Answer: Decreased heart rate
( Atropine administration causes decreased heart rate as well as also decrease saliva secretions. Atropine acts by inhibiting the action of the muscarinic action of acetylcholine.)
After four weeks, Ms. Smith goes to the doctor for a follow- up visit. While there,...
While walking to work, Mio has a sudden onset of dizziness and feels faint. In addition, she experiences diaphoresis (excessive sweating) and palpitations (rapid, fluttering heart). When she arrives at her office, her concerned colleagues call an ambulance. In the emergency department, the nurse and doctor make the following notes in Mio’s record: 55-year-old female, blood pressure = 162/110 mm Hg, on metoprolol, furosemide, propafenone. Blood pressure dropped upon standing to 102/65 mmHg, and palpitations were observed. After receiving a...
Inpatient Physician’s Progress Note This 2-day-old infant examined today to follow-up after the results of diagnostic tests. Blood gas: Study indicates reduced oxygen tension and ineffective gas exchange. Chest X-ray: presence of infiltrate Infant continues to exhibit signs of infant respiratory distress syndrome, type 2. Orders: Continue titrated oxygen and aerosol infusion of Survanta. What is the correct ICD-10-CM diagnostic code(s) for this case? .......X.......... Physician Office Note This 15-year-old male patient presents today to monitor his congenital stenosis of...
For each of the following scenarios I would like you to answer four questions: What is the condition? (.5 point) What drug could be used to treat this condition? (There may be multiple correct answers for this question as there are a lot of drugs out there J) (.5 point) What category does the drug you listed in question two fit? (For instance, alendronate (Fosamax) is in the bone resorption inhibitor drugs category – pg. 189) (.5 point) How does...
Dylan is a 36 year old female who has come for a routine 28 week prenatal check-up. She is a non-smoker, is physically active and has gained 4 kg of weight so far in her pregnancy. Dylan’s obstetrical history is G2 T0 P0 A1 L0. Both pregnancies have been assisted with in-vitro fertilization. During this first trimester, Dylan has suffered from nausea and vomiting but it has now resolved. Now, Dylan states she is exhausted all the time. The fetus is active and Dylan...
Office Note This 78-year-old male returns to the office today to follow-up on diagnostic testing completed due to his ongoing muscle aches, myalgia, stiffness, and muscle weakness. Laboratory testing: Urinalysis was positive for hemoglobin. The urine myoglobin test and serum myoglobin test were both positive. The serum CPK value was high. Following these values additional testing was completed that confirmed elevated muscle enzymes in the blood. Because of these findings a diagnosis of rhabdomyolsis was confirmed. Plan: I discussed with...
Case 1 PATIENT: Tom Smith DATE OF SERVICE: 9/10/XX BLOOD PRESSURE: 140/90 WEIGHT: 164 PULSE: Rapid TEMPERATURE: 100 Tom was seen today at the request of his wife for what she suspects is a recurrence of his cocaine dependence. On physical examination, the following was noted: EARS, EYES, NOSE, AND THROAT: Pupils are dilated. HEART: Heart rate is increased; blood pressure is 140/90. ABDOMEN: Soft, nontender, no abnormal masses PSYCHIATRIC: Oriented to time and place. Patient is very talkative and...
In this exercise, we will re-visit the case study “A day in the life” at the end of Chapter 1. Answer these questions: 1- Based on the information provided in the case, what kind of project management structure you think this organization uses? 2- What conclusions can you draw about the organization culture? Use dimensions introduced in Chapter 3 to support your answer. Case study: A Day in the Life Rachel The project manager of a large information systems project...
Dylan is a 36 year old female who has come for a routine 28 week prenatal check-up. She is a non-smoker, is physically active and has gained 4 kg of weight so far in her pregnancy. Dylan’s obstetrical history is G2 T0 P0 A1 L0. Both pregnancies have been assisted with in-vitro fertilization. During this first trimester, Dylan has suffered from nausea and vomiting but it has now resolved. Now, Dylan states she is exhausted all the time. The fetus...
Jessica, a fifty-nine year old mother of four, moved from a ranch in Colorado to Los Angeles, after the death of her husband, to be closer to her oldest son and his family. She has been in Los Angeles for 18 months and has noticed that she is experiencing shortness of breath, which has worsened over the last six months. For the last week, she has been coughing and bringing up yellow mucus. She also noticed swelling in her ankles...
Testing and Screening Ken had just turned 40, and with a little encouragement from his wife, he decided that it was time to have a physical-it would be his first real visit to a doctor since he broke his arm as a kid. Seeing a doctor had not made sense to him before. He was in great shape, felt fine, and did not smoke. Maybe it was his 65-year-old father's sudden death from a heart attack just a few weeks...