what is the pathophysiology involved in a stress response that could create the symptoms this patient is exhibiting Hi everyone. A 28-year-old soldier returns from Iraq and begins experiencing periodic bouts of anxiety. She complains that she wakes up frequently and cannot get a full night of sleep. Recently, she also has been getting frequent headaches and noticed a few ulcers in her mouth. A physical examination and lab tests do not reveal any local or systemic disease.
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- A 35 year old patient was seen in the Out Patient Department of a Hospital with droopy eyes and difficulty in speech. She gets easily tired even during minimal activities and exhaustion can be rapidly seen after succeeding physical activities. What are diagnostic techniques used in the disease that involves drugs in the procedure?. A 19-year-old male with known generalized epilepsy was brought to the emergency department for convulsive status epileptics. He has had nausea, emesis, and a low grade fever for the last 5 days and has been unable to take his home antiepileptic drug. He is having ongoing low amplitude, rhythmic clonic movements of his bilateral arms and legs. His vitals are as follows: heart rate 86, blood pressure 106/68, SpO, 100% on 2 L nasal canula, temperature 100.2°C. EMS administered 2 mg of lorazepam and had cessation of clonic movements but still altered and not back to baseline mental state. What is the next best medication treatment for this patient? A. Intubate the patient and start propofol B. Monitor the patients for few hours and order EEG C. Additional lorazepam to dose of 0.1 mg/kg followed by fosphenytoin with loading dose of 15 mg/kg IV D. Obtain CT head to further evaluate the etiology and rule out structural abnormalitiesDiagnose this patient: - 67 year old obese woman - patient - Eats a lot of junk food and drinks wine frequently - Doesn't excersize - Father passed away from heart attack and mother has type 2 diabetes and hypertension - Patient has had hypertension for a few years taking beta blockers - Experiences shortness of breath and pain in the chest when walking but when the patient sits down she feels fine - light headed, weak, nauseous, dizzy, - ECG shows the patient has high ST elevation and blood test shows high levels of myocardium-specific troponin in her blood - The patient is given heparin intravenously as well as an anti-platelet and a fibrinolytic drug What is the diagnosis and why did symptoms disappear when the patient sat down?
- A 40-year-old woman presents to her family physician with a 4 month- history of widespread pain all over the body and easy fatiguability. She further tells that pain worsens with lack of sleep and change in weather. She works as an accountant and states that she has some difficulty in concentrating while dealing with accounts. Physical examination shows normal muscle strength and several symmetric tender points throughout the body. Which of the following features is most likely to be associated with the clinical condition described? Answers A - E A Blindness B Cataract C Depression D Dilated cardiomyopathy E Periorbital rash O ●●● OA 38-year-old woman came in the outpatient department because of headache.She has no vomiting, fever, changes in sensorium and nuchal rigidity. Shedescribed the headache as ”band-like” and has been occurring intermittentlyespecially during stressful situations. Vital signs and physical examinations areall normal. The physician diagnosed her as having tension headache andprescribed Acetaminophen 1g/ tab PO q6H for 3 days. The pharmacy only hasthe 250mg tablet preparation. How many tablets does she need to take perdose? How many tablets should the pharmacist give her to complete the entiretreatment regimen?A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film? What is the clinical significance of the platelet count?
- A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film? What is the clinical significance of the platelet count? NOTE: If you could answer all the questions please. Thank you!A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film?Mr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.
- Mr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. He also offered you (the interviewer) a sachet of crystal clear methamphetamine. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.A 50-year-old female patient, Mrs. Smith, who recently underwent abdominal surgery, is reluctant to ambulate due to pain. She has a history of deep vein thrombosis and is currently on anticoagulant therapy. Her pain score is 6/10 on the numeric rating scale. Options: a) Encourage bed rest until pain subsides. b) Administer prescribed pain medication and assist with ambulation. c) Apply a cold compress to the surgical site. d) Increase the dose of anticoagulant therapy.Why is aspirin used to alleviate so many symptoms?