A blood work-up was ordered and the CBC showed mild anemia. The erythrocyte sedimentation rate was slightly elevated. Swabs were taken from the skin patches and they revealed numerous acid-fast bacilli on modified ZN staining.…
• Describe an overview of the key anatomical parts of the respiratory system and how it works.…
2. If you were the doctors on the scene, what diagnosis would you give this patient? (You may use the internet to help diagnose the patient.)…
RESULTS: Fair, with some areas better than others. Definitely small lesions could have been easily missed in view of the prep results.…
The most recent pathology performed mid-June revealed normal serum immunoglobulins, normal eosinophils and a negative ANCA assay.…
Pt. presents in the office today with a fever, diaphoresis (1) (excessive sweating) and right sided chest pain onset two days ago. Noticed erythema (2) (redness of the skin) two weeks ago to right breast. Now presents with petechia (3) (a small reddish-purple mark caused by a small hemorrhage) observed on epidermis (4) (the outermost layer of the skin) of right breast with a small 2cm macule (5) (a discolored patch of skin, it is discolored not elevated in nature) near the areola. Ecchymosis (6) (known as a bruise) and papular (7) (a small solid elevation of skin, it forms in clusters, like a rash) is observed on right arm. Shows no sign of pruritus (8) (an itch, it is an unpleasant sensation that causes one to scratch). Pt. has a past history of healed decubitus ulcer (9) (are lesions that are caused by unrelieved pressure or friction) to right heel, sacral dermal abscess (10) (a localized collection of pus in any body part) that resulted in an ulcer (11) (a lesion of the mucous membrane or the skin). Pt. treated with incision (12) (a cut that is made into body tissue or organ) and debridement surgery. Genital warts treated with keratolytics (13) (a therapy used for wart removal) and cryosurgery (14) (the application of the extreme cold, it’s used to destroy abnormal/diseased tissue). Post 48 hour TB skin test given, resulting in a positive wheal (15) (a raised firm patch of skin, that either itch or have a burning sensation disappears usually in 24/48 hours). Keratosis (16) (a growth of the horny layer of skin) on the face was treated using dermabrasion (17) (a procedure that involves wearing away the upper layers of skin with sandpaper) of epidermis on face. Pediculosis (18) (an infestation of lice) treated with parasiticides (19) (used to destroy parasites). Presently being treated for a yeast infection; with Antifungal (20) (is a medicine that is used to treat fungal infections) cream.…
PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. VITAL SIGNS: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.HEENT: Head normal, no lesions. Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directs. INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mL in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowl sounds. Liver, kidneys, and spleen are normal to palpitation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above…
OBJECTIVE: Patient appears as a well-developed female in no specific distress. Blood pressure 134/86, pulse 85, weight 168 pounds. Focused examination of the right arm reveals a small, circular lesion on the anterior forearm, most consistent with a seborrheic keratosis. This is pigmented and is popular.…
Rhabdomyolysis is a disease that is caused by muscle trauma and dehydration causing muscle fibers to breakdown into the bloodstream. This has a toxic effect on the kidneys and could be avoided in many cases. Dialysis as well as natural remedies can correct the disease if caught at an early stage.…
Rhesus disease is an infant wellbeing condition that is brought on by an incompatibility between the mother's blood classification and the baby. Here's the significance: Most individuals have Rh-positive blood, implying that they create an Rh protein on the surface of their red platelets. Also called erythroblastosis fatalism during pregnancy. In the newborn, the resulting condition is called hemolytic disease of the newborn (HDN). Be that as it may, around 15 percent of Caucasian ladies and around seven percent of African-American ladies don't create this Rh protein on their red platelets - they're Rh-negative. Rh sickness can happen on the off chance that you are Rh-negative, yet your infant is Rh-positive, which can happen if the infant's…
Swelling of the hands and feet and problems with blood flow and nerve function (compartment…
* Lily, a 4-year-old Caucasian female, has she been complaining of being tired all the time. She is pale and is a picky eater. Her mother is a single mom with a small budget to feed a large family. Lily eats only pasta, breads, and hot dogs, and she drinks only artificial fruit punch. Lily has iron deficiency anemia. Infants can be infected from the time of birth from certain forms of anemia. Certain forms of anemia are hereditary. When girls are not getting the proper amount of iron in their diet then they may become iron deficiency. There are many different symptoms of iron deficiency anemia but the most common are swelling of the tongue, drying of the lips, and eating and craving ice. Lily’s mother cannot afford the proper food filled with iron so the best thing that she can buy for Lily is foods and drinks that have vitamin C in it, such as orange juice.…
Hereditary hemochromatosis (HH) is a genetic disorder commonly known as the iron overload disease; the body is caused to absorb and store excessive amounts of iron. It is most prevalent in locations with significant populations of people who derive from Northern European descent. HH is found to be is the most common inherited liver disease in Caucasians and the most common autosomal recessive genetic disease. The most common gene involved in causing Hereditary Hemochromatosis is the HFE gene. Two mutations of the HFE gene, known as C282Y and H63D, were found to be associated with the increased absorption and storage of iron that is characteristic of hereditary hemochromatosis. Because hereditary hemochromatosis is an autosomal recessive…
In medicine, iron overload indicates accumulation of iron in the body from any cause. The most important causes are hereditary haemochromatosis, a genetic disorder, and transfusional iron overload, which can result from repeated blood transfusion.…
Histoplasmosis is caused by the fungus Histoplasma, which lives throughout the world but is most common in North America and Central America. Histoplasma grows best in soil that contains bird or bat droppings. However, birds cannot spread the fungus in their droppings but bats can. People most often receive the disease causing illness after breathing in microscopic fungal spores that come from disturbed soil. The most common symptoms a person would get are coughing, fever, and fatigue and they usually appear within three and seventeen days. Other symptoms a person may experience are chills, headache chest pains, and body aches and these will most commonly last for a couple of weeks to a month unless they become severe. In severe cases of Histoplasmosis the disease can develop into a long term lung infection and even possibly spread to areas of the body like the spinal cord or the brain. Almost every healthcare provider can order a test for histoplasmosis. For a doctor to diagnosis histoplasmosis the best they need a urine sample or a blood sample, they also need to know physical examinations, symptoms, and your medical and travel history. The treatment is fairly simple with a non-severe case and you should see a decline of your symptoms in a few weeks. In severe cases a doctor will prescribe an antifungal medication like Itraconazole, and can say you need the treatment for up to 3 months to a year. Histoplasmosis is most common among adults aged sixty-five years or older or people who have HIV/AIDS and a weakened immune system. Although, approximately sixty percent to ninety percent in the Midwest/South have been exposed to Histoplasmosis. The most recent outbreak of Histoplasmosis was in an east-central Illinois prison throughout the months of august through September in the year 2013. They are still finding cases so the investigation is still open, but they are currently at 78 cases. The breakout was causes by the pathogen Histoplasma capsulatum…
