Upon the physical examination,his body temperature is 39.6 degrees Celsius,blood pressure is 95/70 mmHg,pulse rate is 75 beats/min and regular and his respiratory rate is 18 breaths/min.What is the inference of this case scenario of the patient?
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- Upon the physical examination his body temperature is 39.6 degrees Celsuis,blood pressure is 95/70 mmHg,pulse rate is 75 beats/min regular and his respiratory rate is 18 breaths/min.What would be the rationale and interventions to the patient of his case scenario?A 45-year-old woman is brought to the emergency department 45 minutes after her husband found her unconscious on the floor. She is unresponsive to painful stimuli. Her temperature is 37°C (98.6'F), pulse is 115/min, respirations are 6/min and shallow, and blood pressure is 110/60 mm Hg. Physical examination shows no other abnormalities. Arterial blood gas analysis on room air shows: pH : 7.08 Pco2: 80mmHg Po2: 45 mm Hg Which of the following is the most likely cause of this patient's hypoxemia? A) Decreased alveolar ventilation B) Decreased dead space ventilation C) Increased diffusion defect D) Increased shunt E) Increased ventilation-perfusion mismatchA 12-weeks pregnant woman complains of inability to focus, fatigue, and shortness of breath. On a physical examination, she looks pale and weak. Laboratory results are as follows: Reticulocyte count: 1%, Hematocrit: 27%; Hemoglobin: 6.5 g/dL; MCV: 105 fL, MCHC: 32%. Does this patient need a transfusion? Justify your answer.
- A 12-weeks pregnant woman complains of inability to focus, fatigue, and shortness of breath. On a physical examination, she looks pale and weak. Laboratory results are as follows: Reticulocyte count: 1%, Hematocrit: 27%; Hemoglobin: 6.5 g/dL; MCV: 105 fL, MCHC: 32%. Does this patient need a transfusion? JustifyA 37-year-old woman has fatigue and a craving for ice. She does not smoke, drink, or use illegal drugs. She has seven children and her menses are reported as regular but heavy. She is pale. Pulse is 116/min. Which of the following sets of laboratory values is most likely in this patient?A 56-year-old man has a history of chronic anemia that was improved by an operation at the age of 15. He develops tiredness and shortness of breath after moderate exertion but does not require blood transfusion and copes well with everyday activities. Drug therapy comprises folic acid 5 mg/day and penicillin V 250 mg twice daily. A full blood count shows: Hemoglobin- 90 g/L MCV- 109 f/L What are the abnormalities present in the peripheral blood smear of the patient and why? What is the possible diagnosis of the patient based on the given case above? How to confirm the patient’s diagnosis? Provide hematology tests needed for this case and explain why.
- UHU UNIVERSITY HOSPITAL BED # 1 DATE: 8/30 TIME: 1700 ADMISSION DATABASE Yellow PRIMARY PERSON TO CONTACT: Name: Maria Rodriguez DOB: 12/19 (age 38) Physician: A. Gustaf, MD ☐ Green ☐White Name: Emilio Santiago (brother) TRIAGE STATUS (ER ONLY): ☐ Red Initial Vital Signs Home #: 555-212-7890 TEMP: 102 RESP: 32 SAO2: HT (in): WT (lb): 110 5'2" UBW 145 B/P: 78/60 PULSE: 68 LAST TETANUS 5 years ago LAST ATE yesterday LAST DRANK water 1 hour ago Work #: 555-213-4563 ORIENTATION TO UNIT: ☑Call light ☑Television/telephone ☑Bathroom ☑Visiting ☑ Smoking ☑Meals ☑Patient rights/responsibilities CHIEF COMPLAINT/HX OF PRESENT ILLNESS "I found out I had an ulcer 2 weeks ago. Last night I seemed to have gotten worse. I have been vomiting, and I have diarrhea. My pain is terrible. I think I have blood in my vomit and my diarrhea." ALLERGIES: Meds, Food, IVP Dye, Seafood: Type of Reaction Codeine causes nausea and vomiting. PREVIOUS HOSPITALIZATIONS/SURGERIES For delivery of her two daughters only…55-year-old white male college professor had been experiencing fatigue and shortness of breath when walking over the past several months. Getting more sleep at night did not help. He reported eating a balanced diet of fruits, vegetables, meat, and dairy products. Physical examination, he appeared slightly pale but had no other abnormalities. His laboratory results was a following: Hemoglobin 12.5 g/dL Hematocrit 32% RBC 4.2 X 1012/L WBC count within normal limits MCV 42 fL MCH 29.7 pg Urinalysis is normal Fecal occult blood found to be positive What is the most likely cause of this patient’s anemia? 