The mother of 4 month old N.D. reports episodes of non proje…
The mother of 4 month old N.D. reports episodes of non projectile vomiting and diarrhea beginning two days ago. He has also had several episodes of screaming and drawing up his legs. Prior to this he has been healthy with a normal weight gain. The LEAST likely diagnosis is:
Read DetailsAcme Company produces a single product. During the current y…
Acme Company produces a single product. During the current year, Acme produces 8,000 units and sells 6,200 units. There were no units in beginning inventory. Acme’s total variable manufacturing costs are $680,000 and its total fixed manufacturing overhead costs are $1,000,000. Which of the following statements is true?
Read DetailsA 62-year-old man presented with the chief complaints of fat…
A 62-year-old man presented with the chief complaints of fatigue and difficulty breathing. During the history the patient reported that he had suffered some chest pain, but attributed it to indigestion. Auscultation detected fluid in the lungs and a harsh murmur was present throughout systole. An electrocardiogram (EKG) showed signs of an antero-inferior myocardial infarction and a two-dimensional echocardiogram revealed a ruptured papillary muscle in the left ventricle. The patient was diagnosed with acute mitral regurgitation secondary to a myocardial infarction. The opening of the mitral valve is anchored in the
Read DetailsA 28-year-old laborer presented with scrotal pain and a freq…
A 28-year-old laborer presented with scrotal pain and a frequent urge to urinate. During the history, he stated that the scrotal pain was of gradual onset and that he was vaccinated against mumps. The physical examination noted a swollen scrotum and a tenderness of the right epididymis. The test was negative for testicular torsion and the testes were normal. The cremasteric reflex was also normal. The patient was diagnosed with epididymitis. How should this patient be treated.
Read DetailsA 19-year-old man was involved in a morning motor vehicle co…
A 19-year-old man was involved in a morning motor vehicle collision. As he was driving, another vehicle collided with the driver’s door of his car, causing trauma to the left side of his abdomen. Although he complained of minor pain, he declined medical treatment. Later that afternoon, he noticed additional pain in his left shoulder and his family observed mild pallor. He decided to seek medical treatment at the nearest emergency department. The physical examination revealed tachycardia, tachypnea, and percussion tenderness over the left upper abdominal quadrant. Suspecting a ruptured spleen, imaging studies were ordered, which confirmed the diagnosis. The patient underwent a successful splenectomy. Consider the anatomical relationships of the spleen that the surgeon must be aware of in performing a splenectomy. The spleen has several anatomical neighbors that typically leave their impression on the organ. Which anatomical structure is not one of them.
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