Questions
The following lab results were found in a patient with mild weight loss and nausea and...

The following lab results were found in a patient with mild weight loss and nausea and vomiting, who later developed jaundice and an enlarged liver.

total serum bilirubin

elevated

AST

markedly elevated

ALT

moderately elevated

anti-HAV IgG

positive

anti-HAV IgM

negative

HBsAg

positive

anti-HBs

negative

HBcAb Ig

positive

HBcAb IgG                                               

negative

Questions:

  1. What is the most likely diagnosis?
  2. What is the prognosis?
  3. What additional markers would be helpful to know for the prognosis?

In: Nursing

A 36 year old man consults his family physician because of liver function abnormalities, which had...

A 36 year old man consults his family physician because of liver function abnormalities, which had been noted initially during a pre- insurance physical examination 6 months ago. The following laboratory results are obtained, which are identical to those obtained 6 months previous.

                        

anit-HAV IgM

negative

anti-HAV IgG

positive

HBsAg

positive

anti-HBs

negative

anti-HBc IgG

positive

anti-HCV

negative

Questions:

  1. What is the most likely diagnosis?
  2. What is the prognosis?
  3. What possible complications could develop?
  4. What additional tests should be done?

In: Nursing

Peter was born after an uneventful pregnancy and weighed 3.1kg. At 3 months, he developed otitis...

Peter was born after an uneventful pregnancy and weighed 3.1kg. At 3 months, he developed otitis media and an upper respiratory tract infection. At the ages of 5 months and 11 months, he was admitted to hospital with Haemophilus influenzae pneumonia. The infections responded promptly to the appropriate antibiotics on each occasion. When 16 months old, he developed balanitis. He is the fourth child of unrelated parents: his three sisters show no predisposition to infection.

Examination at the age of 18 months showed a pale, thin child whose height and weight were below the third centile. There were no other abnormal features. He had been fully immunized as an infant (at 2, 3 and 4 months) with tetanus and diphtheria toxoids, whole-cell pertussis, Haemophilus conjugate vaccine and oral polio. In addition he had received measles, mumps and rubella vaccine at 12 months. All immunizations were uneventful.

Immunological investigations (Table C3.1) into the cause of his recurrent infections showed severe panhypogammaglobulinemia with absent antibody production. Although there was no family history of hypogammaglobulinemia, the absence of mature B lymphocytes in his peripheral blood strongly supported a diagnosis of ________________________________?????. His antibody deficiency was treated by 2-weekly intravenous infusions of human normal IgG in a dose of 400mg/kg body weight/month. Over the following 2 years, his health steadily improved: his weight and height are now on the 10th centile, and he has had only one episode of otitis media in the last 18 months.

Table C3.1 Immunological investigations

Quantitative serum immunoglobulins (g/l)

IgG

0.17

[5.5-10.0]

IgA

Not detected

[0.3-0.8]

IgM

0.07

[0.4-1.8]

Antibody activity

Immunization responses

Tetanus toxoid - no detectable IgG antibodies

Diphtheria toxoid - no detectable IgG antibodies

Polio - no IgG antibodies detected

Measles - no IgG antibodies detected

Rubella - no IgG antibodies detected

Isohaemagglutinins (IgM) not detected (blood group A Rh+)

Blood lymphocyte subpopulations (x109/l)

Total lymphocyte count

3.5

[2.5-5.0]

T lymphocytes (CD3)

3.02

[1.5-3.0]

B lymphocytes (CD23)

<0.03

[0.1-0.4]

          (CD19)

<0.1

[0.3-1.0]

          (CD20)

<0.1

[0.3-1.0]

*Normal range for age 18 months shown in brackets.

In: Nursing

please use own words don't plagiarise, 1. Provide a high-level overview of the US health care...

please use own words don't plagiarise,

1. Provide a high-level overview of the US health care system. Discuss how your personal worldview may influence your perspective on the healthcare system in relation to cost, quality, and access.( Explain in details and with references to support)

2. Discuss the commonalities and differences between individual and population health. Provide an example of each, along with a time when a provider would be concerned about both concurrently..( Explain in details and with references to support)

3. The Pareto efficiency is a simple idea, but it is difficult to achieve. Why is this? Provide an example. ( Explain in details and with references to support)

4. Describe perfect competition as it relates to health care economics. What are the key characteristics? Does perfect competition provide an advantage or disadvantage to the consumer? To the health care provider/organization? Provide an example of perfect competition within health care.( Explain in details and with references to support)

please use APA 6 references to cite them

for all the questions.... thank you

In: Nursing

‏What is the pathophysiology (symptoms and complications) of type 1 and type 2 diabetes. Write only...