2- What type of red cell morphology would be expected on a peripheral blood smear? What follow-up tests should be conducted? What do you expected the treatment for this patient would be? 5- What would you expected about the reticulocyte count to be…Is it normal for my client to have a blood pressure test result of 127/97 at the age of twenty
- A 38-year-old white woman was treated in the emergency department for severe lacerations and abdominal injuries sustained in an automobile accident. She was admitted to the hospital for observation and further evaluation. On admission, a complete blood count (CBC), urinalysis, and radiograph series were ordered. Her CBC results were as follows: Hemoglobin 10.5 g/dL Hct 34% RBC 3.8 × 1012/L WBC 12.0 × 109 /L The RBC indices were as follows: MCV 89.6 fL MCH 27.6 pg MCHC 31 g/dL The peripheral blood smear showed essentially normal RBC morphology and platelet distribution. Forty-eight hours after admission, a stat repeat CBC was ordered. The results were as follows: Hemoglobin 8.0 g/dL Hct 26% RBC 2.9 × 1012/L WBC 15.5 × 109 /L The RBC indices were all within their normal ranges. A peripheral blood smear showed normal RBC morphology, although some polychromatophilia was noted. The distribution of platelets had increased. A follow-up platelet count was 0.60 × 1012/L.…A 38-year-old white woman was treated in the emergency department for severe lacerations and abdominal injuries sustained in an automobile accident. She was admitted to the hospital for observation and further evaluation. On admission, a complete blood count (CBC), urinalysis, and radiograph series were ordered. Her CBC results were as follows: Hemoglobin 10.5 g/dL Hct 34% RBC 3.8 × 1012/L WBC 12.0 × 109 /L The RBC indices were as follows: MCV 89.6 fL MCH 27.6 pg MCHC 31 g/dL The peripheral blood smear showed essentially normal RBC morphology and platelet distribution. Forty-eight hours after admission, a stat repeat CBC was ordered. The results were as follows: Hemoglobin 8.0 g/dL Hct 26% RBC 2.9 × 1012/L WBC 15.5 × 109 /L The RBC indices were all within their normal ranges. A peripheral blood smear showed normal RBC morphology, although some polychromatophilia was noted. The distribution of platelets had increased. A follow-up platelet count was 0.60 × 1012/L.…A 38-year-old white woman was treated in the emergency department for severe lacerations and abdominal injuries sustained in an automobile accident. She was admitted to the hospital for observation and further evaluation. On admission, a complete blood count (CBC), urinalysis, and radiograph series were ordered. Her CBC results were as follows: Hemoglobin 10.5 g/dL Hct 34% RBC 3.8 × 1012/L WBC 12.0 × 109 /L The RBC indices were as follows: MCV 89.6 fL MCH 27.6 pg MCHC 31 g/dL The peripheral blood smear showed essentially normal RBC morphology and platelet distribution. Forty-eight hours after admission, a stat repeat CBC was ordered. The results were as follows: Hemoglobin 8.0 g/dL Hct 26% RBC 2.9 × 1012/L WBC 15.5 × 109 /L The RBC indices were all within their normal ranges. A peripheral blood smear showed normal RBC morphology, although some polychromatophilia was noted. The distribution of platelets had increased. A follow-up platelet count was 0.60 × 1012/L. Subsequently,…