SITUATION: Charles, an 8-year-old boy, one of several siblings in the family, is kept home by his mother because he has a temperature of 100.2F and a history of hacking cough for two weeks. A definite whoop has been heard and the doctor made a diagnosis of whooping cough. The visiting nurse is to instruct the mother in proper care of this patient. 67. This young boy should be: T. kept in draft-free room. U. kept in a room with a temperature of 60F. C. placed in a sunny room. D. allowed free sun run of the house
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- A man is experiencing cough issues after days of masturbation or sexual intercourse. What doctor he should visit to get a medical attention?A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…
- _H09. Is there any overlaps in phlebotomy duties (6)among healthcare professionals.169. A 65-year-old woman comes to the physician because of a 10-week history of low-grade fever, fatigue, and pain in her right arm. She recalls no trauma to the arm. She has a history of cancer treated with radiation therapy. Her temperature is 37.7°C (99.8°F). Physical examination shows tenderness of the right distal humerus. Laboratory studies show anemia. An x-ray of the right upper extremity is shown. This patient most likely has an abnormality of which of the following cell types? A) Hematopoietic stem cells B) Monomyelocytic stem cells C) Natural killer cells D) Osteoclasts E) Plasma cellsJanet Carter, 25 years old, female, 5 ft 5 in., 125 lb, High school math teacher, Generally eats a well balanced, she Sleeps 8-9 hours a night, her diet with lots of fresh fruits and vegetables. The patient has been coughing for about a week. The cough started about 3 days after she got a cold. Her cold symptoms (sore throat, nasal congestion, rhinorrhea) are mostly resolved, t the dry, hacking, nonproductive cough persists. The cough is worse at night or when she lies down. The patient tried menthol cough drops and a combination of dextromethorphan and guaifenesin cough syrup without relief. PMH No concurrent medical conditions. No routine nonprescription medications or dietary supplements. Is currently taking Yasmin (ethinyl estradiol 30 mcg, drospirenone 3 mg) for oral contraception; started about 5 years ago. Allergies: NKA History of other adverse reactions to medications None Assessment: Janet is likely experiencing cough secondary to the upper respiratory tract viral infection…
- Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED).…Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…
- During a health screening, a 35-year-old presents with a persistent dry cough and mild shortness of breath. Which of the following questions would be most pertinent to ask in the history taking? A. "Do you have any allergies?" B. "Have you had any recent travel history?" C. "Is there a family history of asthma?" D. "Have you been exposed to airborne irritants at work?"A 6-week-old male was brought into the office with a 2-day history of choking spells following a protracted (10 day) period of cold-like symptoms. The parents reported that now the infant would suddenly start coughing and could not seem to catch his breath. They became concerned today because the infant has also started vomiting shortly after these episodes. Copious mucous accompanies the coughing episodes. Upon examination his pulse and respiratory rates were elevated. His WBC was 15,500/ul with 70% lymphocytes. The nasopharyngeal swab did not grow any pathogens on routine lab culture. 16. The child is suffering from what disease? How do you know (hallmark)? Name two virulence factors for this pathogen leading to tissue damage. Why did the routine lab culture not show any results? (4ADMITTING HISTORYA 52-year-old male factory worker was apparently in good health until about 2 months before admission, when he developed a cough, which was productive of moderate amounts of yellowish sputum. The cough was most severe in the morning but persisted throughout the day. He also complained of general malaise and reported a recent weight loss of 5 pounds. He had no night sweats and was afebrile.He was seen by his private physician and was treated with antibiotics. No chest x-rays were taken, but the physical examination was described as being within normal limits. On a follow-up telephone call 1 week later, the patient reported some improvement. Over the next 2 weeks, however, the patient developed moderate shortness of breath and marked hoarseness. He had no history of exposure to industrial irritants, but he admitted to a moderately heavy intake of alcohol and had a smoking history of 50 pack-years. As his symptoms persisted, he was admitted to the pulmonary clinic for…