40 year old female with acute onset right upper quadrant pain with vomiting for 36 hours....
40 year old female with acute onset right upper quadrant pain with vomiting for 36 hours. K+ 2.9, glucose 188, amylase 185, Cr 0.5, Alk phos 155, bilirubin 3.5. normal CXR, Abdominal xray diffuse gas though out the small intestine. ?? What does she have? no other information available .
Homework Answers
The patient might been experiencing Cholangio-pancreatitis
This is because she is showing typical features related to inflammation of gall bladder and pancreas like raised level ofamylase, alk. Phosphatase, blood glucose and bilirubin level.
In this condition the patient generally experiences sudden pain in the right upper quadrant of the abdomen, vomiting ,alteration in blood values of the patient and a raise in blood glucose level.
Add Answer to:
40 year old female with acute onset right upper quadrant pain
with vomiting for 36 hours....
A 31-year-old female was brought to the emergency room with complaints of severe abdominal pain and...
A 31-year-old female was brought to the emergency room with complaints of severe abdominal pain and some vomiting by her family who reported she has been frequently hallucinogenic over the last week. Her record shows three prior hospital visits with the symptoms of severe abdominal pain and constipation in the last year. Previous routine blood tests and abdominal ultrasound had been normal and her symptoms had settled with pain relief and supportive management. On current examination, there was diffuse abdominal...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain and also had some elevated liver function tests consistent with choledocholithiasis. Endoscopic retrograde cholangiopancreatography was performed revealing only sludge within the common bile duct. After the endoscopic retrograde cholangiopancreatography was performed, a laparoscopic cholecystectomy was able to be performed and was performed without any trouble. The patient did very well postoperatively and no longer has any of the pain she previously had. She is...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain and also had some elevated liver function tests consistent with choledocholithiasis. Endoscopic retrograde cholangiopancreatography was performed revealing only sludge within the common bile duct. After the endoscopic retrograde cholangiopancreatography was performed, a laparoscopic cholecystectomy was able to be performed and was performed without any trouble. The patient did very well postoperatively and no longer has any of the pain she previously had. She is...
Case Study - 2 A 32-year old female comes into the ER with right upper quadrant...
Case Study - 2 A 32-year old female comes into the ER with right upper quadrant pain. She has had increasing spells of lethargy and malaise over the last few days. She is noticeably itching on different spots on her body during the examination. She has yellow sclera and her skin has a yellow tinge to it as well. Her lab results are as follows: a: K: Cl HCO3 Glucose BUN: Creatinine: Total bili: Conjugated bili AST ALT ALP: LDH:...
A 73-year-old man was admitted to the hospital because of recent onset of jaundice and right...
A 73-year-old man was admitted to the hospital because of recent onset of jaundice and right upper quadrant abdominal pain. The patient had a long history of hypertension and type 2 diabetes mellitus. A renal transplantation had been performed in 2003, 12 years before the current admission, because of end stage diabetic nephropathy. In recent years he had become confused with failing memory. The patient resided in a nursing home for the past five years. Two weeks prior to admission,...
John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department...
John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department (Ed). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. John indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to...
I want to get answers and short explan. 1. 50 year old female states she has...
I want to get answers and short explan. 1. 50 year old female states she has “the worst headache of her life”. The onset was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect? Uncontrolled hypertension migraine headache TIA subarachnoid hemorrhage When lifting a stretcher into the ambulance using power grip, you should? position hands 10’ apart support weight on heels of palms 82 yo F mumbling and throwing clothes, nurse says...
Health Record Face Sheet Record Number: 79-50-77 Age: 36 Gender: Female Length of Stay: 5 Days...
Health Record Face Sheet Record Number: 79-50-77 Age: 36 Gender: Female Length of Stay: 5 Days Service Type: Inpatient Discharge Status: To Home Diagnosis/Procedure: Insulin reaction Renal failure Diabetes Mellitus, Type II, long term insulin dependence Permanent catheter right internal jugular Removal peritoneal dialysis catheter DISCHARGE SUMMARY PATIENT: RAINEY INPATIENT RECORD NUMBER: 79-50-77 ADMITTED: 12-19-XX DISCHARGED: 12-24-XX PHYSICIAN: DR. ALEX, M.D. DISCHARGE DIAGNOSES: 1. Insulin reaction. 2. Renal failure. 3. Diabetes mellitus, Type II. OPERATIONS/ PROCEDURES: 1. Permanent catheter right...
ART II. Case studies (10 points) -Name the genus and species of each of these. 1....
ART II. Case studies (10 points) -Name the genus and species of each of these. 1. A 15-year-old high school student who had no prior known renal disease developed a sore throat and 103 Ffever. The fever and sore throat lasted for three days. Ten days later, he developed hematuria, puffy eyelids, and swollen ankles. He went to a physician, who noted an inflamed pharynx, enlarged and reddened tonsils, and palpable cervical lymph nodes. The patient had pitting edema of...
A 31-year-old female was brought to the emergency room with complaints of severe abdominal pain and some vomiting by her family who reported she has been frequently hallucinogenic over the last week. Her record shows three prior hospital visits with the symptoms of severe abdominal pain and constipation in the last year. Previous routine blood tests and abdominal ultrasound had been normal and her symptoms had settled with pain relief and supportive management. On current examination, there was diffuse abdominal...
Case Study - 2 A 32-year old female comes into the ER with right upper quadrant pain. She has had increasing spells of lethargy and malaise over the last few days. She is noticeably itching on different spots on her body during the examination. She has yellow sclera and her skin has a yellow tinge to it as well. Her lab results are as follows: a: K: Cl HCO3 Glucose BUN: Creatinine: Total bili: Conjugated bili AST ALT ALP: LDH:...
A 73-year-old man was admitted to the hospital because of recent onset of jaundice and right upper quadrant abdominal pain. The patient had a long history of hypertension and type 2 diabetes mellitus. A renal transplantation had been performed in 2003, 12 years before the current admission, because of end stage diabetic nephropathy. In recent years he had become confused with failing memory. The patient resided in a nursing home for the past five years. Two weeks prior to admission,...
ART II. Case studies (10 points) -Name the genus and species of each of these. 1. A 15-year-old high school student who had no prior known renal disease developed a sore throat and 103 Ffever. The fever and sore throat lasted for three days. Ten days later, he developed hematuria, puffy eyelids, and swollen ankles. He went to a physician, who noted an inflamed pharynx, enlarged and reddened tonsils, and palpable cervical lymph nodes. The patient had pitting edema of...
Most questions answered within 3 hours.
-
convert grams into vloume with the density of water being at
.997514 g/cm^3 at 23.1 Celsuis...
asked 1 hour ago -
Foreman company obtained a $20,000, 6% loan on May 1, 2018.
Principal and interest will be...
asked 1 hour ago -
5. Problem 11.05 (Discounted Payback)
eBook
Project L costs $60,000, its expected cash inflows are $14,000
per...
asked 1 hour ago -
1. Which of the following is true about politics and health
organizations?
A. Health organizations are...
asked 2 hours ago -
A space vehicle is coasting at a constant velocity of 18.1 m/s
in the +y direction...
asked 3 hours ago -
5) Use the following balanced equation to answer questions
(a)-(i).
3 Cu(s) + 8 HNO3(aq) →...
asked 2 hours ago -
A three-year maturity bond with a 12% annual coupon rate is
currently traded at par $1000...
asked 2 hours ago -
1.
What is the minimum volume to use in the Spec 20 cuvette in order
to...
asked 3 hours ago -
A builder wants to install wall-to-wall carpeting in a living
room of length 8.87 m and...
asked 3 hours ago -
Organizational change can produce anxiety in those affected by
the change. In what ways can change...
asked 3 hours ago -
Ozone in the atmosphere may react with nitric oxide.
From the following data, calculate the DG...
asked 3 hours ago -
Steven Long, a bond analyst, is analyzing a convertible bond.
The characteristics of the bond are...
asked 3 hours ago