Question

In: Nursing

1. Anna Salberg, a 45-year-old woman, is suspected of having hypothyroidism. Dr. Johnston, her physician, has...

1. Anna Salberg, a 45-year-old woman, is suspected of having hypothyroidism. Dr. Johnston, her physician, has ordered a nuclear imaging of the thyroid. Describe how this test is performed. What information concerning the thyroid will this test provide?

2. Lester Lancour is a 2-year-old male patient who has had a high fever for more than 72 hours. Dr. Adams is certain that the child has meningitis. He has ordered a lumbar puncture in order to determine if the problem is viral or bacterial. Dr. Adam's order indicates that he wants an identification of the white blood cells (differential) that may be present in the CSF. What is a lumbar puncture and how is it performed? Discuss the diagnostic significance of elevated white blood cells in CSF. List the diseases that can be identified by an elevated white blood cell count.

Solutions

Expert Solution

Thyroid scan:-
           -It is a specialized imaging procedure for examining thyroid  gland located in the front part of the neck. Thyroid controls body metabolism.

PROCEDURE:-
             -Thyroid scans are usually performed on an outpatient basis in the hospital.
             -Before any thyroid scan, radionuclide in the form of a pill, liquid, or injection is given to patients.
           -lie down on an examination with neck is extended.
           - scanner is used for scanning thyroid, usually from at least three different angles.

Benefits:-
            -thyroid scan provide unique information including details on both function and anatomic structure of the thyroid gland.
            -For many diseases, thyroid scans yield the most useful information needed to make a diagnosis or to determine appropriate treatment for example hypothyroidism.


Related Solutions

A 60-year-old woman came to her physician because she was having problems with urination. Her previous...
A 60-year-old woman came to her physician because she was having problems with urination. Her previous history included hypertension and episodes of edema. The physician ordered various laboratory tests on blood drawn in his office. The results are shown in Case Study Table 14-4.1. Questions 1. What are the abnormal results in this case? 2. Why do you think the triglycerides are abnormal? 3. What is the primary disease exhibited by this patient’s laboratory data? CASE STUDY TABLE 14-4.1 LABORATORY...
Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna...
Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during...
A 50-year-old white woman had seen her physician and reported having no energy and feeling tired...
A 50-year-old white woman had seen her physician and reported having no energy and feeling tired all the time. She also reported experiencing mild pain in the abdominal region. The physician ordered a routine CBC. ■ Laboratory Data The results of the blood count were as follows: Hemoglobin 6.2 g/dL Hct 22% RBC 1.7 × 10^12/L WBC 4.0 × 10^9/L Her RBC indices were as follows: MCV 129.4 fL MCH 36.5 pg MCHC 28 g/dL The peripheral blood smear demonstrated...
Chapter 19 A.Z., a 65-year-old woman, was having a follow-up visit with her physician. She was...
Chapter 19 A.Z., a 65-year-old woman, was having a follow-up visit with her physician. She was concerned about a change in her sleeping habits, including taking at least 30 minutes to fall asleep. She woke up after only about 5 to 6 hours of sleep and found herself unable to fall asleep again. She consequently got sleepy in the afternoon and took frequent naps. What are some causes of age-associated sleep disorders? What are the typical changes in sleep patterns...
1.An 81-year-old woman named Phyllis has gone to her primary care physician for a regular checkup....
1.An 81-year-old woman named Phyllis has gone to her primary care physician for a regular checkup. Before her appointment was over, the physician reviewed her current medications with her and asked if she had any questions about them. Phyllis asked the doctor why she is taking Inderal. a. To thin the blood to prevent blood clots b. To help break up a blood clot c. To treat high blood pressure 2. An 81-year-old woman named Phyllis has gone to her...
An obese 58-year-old woman is seen by her physician. Her chief complaint is perineal itching and...
An obese 58-year-old woman is seen by her physician. Her chief complaint is perineal itching and soreness. When giving her health history, she also complains of being thirsty “all the time: and to be urinating more frequently. On pelvic examination, a white discharge is noted. A urine specimen is collected for a routine urinalysis. Urine Physical Examination    Color:       Yellow    Clarity:   Cloudy    Odor:        None Urine Chemical Examination    Specific gravity:       1.015    pH:      ...
A 28-year old woman has an appointment with her obstetrical gynecological (OB/GYN) physician, to discuss family...
A 28-year old woman has an appointment with her obstetrical gynecological (OB/GYN) physician, to discuss family planning. She has been trying to have a child for a year without success. The physician reviews her history and does an examination on her and it goes well. She orders labs, as well, in order to see the whole health picture of her client. The physician asks her to chart her menstrual periods. 1. How would she explain ovulation and the optimal time...
A 43-year-old woman presented to her family physician with a two-year history of fatigue, diarrhea, and...
A 43-year-old woman presented to her family physician with a two-year history of fatigue, diarrhea, and constant dull abdominal discomfort. Stools were described as normal in frequency and intermittently loose in consistency. The patient, a marine biologist with an extensive travel history, noticed that her symptoms began after a busy year of fieldwork in Iceland, Denmark, and the Arctic, during which she began regularly consuming raw sushi and sashimi. Serum vitamin B12 was 157 pmol/ L, compared to a level...
Carmen is a 40-year- old woman who suffers from severe depression. Her physician has tried several...
Carmen is a 40-year- old woman who suffers from severe depression. Her physician has tried several different antidepressants that have been unsuccessful in treating her condition. The physician is now considering placing Carmen on a tricyclic antidepressant or a monoamine oxidase inhibitor. What type of client education would you want to provide to a client who is prescribed a tricyclic antidepressant? What type of client education would you want to provide to a client who is prescribed a monoamine oxidase...
Mrs. Anna Temple, A 40-year-old African American woman, arrives at the emergency room, with her husband...
Mrs. Anna Temple, A 40-year-old African American woman, arrives at the emergency room, with her husband Joe. According to Mr. Temple, his wife woke up at 7 am to get ready for work. Mrs. Temple was unable to get out of bed due to weakness in her left arm and left leg. Mr. Temple also noticed the left side of his wife’s face was drooping. Upon arrival at the ED, Anna Temple had a left facial droop, left-sided hemiparesis, expressive...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT