Homework Answers
6. Correct ans. C ) option : overflow proteinuria
Abnormal excessive Flow of protein in urine ,the kidney not concentrate of urine
7. Correct ans. D ) option: nephrotic syndrome
Nephrotic syndrome is a kidney disorder caused by bacterial infection of kidney
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04. Reginold, a 40-year-old Filipino male presents to the emergency department with extreme pain in the...
Michael, a 54-year-old male, was admitted to the emergency department (ED). He was conscious but his...
Michael, a 54-year-old male, was admitted to the emergency department (ED). He was conscious but his level of consciousness (LOC) was diminished. He was neither very alert nor coherent in responding to verbal questioning. Michael was responsive to pain stimulus. He did not have “alcohol breath” or a “fruity odor” upon exhalation. Michael admitted that his vision was slightly blurred and that he was seeing double (diplopia). Slight nystagmus was evident. Michael experienced multiple episodes of emesis. Additional symptoms included...
A 51 year old man presents with swelling in both knees. The following morning, an arthrocentesis...
A 51 year old man presents with swelling in both knees. The following morning, an arthrocentesis is performed and blood is collected for chemistry testing. Results are as follows: •Synovial Fluid results: Color – Yellow Clarity – Cloudy WBC count – 43,000 Pmns – 63% Monos – 24% Lymphs – 13% Crystals – many intracellular, needle-shaped crystals, negative birefringence •Blood chemistry results: Fasting glucose – 85 mg/dl Uric acid – 12.7 mg/dl •gram stain:...
CASE STUDY 6 A 28-year-old man presents to the emergency department with a complaint of abdominal...
CASE STUDY 6 A 28-year-old man presents to the emergency department with a complaint of abdominal pain. He appears quite ill with nausea, cold sweats, and tachycardia. He had taken aspirin when he started feeling sick. The patient appears slightly jaundiced and on further questioning admits that his urine had been dark and discolored that day. The preliminary impression was of acute appendicitis. Pertinent Hematology Results (refer to normal values in your text) WBC 6.3 x 10°/L RBC 1.00 x...
A 80-year-old man presents to the emergency department (ED) complaining of right-sided chest pain when he...
A 80-year-old man presents to the emergency department (ED) complaining of right-sided chest pain when he breathes and a productive cough. A sputum sample collected revealed rust-colored sputum. He also states that his symptoms began abruptly with chills the day before this visit to the ED; he had previously been healthy. Examination by the physician identifies coarse breathing sounds in the right anterior chest. A chest radiograph shows a right upper lobe infiltrate. The patient currently has a fever of...
A 50-year-old male patient presented to the emergency department at 2 AM with vomiting and abdominal...
A 50-year-old male patient presented to the emergency department at 2 AM with vomiting and abdominal pain. He had a 2-week history of polyuria and polydipsia, accompanied by a 20-pound weight loss and blurred vision. His medical history was unremarkable, except for being treated for hypertension with amlodipine 10 mg daily, which provided good control. Results of hospital laboratory studies revealed that the patient's initial blood glucose level was 1192 mg/dL. VS 97.0 HR98, B/P 168/98 Resp 20. O2stat 95%...
Case #4 Mr. Ali. is a seriously ill 42-year-old male with a history of several episodes...
Case #4 Mr. Ali. is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
A 40-year-old male with a history of intravenous drug use comes to the emergency room because...
A 40-year-old male with a history of intravenous drug use comes to the emergency room because of a rash and fever. In addition, the patient is complaining of a several-day history of malaise, fatigue, fever, headache, and a sore throat. Physical examination reveals a moderately ill-appearing male with a temperature of 101.6°F. He has a blanching erythematous, macular-papular rash evident over the trunk, back, and upper and lower extremities. In addition, his throat shows enlarged tonsils and broad-based ulcerations on...
A 60-year-old present to the emergency department with acute onset shortness of breath. Symptoms began approximately...
A 60-year-old present to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known...
15. Benjamin, a 21-year-old male is brought to the emergency department by his parents will that...
15. Benjamin, a 21-year-old male is brought to the emergency department by his parents will that he has not been himself for the past 18 hours. He is a college student who was home for the weekend complaining of headaches. The parents inform the physician that their son has no past medical history. They are not aware that he is taking any medication. History and physical findings per the physician are positive for headaches and altered mental status with a...
CASE STUDY 6 A 28-year-old man presents to the emergency department with a complaint of abdominal pain. He appears quite ill with nausea, cold sweats, and tachycardia. He had taken aspirin when he started feeling sick. The patient appears slightly jaundiced and on further questioning admits that his urine had been dark and discolored that day. The preliminary impression was of acute appendicitis. Pertinent Hematology Results (refer to normal values in your text) WBC 6.3 x 10°/L RBC 1.00 x...
Case #4 Mr. Ali. is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
A 60-year-old present to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known...
15. Benjamin, a 21-year-old male is brought to the emergency department by his parents will that he has not been himself for the past 18 hours. He is a college student who was home for the weekend complaining of headaches. The parents inform the physician that their son has no past medical history. They are not aware that he is taking any medication. History and physical findings per the physician are positive for headaches and altered mental status with a...
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