Homework Answers
Interleukin-6 is the drug if choice for release of pro inflammatory cytokines. Tumor necrosis factor alpha and diclofenec is also used for the same.
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Question 1 Maroo A 45-year-old woman presents to the office for joint stiffness and pain for...
A 32 year old woman comes to her primary care provider for a return visit with...
A 32 year old woman comes to her primary care provider for a return visit with the chief complaint of joint pain and swelling for several months. At first the pain involved the left wrist and elbow and the right knee, but gradually became bilateral and now involves the metacarpophalangeal and proximal interphalangeal joints. Every morning, she has stiffness that slowly gets better after a couple of hours, but the generalized fatigue and weakness lasts all day. Her eyes often...
A 21-year-old woman presents to the physician's office for the evaluation of a swollen knee. She...
A 21-year-old woman presents to the physician's office for the evaluation of a swollen knee. She states that for the past 1-2 week she has had some achiness in several of her joints and a low-grade fever, but it seemed to localize to her left knee approximately 3 days ago. It has been red, hot, and swollen. She has had no injury to the area and has never had anything like this before. Her past medical history is significant for...
A 23 yo male presents with chest pain. His pain is worse lying down and better...
A 23 yo male presents with chest pain. His pain is worse lying down and better sitting up and leaning forward. EKG shows widespread ST segment elevation. What is your diagnosis and what exam finding would you expect upon examination? A 75 yo female presents with sudden vision loss. Exam reveals a palpable cord in the temporal region. What is your diagnosis and what would be the best initial test to confirm your diagnosis? A 53 yo male presents with...
A 45-year-old woman comes to a clinic with complaints of morning stiffness in her ankle joints,...
A 45-year-old woman comes to a clinic with complaints of morning stiffness in her ankle joints, worse on rising in the morning and improving during the day. Her discomfort is responsive to aspirin. She has also been fatigued and weak. During the last week, she has noticed that her wrist and ankle joints on both sides of her body are also painful and swollen. Blood is drawn to test for rheumatoid factor and antinuclear antibody. Synovial fluid is aspirated and...
CASE STUDY: PELVIC PAIN An 18-year-old woman presents to the emergency department with severe abdominal pain,...
CASE STUDY: PELVIC PAIN An 18-year-old woman presents to the emergency department with severe abdominal pain, which has been progressive over the last 3 days. Her menstrual period was due about the time her symptoms started. She admits to being sexually active with several partners in the past 2 months with inconsistent use of birth control 1. What are signs of inflammation given in the patient's history? 2. Which cardinal signs of inflammation can you see in the above images?...
Case Study - Kim kim is a 34-year old woman, presents with a four-month history of...
Case Study - Kim kim is a 34-year old woman, presents with a four-month history of pain in her hands and knees. Kim's background Smokes 12 cigarettes a day Alcohol occasionally No allergies No regular medication Family history of psoriasis (father); one brother who is well Husband well but works away from home Two children aged 11 and 13, well and helping with household duties Not coping, tearful, anxious Kim's history Location of Hands and knees pain? Onset? The pain...
A 30-year-old obese woman presents to your office with a chief complaint of recurrent yeast infections...
A 30-year-old obese woman presents to your office with a chief complaint of recurrent yeast infections and increased thirst. She also has noticed increased urinary frequency, but believes this is related to her yeast infection. Over the last several years, she has gained more than 40 lb despite having tried numerous diets, most recently a low-carbohydrate, high-fat diet. The patient’s only other pertinent history is that she was told to “watch her diet” during pregnancy because of excessive weight gain....
A 35 yr old woman presents to the emergency department with right flank pain. She reports...
A 35 yr old woman presents to the emergency department with right flank pain. She reports that she had a few days of urinary urgency, frequency, and burning which she tried to treat herself by drinking cranberry juice. Earlier that same day she started having a severe, colicky pain on her whole right side. She has a fever, and when she urinated this morning she noticed that it appeared to have blood. She has had a few UTI’s in the...
55 year old woman who was previously well presents with shortness of breath, fever, and cough...
55 year old woman who was previously well presents with shortness of breath, fever, and cough productive of sputum. She is a regular smoker and has not travelled abroad recently. Clinical examination reveals that her pulse is 104, her blood pressure 100/60 mmHg and her respiratory rate 32 breaths/ minute. A chest X-ray shows extensive consolidation at her lower left base and a small effusion. MORE INFO: the patient is treated with Ceftriaxone and clarithromycin and there is an initial...
Mrs. T., a 74-year-old white woman, drove herself to the emergency department, arriving at 10:30 AM....
Mrs. T., a 74-year-old white woman, drove herself to the emergency department, arriving at 10:30 AM. She complained of substernal chest pain with radiation to her back that began 1 hour ago. The pain is not relieved by rest or one sublingual nitroglycerin. She describes the pain as dull and rates it a 7 on a scale of 10. She feels nauseated but has not vomited. Mrs. T. has a history of hypertension, diabetes, and elevated cholesterol levels. She has...
CASE STUDY: PELVIC PAIN An 18-year-old woman presents to the emergency department with severe abdominal pain, which has been progressive over the last 3 days. Her menstrual period was due about the time her symptoms started. She admits to being sexually active with several partners in the past 2 months with inconsistent use of birth control 1. What are signs of inflammation given in the patient's history? 2. Which cardinal signs of inflammation can you see in the above images?...
Case Study - Kim kim is a 34-year old woman, presents with a four-month history of pain in her hands and knees. Kim's background Smokes 12 cigarettes a day Alcohol occasionally No allergies No regular medication Family history of psoriasis (father); one brother who is well Husband well but works away from home Two children aged 11 and 13, well and helping with household duties Not coping, tearful, anxious Kim's history Location of Hands and knees pain? Onset? The pain...
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