Ali is a 5-week-old baby boy who presents to outpatient clin…
Ali is a 5-week-old baby boy who presents to outpatient clinic with 4 days of repeated, forceful, non-bilious, non-bloody vomiting without diarrhea. He has 8 to 9 episodes of vomiting per day immediately following breastfeeding. The episodes started 2 weeks after the entire family suffered from severe viral gastroenteritis. His birth history is uncomplicated (full term, NSVD, unremarkable 30-week ultrasound) and birth weight was 3.6 kg (50th percentile). On exam, his vitals are: T 36.7°C, HR 185, BP 85/45, RR 38, Wt 4.1 kg (25th percentile). On exam, his eyes are moderately sunken without production of tears, his lips are cracked, and his throat is without erythema. His capillary refill is approximately 3 seconds, and his pulse is thready. What is your first step in management?
Read DetailsAs part of the evaluation in a febrile 18-month-old female,…
As part of the evaluation in a febrile 18-month-old female, the following WBC count with differential is obtained:WBCs 6100/mm (normal 6.0 – 17.0 X103/µL)Neutrophils 35% (normal 40% to 70%)Bands 3% (normal 0% to 4%)Lymphocytes 52% (normal 30% to 40%)Reactive lymphocytes 10%These results increase the likelihood that the cause of child’s infection is:
Read DetailsA 22 year old woman of Asian descent presents for lab follow…
A 22 year old woman of Asian descent presents for lab follow up. She has no presenting complaints. Her lab result: Hgb = 10.1g (normal 12-14); Hct = 28% (normal 36% to 42%); RBC = 5 million mm3 (normal 3.2 to 4.3 million mm3); MCV = 68fl (normal 80-96fl); MCHC =27 g/dl (normal 32-36g/dl); RBC distribution width (RDW) = 13% (normal < 15%).; Reticulocytes = 1.5% (0.5- 2%); The results of the hemogram is most consistent with
Read DetailsChoose 5 of the following passages, and for each of the 5 yo…
Choose 5 of the following passages, and for each of the 5 you pick, write two well-developed paragraphs. The first paragraph should identify the author, the title of the work, and give a summary of the work. This first paragraph should be 4-5 sentences. The second paragraph should demonstrate in at least 8-10 sentences why the particular passage is significant to the overall work. Each answer will be worth 20 points, so make sure that your answers are worth that. PLEASE identify by number which passage you are discussing. 1. “Cast down your bucket where you are.” 2. “I’ve got out at last,” said I, “in spite of you and Jane! And I’ve pulled off most of the paper, so you can’t put me back!” 3. “His doctrine has tended to make the whites, North and South, shift the burden of the Negro problem to the Negro’s shoulders and stand aside as critical and rather pessimistic spectators; when in fact the burden belongs to the nation, and the hands of none of us are clean if we bend not our energies to righting these great wrongs.” 4. “This one was always having something that was coming out of this one that was a solid thing, a charming thing a lovely thing, a perplexing thing, a disconcerting thing, a simple thing, a clear thing, a complicated thing, an interesting thing, a disturbing thing, a repellant thing, a very pretty thing.” 5. “We shall surely be put together again.” 6. “She will see it./ Her children…/She will see them again.” 7. “When the doctors came they said she had died of heart disease—of joy that kills.” 8. “These fragments I have shored against my ruins . . . Datta. Dayadhvam. Damyata. Shanti shanti shantih” 9. “The apparition of these faces in the crowd; /Petals on a wet, black bough.” 10. “Yes, Dawée, my daughter, though she does not understand what it means is anxious to go. She will need an education . . . . But I know my daughter will suffer keenly in this experiment.” Authors/Titles of the texts in the order we have read them: “Flat Pipe is Telling Me” “Father, Have Pity on Me” Mo’ki, “The Crow Woman” Zitkala-Sa, “The Big Red Apples” Booker T. Washington, “Up From Slavery” W.E.B.DuBois, From “The Souls of Black Folk” Charlotte Perkins Gilman, “The Yellow Wallpaper” Kate Chopin, “Desirée’s Baby” Kate Chopin, “The Story of an Hour” Gertrude Stein, “Picasso” Ezra Pound, “In a Station of the Metro” Ezra Pound, from “Cantos” T.S.Eliot, “The Waste Land”
Read DetailsPaula, a 63 year old manager with a five year history of hyp…
Paula, a 63 year old manager with a five year history of hypertension presents to your office today after not taking her medication for the past 3 months. “I ran out of the medicine and didn’t have money to get any more”. On auscultation of her heart sounds you note the following: . You document these findings as:
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