A 3-year-old child presents with growth retardation and a history of recurrent attacks of hypoglycemia. On examination, you notice doll-like facies with relatively thin extremities and massive hepatomegaly. Blood examination reveals increased lactic acid, triglyceride, and uric acid levels. All of the following complications can be expected in this child except, A. Hepatic adenoma B. Pancreatitis C. Cardiomyopathy D. Renal failure
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- Explain how prehepatic jaundice might develop and theexpected change in serum bilirubin.A common complication of Crohn's disease is: The development of fissures, abscesses or fistulas Severe constipation. Abnormal pain, diarrhea, and rectal bleeding The presence of excessive fat in the stoolsThe nurse knows that there are differences between crohn's disease and ulcerative colitis. One of these is: O Crohn's disease involves only the colon, not the small intestine O Ulcerative colitis involves only the colon, not the small intestine O Ulcerative colitis involves transmural inflammatory changes O There are no differences between the 2 diseases
- Marked out of 1,00 P Flag question A15-year-old boy reported with his father to dental clinic with a complaint of missing upper tooth in right upper jaw. Clinical 23 examination revealed normal mucosa and a retained right deciduous canine. Radiograph revealed impacted permanent canine and two small teeth in that region. Histopathology of the lesion shows enamel, dentin, cementu m and pulp. Which one of the following odontogenic tu mors bear these features? Select one: O a. Complex odonto ma O b. Odontoam eloblasto ma c. Cystic ameloblasto ma O d. Ameloblastic fibro-odonto ma e. Compound odonto ma Question Z5 Not yet answered Marked out of 1.00 P Flag question A California based American II ...VILMA, a 46-year-old woman, was admitted to the Female Ward with recurring diarrhea. She had three full-term pregnancies in the past, but after her third, she developed post-partum hemorrhage, for which she was treated. As a result, she experienced lactation failure, amenorrhea, fatigue, weight loss, weakness, and hypothyroidism symptoms. Physical examination revealed that she is thin-built (BMI=17 kg/m2), that her pulse is regular at 86 beats per minute, and that her blood pressure is 90/50 mmHg. The pubic and axillary hair were sparse, but the external genitalia were normal. What is the connection between the patient’s symptoms in relation to the anatomic structures involved?VILMA, a 46-year-old woman, was admitted to the Female Ward with recurring diarrhea. She had three full-term pregnancies in the past, but after her third, she developed post-partum hemorrhage, for which she was treated. As a result, she experienced lactation failure, amenorrhea, fatigue, weight loss, weakness, and hypothyroidism symptoms. Physical examination revealed that she is thin-built (BMI=17 kg/m2), that her pulse is regular at 86 beats per minute, and that her blood pressure is 90/50 mmHg. The pubic and axillary hair were sparse, but the external genitalia were normal. Question: Correlate the results of the laboratory tests to the patient’s symptoms.What other laboratory tests are needed for this case?
- VILMA, a 46-year-old woman, was admitted to the Female Ward with recurring diarrhea. She had three full-term pregnancies in the past, but after her third, she developed post-partum hemorrhage, for which she was treated. As a result, she experienced lactation failure, amenorrhea, fatigue, weight loss, weakness, and hypothyroidism symptoms. Physical examination revealed that she is thin-built (BMI=17 kg/m2), that her pulse is regular at 86 beats per minute, and that her blood pressure is 90/50 mmHg. The pubic and axillary hair were sparse, but the external genitalia were normal. Question: Explain the patient’s symptoms in relationto the anatomic structures involved.. S is a 48 YO F who recently had an esophagoduodenoscopy (EGD) that showed a lesion and a narrowing of the distal esophagus just above the lower esophageal sphincter. A biopsy was taken that proved to be positive for squamous cell adenocarcinoma. Mrs. S was admitted to the hospital for more tests with a plan for possible surgery. Her height is 5’6” with weight of 148 lbs on admission. Her UBW (usual body weight) was 175 lbs. Mrs. S’s physician decided to initiate chemotherapy in an attempt to shrink the tumor prior to surgery. The physician also consulted the surgical dietitian in order to start TPN as the patient could not swallow or have an enteral feeding tube placed due to the tumor. He ordered D5NS at 50 ml/h until the TPN was started. Calculate the total calories from protein and lipid. How many kcals will be needed from carbohydrate based on the patient’s total calorie requirement? How many grams of carbohydrate will be needed to meet the patient’s needs? Assume…in Section 1: from 119 of 143 CA) Celiac trunk OB) Common hepatic artery C) Inferior phrenic vein Gross An 119. A 55-year-old woman comes to the physician because of intermittent abdominal cramps and dianthea during the past 4 weeks. She was tas Sp period. Abdominal examination shows mild distention and diffuse tenderness. A CT scan of the abdomen shows a mass in the unde possohe pse n Which of the following vessels is most likely being compressed by the tumor? OD) Left renal vein OE) Superior mesenteric vein d Embryology S
- A 52 yo woman who for the last couple of days has been vomiting small amounts, and has had abdominal pain. The pain has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis. Vital signs: RR: 16 bpmSpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg) HR: 118 bpmTemp: 37 oC Pain assessment: P = upon movement and at restQ = aching with occasional stabbing painR = peri umbilical (central abdomen)S = 8/10T = Constant for last 48 hours Abdominal assessment: Inspection – distension, midline scarAuscultation – absent bowel soundsPalpation – general tenderness and guardingPercussion – gas-induced tympany Fluid status assessment: Weak pulses Pale and cool to the touchCap refill > 3secsReduced skin turgor – tongue furrowedDry mucous…Explain the terms; ileostomy and colostomyWhat is a potential severe complication of GERD if left untreated? Esophageal cancer Damage to vocal cords Risk of infection due to decreased immune system as a result of lack of sleep Esophageal stricture