case 1.a. delayed milestone for walking
b. delayed milestone for speech
c. non demanding and shy,quite (toddlers have maximum thought of speech and reasoning )
d. difficulty in reading and writing
case 2. a encourage participation in sports and physical activity of KS(KLINEFELTER SYNDROME) Boy for muscle strength and motor skills . (b.) integral approach of parent, school teacher , counsellor and administrator to identify needs of child and measure to fulfil those. (c) encourage social opportunities and active participation in group activities to develop social skills.
case 3.a, karyotype 47 XXY (b) Lutinezing hormone is decreased (c) Follicular stimulated hormone less (d) testosterone level is decreased (e) taller at per age (f) small testicles (g) tendency of shy and anxious
case 4.patient is having mosiac form of KS , because according to karotype its 47, XXY that is randome event in cell division which results in 2 cell lines with in the body, they also have less severe symptoms.
case 5 due to insufficient testosterone and small genital organ for mosiac KS probability is 75% only.
case 6.FSH stimulates testicular growth , enhance production of androgen binding protein which is useful for sustaning sperm maturation.
case 7. it is interstitial stimulating hormone induced leydig cells to produce testosterone in males.
case 8. anterior pitutary gland secreates and circulates FSH and LH also known as gonadtrophs
case 9. yes the patient can undergo testosterone therapy because he belong to less severe form of KS, also the child is about to reach puberty if given supplemental hormone the patient might be able to maintain FHS, LS and androgen hormones and may lead to sub normal growth.
turner syndrome
case 1. (a) middle ear infection (b) high blood pressure (c) racing pulse (d) strong peripheral pulse (e) attention deficit (f) decresed LH, FSH level (f) decreased tendon reflex
case 2. hypertension is major vital sign , person with turner syndrome usually present with heart vascular problems along with kidney problems hence may lead to high blood pressure.
case 3. according to body mass index the patient weight is in over weight category is 28.1, also weight gain is common problem in patients with turner syndrome.
patient case 1,2,3 Patient Case Question 1. Identify four significant abnormalities above for which parents may...
Patient Case Question 3. Identify seven clinical manifestations from the physical exami- nation and laboratory testing above that are consistent with Klinefelter syndrome. Patient Case Question 4. Does this patient have the most common form of Klinefelter syndrome, a mosaic form of the condition, or an extremely rare non-mosaic form? Patient Case Question 5. What is the probability that this patient will be able to have children? Patient Case Question 6. What is the function of follicle-stimulating hormone in males?...
CASE STUDY 46 ATTENTION DEFICIT/HYPERACTIVITY DISORDER For the Di S CD-ROM mary for this study PATIENT CASE Mother's Chief Complaints "Tm at the end of my rope and I don't know what to do anymore. My son won't behave orlis ten at school and he most certainly will not listen to me at home He always seems to be in motion and can't sit still for even 5 minutes. He likes watching cartoons on TV but gets bored with them...
Patient Case Question 8. Identify five abnormal laboratory blood test values and explain whether these are consistent or inconsistent with Turner syndrome. Patient Case Question 9. What is the significance of the two laboratory test findings in the last two rows of the third column in Table 62.2? Patient Case Question 10. How do you know that this patient's renal function is normal? Patient Case Question 11. How do you know that this patient's hepatic function is normal? Patient Case...
Help.. 1-9 please For the Disease Summary for this case study see the CD-ROM. PATIENT CASE History of Present IIlness K.I. is a 14-year-old white female, who presents with her mother at the hospital emergency room complaining of a "very sore throat, a rash all over, and chills." She has had the sore throat for two days, but the rash and chills have developed within the past 12 hours. Past Medical History Negative for surgeries and hospitalizations Negative for serious...
Help 5-16 please For the Disease Summary for this case study, see the CD-ROM PATIENT CASE LHPI Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills. "I don't feel well and I think that I may have the flu," he tells the ER nurse and physician. He also complains of "some painful bumps on my fingers and toes that came on last night." He denies IVDA. When asked about...
Help please.. questions 1-9 please PATIENT CASE History of Present Illness K.I. is a 14-year-old white female, who presents with her mother at the hospital emergency room complaining of a "very sore throat, a rash all over, and chills." She has had the sore throat for two days, but the rash and chills have developed within the past 12 hours Past Medical History Negative for surgeries and hospitalizations Negative for serious injuries and bone fractures Measles, age 3 Chickenpox, age...
10 questions For the Disease Summary for this case study, see the CD-ROM PATIENT CASE HPI Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills. "I don't feel well and I think that I may have the flu," he tells the ER nurse and physician. He also complains of "some painful bumps on my fingers and toes that came on last night." He denies IVDA. When asked about recent...
help please. questions 5-16 please PATIENT CASE HPI Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills. "I don't feel well and I think that I may have the flu," he tells the ER nurse and physician. He also complains of "some painful bumps on my fingers and toes that came on last night." He denies IVDA. When asked about recent medical or dental proce- dures, he responded: "I...
Which two specific laboratory test results above suggest that the patient is not vitamin K deficient? CASE STUDY CYSTIC FIBROSIS Berial mised o For the Disease Summary for this case study se the CD-ROM this PATIENT CASE cient lent Patient's Chief Complaints Provided by patient's mother: "I noticed a let-down in T's exercise tolerance level a week ago and the last couple of days his cough and sputum production have gotten much worse. When he started having breathing problems, I...
1. Case scenario: Mr. Enrique Garcia is a 56 y.o. Mexican American patient with a history of hypertension for the past 10 years. He presents to the office as a new patient to get a refill of his “BP medicine.” He has been experiencing headaches and fatigue for the past 3 to 4 months and thought “it was time to start taking” his BP medicine again. He has a history of discontinuing his medications and tells you he can “tell...