A 50-year-old patient was operated for a perforated stomach ulcer. Three days after the operation, he felt weakness, dizziness, nausea, intensive pain in the area of the postoperative suture. On examination: hyperemia and edema of the postoperative suture, sharp pain during its palpation. Body temperature - 38,9° C. Questions: 1. What is the name of an increase in body temperature of this patient? 2. What caused this increase in body temperature? 3. What other causes can lead to an increase in body temperature?
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- A 50-year-old patient was operated for a perforated stomach ulcer. Three days after the operation, he felt weakness, dizziness, nausea, intensive pain in the area of the postoperative suture. On examination: hyperemia and edema of the postoperative suture, sharp pain during its palpation. Body temperature - 38,9° C. Questions: 6. What typical pathological process increased body temperature? Justify the answer. 7. Is any rise in body temperature can be defined as a typical pathological process? Justify your answerA 50-year-old patient was operated for a perforated stomach ulcer. Three days after the operation, he felt weakness, dizziness, nausea, intensive pain in the area of the postoperative suture. On examination: hyperemia and edema of the postoperative suture, sharp pain during its palpation. Body temperature - 38,9° C. Questions: 4. Describe the mechanism of increasing body temperature in the patient. 5. What are the stages of increase in body temperature. Briefly describe each of them.An old patient suffers from difficulty in evacuation process and lose of weights. During the diagnostic procedures, the physician examine his bowel sounds and identify the presence of mild ascites. He also noted the following symptoms and signs: Phlebitis, Aphthous ulcer, episcleritis and spider naevus. His total bilirubin is 1.5 mg/dl , albumin is 4 g/dl and prothrompine time is 3 sec. laboratory measured In addition, skip lesions between healthy areas diagnosed during the study of the inside of view of the entire colon. A) Calculate and explain the scoring for the Child-Pugh Grading with this case and identify his class. B) Identify the specific types of diseases he is suffering from and the physical examination that used in this case.
- A 52-year-old female with cirrhosis has returned for an urgent follow-up visit concerning new weight gain and swelling in her abdomen. Which of the following physical exam techniques is most helpful in identifying ascites? Answers: A - D A Palpation for suprapubic masses on supine patient B Percussion from the area of distal tympany to the area of dullness on a suspine patient C Inspection for jaundice and striae D Percussion from the area of central tympany to the area of dullness on a supine patient O OA 24 yr old presents in the emergency department with a history of cramping legs and lethargy. On detailed history, the nurse understood that the client is suffering from diarrhea for the last one week. What should the nurse do first? Answer Choices: a. Administer anti-diarrheal medications b. Give IV fluid c. Monitor serum electrolyte d. Collect stool for C/SA 26-year-old woman presents at 4 weeks post partum with headaches, profound weakness, nausea, and vomiting. She had been breast-feeding. Physical examination fi ndings are unremarkable. Magnetic resonance imaging (MRI) of the head shows a sellar mass with suprasellar extension but without chiasmal compression. Laboratory test results (and reference ranges) include the following: serum sodium 125 mEq/L (136–142 mEq/L), serum prolactin 72 ? g/L (4–30 ? g/L), 8 am serum cortisol 3 ? g/dL (5–25 ? g/dL), serum adrenocorticotropic hormone (ACTH) 10 pg/mL (10–60 pg/mL), and normal values for serum free thyroxine and thyrotropin. Which of the following is the most likely diagnosis? a. Primary adrenal insuffi ciency (Addison disease) b. Prolactin-producing pituitary tumor c. Nonfunctioning pituitary tumor d. Pituitary apoplexy (Sheehan syndrome) e. Lymphocytic hypophysitis
- what is the nursing process in the following case scenario? Ms. Dela Cruz, 25 years of age, presents to the triage nurse at the local emergency department complaining of severe generalized abdominal pain. She describes it as sharp and intermittent. She states, “Over the last four (4) days, I haven’t been able to have a bowel movement.” She states that she is able to drink liquids and urinates without difficulty. Bowel sounds are present in all four (4) quadrants, however, they are hypoactive (decreased or quiet peristalsis). Abdomen is distended and firm to touch. She states, “Two weeks ago I feel that my back hurts. My doctor gave me a prescription of Tylenol #3 and I have been taking it every 6 hours for pain.” She denies pain at the present time. Abdominal x-ray reveals a large amount of stool in her lower colon. All other diagnostic tests are unremarkable.Give meanings for the following suffixes and prefixes: 1. -centesis 6. -ptysis 2. -osmia 7. brady- 3. -pnea 8. per- 4. -stenosis 9. hypo- 10. para- 5. -ectasisThe patient is male, 50 years old. Chronic liver disease for 15 years. Sudden vomiting 400ml blood. Physical examination: chronic disease appearance, mild yellow discoloration of the sclera. The abdomen was soft without tenderness, the liver and ribs cannot be palpable, and the shifting dullness was positive. The most likely diagnosis is ( ) Biliary bleeding Duodenal ulcer bleeding Bleeding from gastric cancer Esophageal variceal bleeding Hemorrhagic gastritis A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the…
- Case: A 25-year-old Egyptian student who had lived in England for the past 2 years presented with acute haematemesis. Examination revealed marked hepatosplenomegaly. Esophageal and gastric varices were identified at emergency upper gastrointestinal endoscopy, thus confirming the presence of portal hypertension. The following disorders were considered in the differential diagnosis as a possible cause of his portal hypertension: alcoholic cirrhosis, chronic active hepatitis, portal and hepatic venous obstruction and schistosomiasis. Alcoholic liver disease was considered unlikely since he was a teetotaller; ultrasound and computed tomography studies of the porta-hepatic circulation excluded vascular obstruction. A liver biopsy was postponed until his deranged clotting was corrected. The patient has marked raised total serum IgE: 2500kU/l (NR <130). Examination of stool specimens revealed the characteristic ova of S. mansoni and high levels of serum antibodies to S. mansoni were…A nurse is caring for a 56-year-old client who presented to the emergency department with a feeling of abdominal fullness and dyspepsia. The client reports a recent bloody emesis and long-term ibuprofen use. Which of the following conditions could the client be exhibiting based on the symptoms? Peptic ulcer disease Gastritis Hiatal hernia UvulitisA 68-year-old diabetic male resident in a long term care facility is bedridden and has refused food and fluids for two days. He has a Stage 3 pressure ulcer in the coccyx and multiple venous ulcerations in the left lower leg. The following questions will assist the nursing student in the assessment of a client with skin breakdown. 3.Differentiate an arterial ulcer from a venous ulcer. 4. Describe a Stage III pressure ulcer.