‏What is the pathophysiology (symptoms and complications) of type 1 and type 2 diabetes. Write only in points.
‏2. What is the medical nutrition therapy for type1 and type 2 diabetes. Write only in points.
‏3. What are the common causes of hypoglycemia in diabetes? Explain in detail.

In: Nursing

review treatment protocols for hyperglycemia?

review treatment protocols for hyperglycemia?

In: Nursing

What is Faith and Spirituality? Briefly explain its definition, similarities, and differences.

What is Faith and Spirituality? Briefly explain its definition, similarities, and differences.

In: Nursing

major action of calcium include all of the following except, A, cardiovascular support, B, nerve transmission...

major action of calcium include all of the following except, A, cardiovascular support, B, nerve transmission C, blood clothing, D, causes fluid retention,

In: Nursing

in one pragraph give an opinoin about " The Death of Karen Ann Quinlan".

in one pragraph give an opinoin about " The Death of Karen Ann Quinlan".

In: Nursing

Case Study: You are a nurse caring for a 26 year-old mother of three children who...

Case Study: You are a nurse caring for a 26 year-old mother of three children who presents to the physician's office with tachypnea, productive cough of yellow sputum, hyperthermia, malaise, fatigue and insufficient fluid intake. You obtain the following information during your objective assessment: Vital signs are BP- 120/78, HR- 110, respirations 24/minute, temperature 100.4 orally and pulse oximeter of 90% on room air (RA). Upon auscultation, you note coarse rhonchi in bilateral posterior lobes. She complaints of pain of 8/10 in her anterior right side of her chest after coughing. 1) Describe the rationale for performing a comprehensive physical assessment on this patient. 2) Prioritize the symptoms to be assessed on this patient and explain which system would have the highest priority for this assessment and why? 3) List the appropriate subjective health history questions that could identify this patient's risk factors for her altered respiratory condition. 4) Describe the etiology of this patient's overall assessment. What do you think is the condition this patient is experiencing? 5) List 3 priority nursing diagnoses for this patient. Remember the need to prioritize diagnoses based on Maslow's hierarchy of needs, including ABC's, pain and VS. For each of these 3 nursing diagnoses, include one short-term and one long-term SMART goal and include 3 interventions with rationales to support these interventions.

In: Nursing

travelers with special needs. 1- pregnant women?

travelers with special needs.
1- pregnant women?

In: Nursing

a nurse is preparing to administer insulin glargine to a child who has type 1 diabetes...

a nurse is preparing to administer insulin glargine to a child who has type 1 diabetes mellitus. the client is receive 10 units subcutaneous once daily at bedtime. reading the label on the unopened vial the nurse should determine that the vial contains how many dosage of this medication?

insulin glargine 100unit/ml (U-100) do not mix with other insulin . use only if solution is clear and colorless with no particles visible one 100 ml vial

In: Nursing

David Crystal's "Language and the internet "What is the main idea in chapter 4 ?

David Crystal's "Language and the internet "What is the main idea in chapter 4 ?

In: Nursing

According to Texas Health and Safety Code Chapter 671, when is a person dead? Name the...

According to Texas Health and Safety Code Chapter 671, when is a person dead?

Name the 3 things are considered Advanced Directives in the Texas Health and Safety Code?

In: Nursing

A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription...

A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription for ondansetron 4 mg IV bolus every 6 hr PRN for nausea and vomiting. Identify the sequence of steps the nurse should follow to administer the medication. (Move the steps into the box on the right. Place them in the order of performance. Use al the steps.

A.   Perform hand hygiene
B.   Select the injection port of the IV tubing closest to the client.
C.    Cleanse the injection port with an antiseptic swab.
D.   Inject the medication
E.    Aspirate for a blood return.

In: Nursing