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Author Archives: Anonymous

The politician’s speech was so _______ that even her campaig…

The politician’s speech was so _______ that even her campaign staff had difficulty identifying her actual policy positions, despite her previous reputation for directness.

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History of Present Illness: 67 y/o M with significant past…

History of Present Illness: 67 y/o M with significant past history for recurrent foot ulcers, prior left 2nd toe amputation (6wks post op), right lower extremity stent placement (2016). Patient had a lower extremity angiogram showing significant disease. Patient was admitted for planned lower extremity revascularization procedure, underwent right femoral to popliteal bypass. Post op course was complicated by diabetic ketoacidosis and acute kidney injury. Patient had c/o nausea, vomiting, hemoglobin dropped to 7.0 from 13.0 pre- op and was transfused. Telemetry showed ST depression, Left Bundle Branch Block (LBBB), elevated Troponin so patient then underwent a Left Heart Catheterization (LHC), had a percutaneous coronary intervention (PCI) received stent to LAD, patient recovered well, troponin trended down, kidney function returned with normalizing serum creatinine.  Past Medical History: Diabetes Mellitus, Hyperlipidemia, Hypertension, Peripheral arterial disease, TIA Past Surgical History Shoulder surgery (2015), LLE atherectomy and stent placement (2016), Left foot 2nd toe amputation (6 weeks ago) Social History: Former smoker of 1PPD x20 years, quit in 1999. Patient is married, lives with his spouse who can assist him as needed. Living Environment: Patient lives in a single-story house, no steps to enter, patient has built in ramp. Patient has walk in shower with grab bars and shower chair. Owns RW, W/C. Prior Level of Function: Patient was limited distance ambulator due to ongoing LE pain /claudication with ambulation. Patient was ambulating with RW and heel strike shoe since left foot 2nd toe amputation. Patient was using wheel chair for distances over 100′ due to claudication and fatigue. Patient goal: To be able to walk, feel better and stronger. Patient is willing to participate in a regular exercise program to improve fitness. Medications: Aspirin  81mg daily Lisinopril 5mg tab daily Metoprolol  25 mg bid Insulin  100 units/ml, 5-22 units on sliding scale ( 6 times a day) Acetaminophen 650 mg) tab every 4 hr as needed, Atorvastatin 20 mg once day. Labs  Pre Surgery POD 1 POD 3 WBCs (3.5 – 10.5 billion cells/L) 13.43 11.90 12.11 HGB (13.5- 17.5 gm/dl) 13 7.0 10.0 HCT (38.8- 50%) 32.3 31.8 31.5 CREATININE (0.6- 1.3 mg/dl) 2.0 3.0 2.5 TROPONINE (

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Adults between the ages of 18 and 44 go to the doctor less o…

Adults between the ages of 18 and 44 go to the doctor less often than any other age group in the United States.

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David is retiring after 30 years. His boss Sandra is trainin…

David is retiring after 30 years. His boss Sandra is training someone new who already knows all the same computer systems and is very good with people — but Sandra is still worried something important will be lost when David leaves. What type of knowledge is hardest to pass on to a replacement?

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According to Lachman (2004), which of the following are comm…

According to Lachman (2004), which of the following are common tasks that adults face during middle adulthood? Select all that apply.

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Perry’s stage of relativism means a person understands that…

Perry’s stage of relativism means a person understands that knowledge depends on context — that what is ‘true’ or ‘right’ can vary based on the situation and other factors.

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How is dialectical thinking in adulthood different from the…

How is dialectical thinking in adulthood different from the all-or-nothing thinking common in adolescence?

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Perry’s idea of ‘multiplicity’ means that a person realizes…

Perry’s idea of ‘multiplicity’ means that a person realizes not all questions have answers yet — but believes that someone, somewhere, is working to find them.

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Which of the following best describes postformal thought in…

Which of the following best describes postformal thought in early adulthood?

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The plaster hypothesis, linked to William James, says that p…

The plaster hypothesis, linked to William James, says that personality is set in early childhood and never changes.

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