In a 75-year-old patient who had bed rest for 4 weeks after a fracture of the femoral neck, a temperature of 38.5°C has appeared, a cough with phlegm and dyspnea. On a rentgenogram were found foci of darkening in the lower parts of the lungs. Staphylococcus was found in sputum. Blood test: leukocytes - 15x10⁹/1 4. Describe the mechanism of the development of this disease.
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- 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 lesion The incision can be filled with yarn One-stage suture of the incision Make a "++" incisionLin, a 5-year-11-month boy. He had a fever 20 days ago with no-obvious trigger and reached- the highest oral temperature of 40°C, no obvious cough, runny nose, vomiting. headache. dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He visited a local hospital and underwent a blood-routine test: WBC 8.7X 10°/L. N 21%. RBC 3.36X 10/L. BPC 75 X 10°L, Hb 109g/L; peripheral blood smear shows: atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus intravenous ganciclovir was given and his blood was extracted to check for anti-EBV antibody simultaneously. 1.- What are the main symptoms found on this patient? According to the patient's history and- presentations, what are the probable issues that you will need to think of?A 25-year-old man comes to his physician 's office for a routinephysical examination During the examination, the physiciannotices orange-yellow tonsils and hepatosplenomegaly.Theroutine blood work ordered by the physician shows a tota lcholesterol level of 1 25 mg/dl, triglycerides 300 mg/dl,and HDL 4 mg/dl. What is the most likely diagnosis? What additional tests might the physician order?
- A 29-year-old previously healthy female presented with a productive cough, fever to 102 oF, and severe headache. She had cervical adenopathy (swollen glands), although she had a nonerythematous throat with no exudate. Chest examination showed crackles bilaterally at the lung base with decreased breath sounds diffusely. This finding was confirmed by chest film that showed bilateral multifocal areas of patchy consolidation. Her neck was not stiff, but because of the severity of the headache, she was admitted to the neurologic service. A spinal fluid was obtained and was negative for bacteria, cryptococcus, and acid-fast smear. Blood cultures and sputum cultures did not produce a pathogen. The patient did not improve on ceftriaxone. On day 3 she was started on erythromycin. On day 4, cold agglutinins were done and were positive. The patient gradually improved although the headache, photophobia, and cough continued for some time QUESTIONS: 1. What is the agent of this disease?…Nursing Diagnosis is Risk for bleeding related to esophageal varices as evidenced by prolonged prothrombin time Create NCP for this patient. Thank you!A case of a 20-year-old agricultural labourer with a history of recurrent fever, progressive weakness and abdominal discomfort associated with loss of appetite for six months followed by petechial hemorrhages over body. On examination there was hepato-splenomegaly. A diagnosis of visceral leishmaniasis (kala-azar) was made based on the bone marrow aspiration cytology and epidemiological history of the illness. A. Name the organism responsible for causing this disease. B. Draw the life cycle of this organism.
- A 54 years old Puerto Rican male presented to Emergency Room short of breath, feverish and coughing. Examinations revealed right-sided cardiac enlargement and reticular-nodular markings in the lung. He was admitted but died within the week. Autopsy showed an unusual liver. Multiple pseudo tubercles were present in the liver (photograph) and lungs. Right-sided cardiac enlargement was confirmed. a. What pathogenic sign does the liver show? b. What caused this patient’s pulmonary and cardiac problems? c. What simple test might have been performed that would have suggested the correct diagnosis? d. What therapy might have saved the patient’s life had it been prescribed earlier?Explanation on why the answer is B) Complete blood count (CBC) (hematology) and not D) Blood cultures (microbiology)? Thank you An 87-year-old woman with dementia lives in a nursing facility. A nurse notices that she has been coughing frequently and seems warm to the touch. She performs an evaluation on the woman and confirms a fever with a dry cough. She also notices that her throat seems inflamed and irritated. The woman is unable to answer questions about how she has been feeling lately to provide a history for the nurse. The nurse ensures that the woman is comfortable and returns to the nursing station to review that patient’s chart. The nurse finds that within the year that the patient has been in the nursing facility, she has had two respiratory infections diagnosed as pneumonia. The nurse calls the physician, worried that the patient may be developing pneumonia again. 1). Pneumonia is an infection of the lung that can be caused by a virus, bacteria, or fungi. What initial…A 60-year-old man with a long history of cigarette smoking and chronic obstructive pulmonarydisease is hospitalized with increasing shortness of breath, increasing sputum production, andlow-grade fever over a three-day period. His blood pressure is 100/ 80mmHg, pulse is 110 perminute, respiratory rate is 28 per minute, temperature is 38. 2℃. The patient is mildly cyanotic. The following arterial blood gases were obtained on room air: CaO2max =20ml/dL, CaO2 =15ml/dL, PaO2,= 50mmHg, C(a-v)O2 = 4ml/dL. Questions :1.What is the most appropriate type of hypoxia for this patient?2. What are the common causes of this type hypoxia?3. What are the characteristic alterations of blood O2 in this type hypoxia?4. What is the colour of skin and mucous membranes in this type
- Lin, a 5-year-11-month-boy. In the first hospital, he was suspected to have EBV infection and "infectious mononucleosis". He was given intravenous ganciclovir at first. However, Lin's oral temperature still fluctuated at around 38.5°C after the regimen and complained of weakness, significant headache, and bilateral elbow joints pain. 1. Should we do EBV DNA test, whole blood EBV test, EBV plasma test, EBV PCR test for children? Which nucleic acid is better for children? Which of them should be taken for diagnosing EBV virus? 2. Should antibody test or PCR test be taken prior than the other tests when diagnosing disease concerning EBV?A 56-year-old man complained of progressive fatigue and malaise. His physical examination was generally satisfactory, with a pulse of 90 beats per minute, and multiple lymphadenopathy and hepatomegaly. No bacteria were found in cerebrospinal fluid smears of lumbar puncture, but a flagellum, elongated nucleus with blue and red cytoplasm were found in the blood by Giemsa staining of thin blood smears. The family reported that the patient had been engaged in transportation business in Africa for many years. 1. What do you think is the most likely disease for this patient? Malaria Dengue fever African sleeping disease Toxoplasma encephalitis Bacterial meningitis 2. What do you think is the most likely pathogen for this patient? Plasmodium vivax Toxoplasma gondii Plasmodium falciparum Plasmodium malariae Trypanosoma brucei gambiense 3. What do you think is the most direct basis for the diagnosis of the pathogen? From Africa Fatigue Hepatomegaly Special structure was found on blood…A 40-year-old woman complains of fatigue and nausea of 3 months in duration. Physical examination reveals splenomegaly and | hepatomegaly. Laboratory studies show hemoglobin of 6.3 g/dL and platelets of 50,000/mL. A peripheral smear shows malignant cells with Auer rods (arrow). The patient develops diffuse purpura, and laboratory features of disseminated intravascular | coagulation (DIC). Which of the following genes is most likely found at the translocation site in this patient? O bc-1 О тус O abl • Retinoic acid receptor