1. Robertson is a 35‑year‑old male with a family history of kidney stones. Because Robertson reports that he has been experiencing pain in his back and intense pain spasms in his groin, the physician wants to test him for stones. The physician informs Robertson that he needs to collect his urine over a 24‑hour period. This instruction puzzles and annoys Robertson, and he wants to know why it is necessary. As a medical assistant, how do you explain the 24‑hour urine specimen to Robertson?
As a medical assistant the 24 hour urine specimen collection can be explained in the following way
1. Robertson is a 35‑year‑old male with a family history of kidney stones. Because Robertson reports...
1. Robertson is a 35‑year‑old male with a family history of kidney stones. Because Robertson reports that he has been experiencing pain in his back and intense pain spasms in his groin, the physician wants to test him for stones. The physician informs Robertson that he needs to collect his urine over a 24‑hour period. This instruction puzzles and annoys Robertson, and he wants to know why it is necessary. As a medical assistant, how do you explain the 24‑hour...
1. Dixon is a 43-year-old man with a family history of colon cancer. The physician has suggested that he perform a fecal occult blood test. However, when you discuss it with him he tells you that he is not interested because “there is nothing that can be done about colon cancer anyway.” He is referring to the fact that his father and his brother died of the disease. What should you say to him? 2. Jeffrey is a 15-year-old boy...
In patient with kidney stone with right renal calculi:
Case Report:
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....
Daryl is a 21 year old male with a history of Type 1 Diabetes. He is brought to the ER by his parents because he seems anxious and confused and has been experiencing nausea and vomiting. Upon exam he appears ill with dry mucous membranes and decreased skin turgor. His breath smells fruity, his pulse is rapid and weak, and his respirations are rapid and deep. His laboratory values include the following: Glucose 350 mg/dl, K+ 5.9 mEq/L, and his...
A 58-year-old male college professor sees his family physician because of increasing fatigue and weakness. He also reports pain in his lower back and arms when he walks. Physical examination reveals that the man has pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis. A follow-up appointment is scheduled for the following week. Laboratory Data: The CBC reveals that the patient has anemia. His leukocyte count and differential count are normal, except for a...
Electrolyte Imbalance Patient History/Manifestations Top Treatment Unique defining characteristic Kevin Fostner is a 53-year-old male who had CABG 3 days ago and received one unit of PRBC which put him into fluid overload. He then received 20mg Lasix IV push and produced 2300 ml clear pale yellow urine. He is having multiple PVCs and ectopic beats on the cardiac monitor. Betty Cruz is a 52-year-old female admitted post-surgery after a tumor was removed from her pituitary gland. Her urine output...
A 21-year-old male visits with his family doctor at the urging of his parents when home for Spring Break. The parents are concerned because their son has lost a significant amount of weight. The young man is concerned because he is experiencing a heart rate of 120bpm while at rest and much higher when exercising. Additionally, his blood pressure averages 137/82 based upon four recordings. He has a recurring headache, tremors in his hands and suffers dyspnea. This individual has...
Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, “I don’t feel well and I think that I may have the flu,” he tells the ER nurse and physician. He also complains of “some painful bumps on my fingers and toes that came on last night.” He denies IVDA. When asked about recent medical or dental procedures, he responded: “I had an infected tooth removed about two weeks ago.”...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wifeIt is now postoperative day 6/HD 12 and Adam remains in the ICU. He is currently receiving enteral nutrition support since postop day 3, which provides him with 1,700 calories and 100 g protein. Anthropometric Data:...
C. Staphylococcus aureus D. Neisseria gonorrhoeae 24 A 60-year-old male enters the emergency room complaining of burning pain under his sterum that radiates to his jaw. He has been experiencing this pain for three weeks, periodically, with episodes that occur as often as three times a week. The nurse proceeds in which of the following ways? A. Prepares the patient for immediate transfer to the cardiac laboratory B Administers a dose of ibuprofen C. Asks the patient if he has...