A 56-year-old male anatomy professor at a well-known university in North Hollywood was brought to the emergency room at the UCLA Ronald Reagan Medical Center. His chief complaint was right flank pain.

History of present Illness:

One day prior to admission, the patient developed a change in the color of his urine from pale yellow to red in color. There was no associated fever, painful urination, or penile discharge. He decided to consult with his primary physician the following day.

One hour prior to admission, the patient developed severe right flank pain associated with nausea. His wife was brought him to the UCLA Ronald Reagan Medical Center. Upon admission, the patient was noted by the ER physician to be in severe pain, with a pain scale of 9 from a visual analog pain scale from 1 to 10. On physical exam, patient had the following findings:

Vital Signs BP: 140/90

Heart rate: 110/minute

Respiration rate: 15/minute patient was afebrile

All exam findings for the head, neck, heart, lungs, and abdomen were normal.

On examination of the back, patient had tenderness on the right flank upon palpation.

On examination of the genitalia, there was no penile discharge.

Note of a 1 x 1 cm tophus on right big toe.

The following diagnostic exams were ordered:

CBC with WBC differential count

Urinalysis

Serum uric acid

KUB x-ray

MRI Scan abdominopelvic area

He was immediately injected by IV with a strong analgesic to relieve the pain.

Past Medical History:

Diagnosed with gout one year prior to admission

On medication with allopurinol

No heart and lung disease

No diabetes or hypertension

Click here to review the results of the diagnostic exam.

Questions and topics for discussion:

What would be the clinical diagnosis in this patient? Please explain in detail the pathogenesis of this disease.

What are the clinical manifestations: signs, symptoms of this particular disease?

Discuss and explain the results of the CBC, serum uric acid, and urinalysis.

What do you see in the plain KUB and the coronal MRI scan of the abdomen where the 2 upper arrows are located? Identify this particular lesion, where is it located, and the specific organs involved.

Review the patient’s medical history. With this in mind, what is the specific type of lesion that you should expect to see and why?

On the axial scan of the abdomen, what is the organ pointed to by the three arrows? Is there anything wrong with this organ? If you answered yes, please explain in detail. What is a possible complication in this patient and the possible effect on the function of this organ in the long term?

What are the possible treatment options both medical and surgical for this particular patient?

Describe in detail the possible nursing intervention, especially with regards to diet and fluid intake.

1. Construct a process flow chart/diagram describing the production of a silicon wafer from silica sand. Indicate key chemical reactions, phase changes and temperature changes. Explain why the Czochralski process is important for wafer production. What happens to the waste from this process?

2. Construct a process flow chart/diagram describing the production of an aluminum ingot from bauxite. Be sure to include details of both the Bayer process and the Hall-Heroult process. Indicate key chemical reactions, phase changes and temperature changes. One of the by-products of aluminum is called ‘red mud’. Explain why red mud is a problem; what are current strategies for dealing with this waste?

State of                               Prob. of the                        Rate of return if state occurs

the economy                      state of economy                    Stock A         Stock B

Boom                                            0.40                             0.12               0.04

Bust                                               0.60                             0.02               0.04

You MUST use 4 digits in every calculation you do in order for your answer to be the same as the one in the system. Enter answer using 4 decimals. Do not use or enter the %. For example, if your answer is 3.48% enter 0.035; if your answer is 0.12013 then enter 0.1201

What is the expected return of a portfolio with 70% in asset A and 30% in Asset B?

What is the variance of the portfolio with 70% in asset A and 30% in Asset B?

1. To apply what you have learned about fungi, answer the following questions (1.75)

a)Why would a fungus make and secrete an antibiotic?

b). Describe the anatomy of a mushroom, and explain how it serves as the reproductive organ of the fungi.

c). Why would ergot, a parasite of grains like wheat, produce an animal toxin?

d). Explain, in detail, why the addition of brewer’s yeast (S. cerevisiae) makes bread rise.

e). Are lichens pure fungi? Why or why not?

f). What feature of members of the Mucorales lineage makes them able to have a mutualistic relationship with cattle and other herbivores?

g). How can black bread mold begin to grow on bread in a house that does not currently contain moldy bread?

Explain the importance of reduced glutathione to the mature red blood cell . Please include
a. what GSH does for the cell
b. how it does this (a)
c. what happens when one cannot make reduced glutathione.

Detail the science behind the evolution you chose:

Describe a key mutation that led to one of the physical changes in the transition.

Who conducted the research and when did they do this research?

Reference the scientific article about it.

Make sure to include references for your information!

Based on your approved project proposal develop the following sections: Organizational Description - this section will provide an overview of the organization. This overview will include a summary of:

1- Potential population characteristics (i.e., majority aboriginal populations, etc.).

2- Potential challenges that you can identify for this organization (i.e., access to services due to geographic location, etc.) in which technology can play a significant role.

3- Description of the technological need(s) that this organization is required to address.

4- Proposal of some potential solutions – do not forget the rationale (i.e., why?

On Lululemon Company. Please provide everything in detail and briefly. (2-3 pages required).

If two rival firms’ products are on the indifference line of the cost benefit tradeoff, then explain what does this mean. (50 words) Indicate on your value map where would a successful product that is offering superior value be placed? (Use a clearly marked cross) Give two possible reasons that explain the position on the value map for this successful product. (about 50 words)

explain the difference between public accounting and managerial accounting, provide in-text citations. Provide a hypothetical example of income st
atement for public reporting. Provide a hypothetical example of managerial accounting income statement in process costing format. Explain your examples in detail.