Homework Answers
duodenal ulcer.
duodenal ulcers get relieved with food or antacids and aslo patient complaints of an epigastric pain which is nonradiating.
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Case #3 Patient Profile: A 58 year old male is complaining of a 3 week history...
Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as...
Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as well as colicky abdominal pain. He has been on bedrest after breaking his hip and has not had a bowel movement in 1 week. On exam you find his abdomen to be distended, diffusely tender and bowel sounds are high pitched and tinkle. After being admitted, his BP starts to drop and he becomes tachycardic. His urinary output has decreased. Critical Thinking Questions: 1....
Case Study: Gastroesophageal Reflux Disease Patient Profile Mr. Liston is a 49-year-old male who goes to...
Case Study: Gastroesophageal Reflux Disease Patient Profile Mr. Liston is a 49-year-old male who goes to the health care provider because he is experiencing heartburn more frequently and it is keeping him awake at night. He had asthma as a child. He is currently taking Mylanta as needed for heartburn. Subjective Data 1. Has had occasional heartburn about once a week for a few years, but the last couple of months it has become more frequent and is now occurring...
Patient Profile: CAD is a 45 year old male who has had anginal pain that occurs...
Patient Profile: CAD is a 45 year old male who has had anginal pain that occurs with exertion. When he rests, it goes away. Today his pain has been more severe and not decreasing with rest. He has associated nausea/vomiting, diaphoresis and shortness of breath. He is seen in the ED and determined to have a myocardial infarction. He has a history of hypertension, diabetes type 2, elevated cholesterol. He is 5'10" and weighs 265lbs. He smokes 1 pack/day, denies...
GASTROINTESTINAL Case #1 Patient Profile: A 34 year old male with history of alcoholic cirrhosis and...
GASTROINTESTINAL Case #1 Patient Profile: A 34 year old male with history of alcoholic cirrhosis and portal hypertension is admitted to the hospital. Objective Data: • Eyes: sclerae jaundiced bilateral Neurologic: alert and oriented Cardiovascular: blood pressure 120/76, heart rate 78 Pulmonary: respiration 12 per minute Abdomen: distended with hepatomegaly Skin: jaundiced, warm and dry . • Critical Thinking Questions: 1. Explain the process by which portal hypertension leads to ascites. 2. Discuss the mechanism for the change in color...
Case #1 History of Present Illness: The patient is 42 year old Caucasian male with no...
Case #1 History of Present Illness: The patient is 42 year old Caucasian male with no prior cardiac history. He presented to the emergency room at Green River Hospital complaining of chest pain. This morning he notices some numbness and pain in his left arm. Later in the day he developed pressure in the chest. This gradually worsened throughout the morning until shortly before lunch when he was rating the pain at 8/10 in severity and decided to go to...
A 30-year-old male banker complains of mid-epigastric gnawing and boring pain for the last week. The...
A 30-year-old male banker complains of mid-epigastric gnawing and boring pain for the last week. The pain is worse at night and is somewhat better immediately after he eats. He has not had any fever, nausea, or vomiting. He takes about one 500-mg acetaminophen tablet a week for headaches but does not take any other medications.Upper endoscopy reveals a 2-cm mucosal defect in the antrum of the stomach. There is mild edema in the adjacent mucosa, but there is no...
A 68 yr old male presents to the ED complaining of SOB for the last week...
A 68 yr old male presents to the ED complaining of SOB for the last week that has increased over the last couple days. He states he has also has a non-productive cough. He denies any lower extremity swelling, hemoptysis or chest pain. He has has a temp at 99.0 today. Denies any chills. Denies any sick contacts.1. What findings would you see on a patient's chest xray if they had: (6 points) a. COPD b. pulmonary edema2....
Patient Profile: A.R. is a 26-year-old male with a history of IV drug use. He has...
Patient Profile: A.R. is a 26-year-old male with a history of IV drug use. He has been clean and sober for 2 years. He was diagnosed as HIV positive 9 months ago and comes to the clinic for a check-up. He states he has difficulty remembering to take his medications consistently since beginning a new job working nights. His current CD4+T cell count is 850 cells/μL. His CD4+T count at his checkup 3 months ago was 1100 cells/μL. He reports...
GI CASE STUDY: #1 Patient Profile: A 56-year-ld male patient tells you that he has been...
GI CASE STUDY: #1 Patient Profile: A 56-year-ld male patient tells you that he has been having abdominal pain about 3 hours after he eats. It feels like burning and is mostly in the upper abdomen. He gets some relief with over-the-counter antacids. Critical Thinking Questions: Answer each question completely and thoroughly. What is the differential diagnosis? An endoscopy is ordered on this patient, and he is found to have multiple scattered duodenal ulcers. Now what do you think Suppose...
CASE STUDY: Respiratory. #2 Patient Profile: A 65-year-old man with a long history of smoking presents...
CASE STUDY: Respiratory. #2 Patient Profile: A 65-year-old man with a long history of smoking presents with acute onset of shortness of breath, wheezing, and fever. A chest x-ray shows hyper expansion of the lungs. Critical Thinking Questions: Answer each question thoroughly and with details What would you expect the medical diagnosis to most likely be? Explain your rationale?. How would you treat the patient? Explain your rationale?.
Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as well as colicky abdominal pain. He has been on bedrest after breaking his hip and has not had a bowel movement in 1 week. On exam you find his abdomen to be distended, diffusely tender and bowel sounds are high pitched and tinkle. After being admitted, his BP starts to drop and he becomes tachycardic. His urinary output has decreased. Critical Thinking Questions: 1....
Case Study: Gastroesophageal Reflux Disease Patient Profile Mr. Liston is a 49-year-old male who goes to the health care provider because he is experiencing heartburn more frequently and it is keeping him awake at night. He had asthma as a child. He is currently taking Mylanta as needed for heartburn. Subjective Data 1. Has had occasional heartburn about once a week for a few years, but the last couple of months it has become more frequent and is now occurring...
Patient Profile: CAD is a 45 year old male who has had anginal pain that occurs with exertion. When he rests, it goes away. Today his pain has been more severe and not decreasing with rest. He has associated nausea/vomiting, diaphoresis and shortness of breath. He is seen in the ED and determined to have a myocardial infarction. He has a history of hypertension, diabetes type 2, elevated cholesterol. He is 5'10" and weighs 265lbs. He smokes 1 pack/day, denies...
GASTROINTESTINAL Case #1 Patient Profile: A 34 year old male with history of alcoholic cirrhosis and portal hypertension is admitted to the hospital. Objective Data: • Eyes: sclerae jaundiced bilateral Neurologic: alert and oriented Cardiovascular: blood pressure 120/76, heart rate 78 Pulmonary: respiration 12 per minute Abdomen: distended with hepatomegaly Skin: jaundiced, warm and dry . • Critical Thinking Questions: 1. Explain the process by which portal hypertension leads to ascites. 2. Discuss the mechanism for the change in color...
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