Discussion 4 Urinary Function: Mr. J.R. is a 73-year-old man, who was admitted to

 

Discussion 4

Urinary Function:
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.

Case Study Questions

1. The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.

2. Create a list of risk factors the patient might have and explain why.

3. Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.


Reproductive Function:
Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae
(-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci

Case Study Questions

1. According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.

2. Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?

3. Name the criteria you would use to recommend hospitalization for this patient.

 

Submission Instructions:

· Complete both case studies.

· Your initial post should be at least 
500 words per case study, formatted and cited in current APA 7 style with support from at least 3 academic sources.

·
Due Wednesday April 3rd at 11:59pm

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Based on the Learn items, what role does or should

Based on the Learn items, what role does or should cyber intelligence and counter intelligence play today? Discuss information warfare theory and application.  Provide an overview of high-level legal aspects both within the U.S. and internationally as they pertain to cybersecurity. Finally, discuss and defend your stance on the use

Explain how you performed your research for the project with

   Explain how you performed your research for the project with the use of a minimum of 5 different research sources. The names of these research sources can be a website, a book, an eBook, a journal or a newspaper article. Do not give the website URL address in this

Retailer-Manufacturer Report

This assessment involves an interactive task based on a negotiation between two students- one representing a manufacturer and the other representing a retailer. The manufacturer firm is Sydney shirts, manufacturing high quality, differentiated, and nationally advertised brand of business shirts.   In this exercise, the distribution manager of Sydney shirts

The final portfolio project is a three- part activity. You

The final portfolio project is a three- part activity. You will respond to three separate prompts but prepare your paper as one research paper. Be sure to include at least one UC library source per prompt (which means you’ll have at least 3 sources cited). Start your paper with an introductory

The Social Contract, Rousseau – Premium Paper Help

Premium Paper Help is a professional writing service that provides original papers. Our products include academic papers of varying complexity and other personalized services, along with research materials for assistance purposes only. All the materials from our website should be used with proper references.

1. Please use your won words to write 240 words

1. Please use your won words to write 240 words to answer Discussion Question ( SEE ATTACHMENT) (USE AT LEAST 1 APA FORMAT REFERENCE) 2. Please use your won words to reply 80 words to a classmate answer ( I will post later) 3.Please use your won words to write

DQ1 In your own words, define systematic, naturalistic, and structured

DQ1 In your own words, define systematic, naturalistic, and structured observations. Describe the limitations of each. Are there certain behaviors that might be difficult to observe? Why? Give an example of that behavior. (200 Words). DQ2 Summarize the findings from your developmental chart for this week. Explain your new learnings

Do you feel that all people should be treated equally

  Do you feel that all people should be treated equally and have access to the same opportunities? Do you believe that working hard is a personal responsibility? Values—including those related to equality, charity, and work ethic—influence how individuals view the world. They also form the basis of social work

Think Like a Nurse:

1. Think Like a Nurse: 1 Page Recall Mr. Singh from Meet Your Patient. Refer to Volume 1 of your text as needed. How would you evaluate Mr. Singh’s surgical risk? What additional information do you need to answer this question? 2.Think Like a Nurse: 1 Page Identify changes in

TREATMENT PLAN Introduction For this assignment, you will continue working

   TREATMENT PLAN Introduction For this assignment, you will continue working with the same client from the Client Assessment and Treatment Plan for whom you conducted a biopsychosocial assessment in Week 7. Complete all components of the Treatment Plan form, found in the Client Assessment and Treatment Plan media, for

Stories told through news media and documentary films continually illustrate

 Stories told through news media and documentary films continually illustrate the inequities in the criminal justice system. In general, these inequities fall along race and class lines. Considering the multiple components of the system (i.e., law enforcement, the courts, and prisons), where are the greatest injustices found? And what should

Administer a safety survey (e.g., the Injury Prevention Program [TIPP]

Administer a safety survey (e.g., the Injury Prevention Program [TIPP] from the American Academy of Pediatrics, or develop your own) to assess the home environment of a 6-month-old and a 5-year-old. 1.  Develop a plan of education and anticipatory guidance for the family. 2. How would you apply this information

Scenario: The Happy Valley long-term care director notes that past

Scenario: 
The Happy Valley long-term care director notes that past marketing directors and marketing teams made assumptions concerning patient expectations and offered a limited degree of amenities. However, current research indicates that the baby boomer generation will expect a far greater degree of amenities such as TVs in rooms and

The Alpha Machine Tool Project, pages 824 and 826–828, provides

  The Alpha Machine Tool Project, pages 824 and 826–828, provides a sample of the essential elements of a contract performance report (CPR) (i.e., Tables 15–19). Answer only questions 10 through 23 (on pages 827–828) to Problem 15-18 (which starts on page 824). Address the following additional instructions in your

Research one of the historical figures who contributed to our

  Research one of the historical figures who contributed to our understanding of electricity and magnetism. Explain something cool about the historical character you chose, and share your sources. OR Should the United States continue to invest in Nuclear power? Support your position.  T.D. Renewable energy includes solar, wind, geothermal