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- Patient K., 58 y/o, complains of weakness, muscle ache, loss of appetite, nausea, vomiting, aching bones, deterioration of memory and cramps. In anamnesis there is a record of the ulcerous disease of stomach, frequent pathological bone fractures. Objectively: the consciousness is clouded, the skin is dry of ashy gray colour, present deformity of the vertebrae bodies, "goose-stepping" gait, X-ray shows systemic osteoporosis. Heart sounds are dull, rhythmical, arterial pressure – 160/100, pulse – 56beats/minute. The level of calcium in the blood – 3.9mmol/l; hypophosphatemia, hyperphophaturia; glycemia – 4.8mmol/l. What are you going to do with this patient?A. Introducing 2-3 l of 0.9 % solution of sodium chloride and the potassium phosphate and sodiumB. Introducing 150ml of 4.5 % solution of sodium chloride, 100mg prednisolone C. Introducing 100mg prednisolone, 40g furosemide D. Introducing 1-2ml 0.5% solution of strophanthin, 100mg prednisoloneE. Introducing 40-60ml of 40% glucose…PAGET DISEASE OF THE BONE Patient education for paget's disease of the boneDiagnostic testing to confirm thyroid cancer
- Pathophysiology of a UTI (easy)N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Discussion Questions: Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.Symptoms/problems for treacher Collins Syndrome
- Characteristic Rheumatoid Arthritis Osteoarthritis Systemic manifestations Inflammatory disease Symmetric presentation Pain at rest Laboratory abnormalitypathophysiology Frank Charrom [FC] is a 54-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal (GI) bleeding for which he has been hospitalized on six separate occasions over the past 5 years. He continues to drink and exhibits common manifestations of alcoholic cirrhosis. He was recently hit by a car and hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 1.8. FC’s family reports his mental functioning has deteriorated significantly over the past few months. What are the common manifestations of alcoholic cirrhosis?pathophysiology Frank Charrom [FC] is a 54-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal (GI) bleeding for which he has been hospitalized on six separate occasions over the past 5 years. He continues to drink and exhibits common manifestations of alcoholic cirrhosis. He was recently hit by a car and hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 1.8. FC’s family reports his mental functioning has deteriorated significantly over the past few months. What secondary problem is likely to occur with FC’s abrupt cessation of alcohol intake while hospitalized?