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- A 7 years male presented with complaints of dwarfism and skeletal abnormalities.Upon examination the abdomen was distended with no hepatomegaly. The child was assessed and was found to be normal intelligence. Which mucopolysaccharidosis the child is most likely suffering from?Explain how prehepatic jaundice might develop and theexpected change in serum bilirubin.Describe the clinical manifestation of CKD per body system.NeurologicCardiovascularPulmonaryGastrointestinalIntegumentaryElectrolyte/Acid-Base ImbalancesMusculoskeletal
- Define the following terms: Ketonuria PyuriaExplain the normal and abnormal histologic representation of the organ affected if a patient diagnosed with GERD or Gastroesophangeal reflux disease.Explain why dizziness, weakness, and tachycardia mayoccur: (1) immediately after a meal in a postgastrectomypatient; (2) 2 to 3 hours after eating.
- A 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 hypophysitisNURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned? 4. What specific objectives can you set to achieve the goal you have formulated?…NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 4. What specific objectives can you set to achieve the goal you have formulated? 5. What type of objectives you have identified: Cognitive Affective Psychomotor 6. What do you think is the first concern/issue that should be addressed to achieve the goal. Do you think this should be your first objective? 7. Arrange the remaining objectives according to proper sequencing and time order, guided by the intent to eliminate the factors that are causing the problem…
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