three teenage boys, she first experienced insomnia eight years ago when bankruptcy threatened her small business. Although the business recovered a year later, her insomnia has remained almost unchanged over the next eight years. Medication History: She has unsuccessfully taken Ativan (lorazepam), Restoril (temazepam), and Ambien (zolpidem tartrate). Although an initial benefit...
A 57-year old woman is seen in an urgent care clinic - by you - for...
A 57-year old woman is seen in an urgent care clinic - by you - for a headache not relieved by acetaminophen or ibuprofen. Physical examination reveals an overweight woman who is short of breath from the walk to the examination room. Her fingers are puffy with tight rings that she is unable to remove. The woman reports she has a history of cigarette smoking, primary hypertension, high cholesterol, and type 2 diabetes. Based on risk factors and your initial...
Chief Complaint: Cough History of Present Illness A 59 year old female presents to the urgent care clinic complaining of...
Chief Complaint: Cough History of Present Illness A 59 year old female presents to the urgent care clinic complaining of a 24-hour history of fever and chills, with an episode of rigors last night. She is complaining of a productive cough and increased dyspnea. She reports she does have a baseline “smoker’s cough.” She reports having to use her inhaler constantly since yesterday. Denies any chest pain at rest but does report mild discomfort when coughing. The patient does report...
Case Studies A 28 year old woman presents to the emcrgency department with complaints of difficulty...
Case Studies A 28 year old woman presents to the emcrgency department with complaints of difficulty breathing, general muscle weakness and dysphagia. Her history of present illness reveals that she was diagnosed wtih infectious mononucleosis 10 days ago and had recently experienced ptosis and weakness in her legs and amis. She weighs 150 pound and is 5 feet, 8 inches tall. ABG on room air: 730502378 S02 91% H maximal inspiratory pressure is 15 1. cmH20 and vital capacity is...
Case 2 A 45-year-old woman presents to an urgent care center complaining of pruritic hives after being stung by a bee. She takes propranolol, 80 mg twice a day, for hypertension. She is given epinephrine 0.3 mg sc, and diphenhydramine, 50 mg iv. 1. What is the expected response to epinephrine? To diphenhydramine? 2. How might propranolol alter these responses?
Case 2: Elisabeth, 27-year-old female Subjective The patient presents today for a set of strange symptoms She recalls that about 4 days ago she started experiencing unexplained restlessness muscle twitching, diarrhea, and muscle twitches You are updating her medication list and make note that 5 days she went to Urgent Care for an acute migraine and was prescribed sumatriptan 25 mg tablets. Her current medication list is as follows: o Sumatriptan 25mg, fluoxetine 20mg, birth control Objective Vitals: Heart Rate...
Case Studies A 28 year old woman presents to the emcrgency department with complaints of difficulty breathing, general muscle weakness and dysphagia. Her history of present illness reveals that she was diagnosed wtih infectious mononucleosis 10 days ago and had recently experienced ptosis and weakness in her legs and amis. She weighs 150 pound and is 5 feet, 8 inches tall. ABG on room air: 730502378 S02 91% H maximal inspiratory pressure is 15 1. cmH20 and vital capacity is...
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