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- Pain is classified as a ________________________ diagnosis sign symptom syndrome37) Female,51 years old,has swelling and pain in both wrist joints for 3 months. The 3rd and 4th interphalangeal joints of both hands are swollen and painful, second metacarpophalangeal joint of both hands is swollen and painful for 2 months, morning stiffness for 2 hours, and low fever. Her most likely diagnosis is? A Systemic lupus erythematosus B Rheumatoid Arthritis C Osteoarthritis D Gout E Spondyloarthropathythat persists for several hours, fatigue, and generalized muscle and joint pain for the past 4 T.W, a previously health 42 year old, 60 kg woman, has been suffering from morning stiffness 37 CASE 1: months. In addition, she reports that her eves seem red most of the time and are unusualny dry. Her symptoms have been much more worse during the past month and a half, causing her to mit her physical activities somewhat. She also can no longer wear her wedding ring because of swelling of her hand. Physical examination reveals bilaterally symmetrical swelling, tenderness, and warmth of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints of the hands. Relevant laboratory findings include the following: ESR: 52 mm/hour Hb: 10.6 g/dL RF- Positive Tests for antinuclear antibodies (ANA) and tuberculin sensitivity are negative. Her uric acid level is normal. X-ray findings show soft tissue swelling, narrowing of joint spaces, and marginal erosions in second and third MCP and PIP…
- An 8-year-old girl is brought to the physician with the concern of irregular low-grade fever and gradually increasing fatigue for the last 2 years. She has a history of hearing loss and has not been keeping well since birth. Physical examination shows short stature, frontal bossing, and hepatosplenomegaly. An X-ray shows multiple healed fractures, generalized increased bone density, and widening of the metaphyses of the ulna and radius. Laboratory studies reveal normocytic anemia and thrombocytopenia. Which of the following is the most likely underlying mechanism of these effects? Answers A - E A Decreased osteoblast activity B Impaired synthesis of collagen C Increased osteoclast activity D Inhibition of endochondral growth E Reduced resorption of the bone O1. Female, 40 years old. The left index finger was accidentally stabbed by a shoe repair needle. In the past 3 days, the pain gradually increased, swelling, throbbing pain, and she was unable to sleep. The current primary treatment measures are ( ) Use analgesics Incision and drainage Antibiotics Elevate the affected limb Rest 2. Female, 65 years old, with a history of hepatitis B for more than 20 years. Sudden of hematemesis this morning, the color was bright red, the amount was about 1500ml, and she came to our hospital for emergency. Physical examination: pale appearance, cold limbs, BP 78/50mmHg, P 112 beats/min. Abdominal distension, shifting dullness (+), 5 cm below the spleen rib. The inappropriate treatment for this patient is: Compression of three cavities and two balloon tubes Intravenous somatostatin Emergency laparotomy for hemostasis Blood transfusion Interventional treatment with fiber gastroscopeIV. Indicate whether the sentence is True or False 1 1. Wright's stain is sued to visualize a peripheral blood smear 2. cerebral cortex is the outermost layer of the brain 3. Ifa cell has a greater mumber of protein carriers, the rate of facilitated diffusion across the phospholipid bilayer of the plasma membrane will be increased 4. Long bone grows in length as a result of endochondral deposition of bone tissue 5. Smooth and cardiac muscle are innervated by the autonomic nervous system, whereas skeletal muscle is innervated by the somatic nervous system 6. As skeletal muscle shortens with contraction, the length of the I band remains constant as the length of the A band decreases 7. When voltage-dependent calcium channels open, calcium moves out of the cell s. The smallest living units capable of carying out their own basic life functions are the cells 9. During the absolute refractory period, the majority of voltage-gated sodium channels closed and incapable of opening 10.…
- explain the aetiology of adenocarcinoma in regards to bowel cancer (colon/rectum)case study: C was a six year old boy who passed away at the Lady Cilento Children’s Hospital on14 January 2017. He was a generally healthy and happy child. C’s treating team at the Lady Cilento Children’s Hospital attributed his death to overwhelming sepsis due to melioidosis. His death was not discussed with the coroner at that time. No autopsy was performed. C’s death was first reported to the State Coroner on 3 May 2018 due to the family’s concerns about the care C received from a remote hospital over several days leading up to his admission on 10 January 2017 and subsequent transfer to a regional hospital by which time he was seriously ill. The family also lodged a complaint with the Office of the Health Ombudsman. The Health Ombudsman considered the family’scomplaint potentially identified broader systemic issues and undertook a systemicinvestigation. The family’s concerns related to failure by remote hospital staff to correctly diagnoseand investigate the cause of C’s worsening…Arterioschlerosis Describe the • Type symptoms here symptoms & treatment Type treatment here of this disease/disorder. SYMPTOMS TREATMENT ΤΥΡE 21
- 1. Please describe the clinical manifestations of strangulated intestinal obstruction fully. 2. Female, 40 years old, sudden right upper abdomen and heart fossa knife colic with paroxysmal exacerbation for 1 day, 12 hours after the onset, chills, high fever, yellow sclera, deep tenderness on the right side of the xiphoid process, mild muscle tension in the right upper abdomen, Body temperature 38℃, WBC15×109/L, TBIL 65umol/L, urobilinogen (-), urinary bilirubin (2+), she should be diagnosed as（ ） Acute pancreatitis Acute cholecystitis Common bile duct stones High appendicitis Duodenal perforationA 30-year-old male demonstrated a subtle onset of the following symptoms: dull facial expression; droopy eyelids; puffiness of the face and periorbital swelling; sparse, dry hair; dry, scaly skin; evidence of intellectual impairment; lethargy; a change of personality; bradycardia (60 b/min); a blood pressure of 90/70; anemia (hematocrit 27); enlarged heart (upon radiological exam); constipation, and hypothermia. Serum free T4 0.3 ng/dL (low).Radioimmunoassay (RIA) of peripheral blood indicated elevated TSH levels. A TSH stimulation test, using recombinant human TSH, did not increase the output of thyroid hormones from the thyroid gland. What endocrine organ is involved here? a. Is this a primary or secondary disorder? What is a primary vs secondary disorder? b. Why? What data is presented that supports your answer? Is a TSH and/or TRH determination necessary for your diagnosis? 3. a. Describe the normal complete feedback loop involved. b. How is it affected in this…Discuss prostatitis.
