Posted: November 9th, 2022

Mr. J.R. is a 73-year-old man

Urinary Operate:
Mr. J.R. is a 73-year-old man, who was admitted to the hospital with scientific manifestations of gastroenteritis and potential renal harm. The affected person’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weak point, dizziness, and a bothersome metallic style within the mouth. The affected person is pale and sweaty. He had been properly till two days in the past, when he started to expertise extreme nausea a number of hours after consuming two burritos for supper. The burritos had been ordered from a native fast-food restaurant. The nausea persevered and he vomited twice with some reduction. Because the night progressed, he continued to really feel “very dangerous” and took some Pepto-Bismol to Help settle his abdomen. Quickly thereafter, he started to really feel achy and heat. His temperature on the time was 100. 5°F. He has continued to expertise nausea, vomiting, and a fever. He has not been in a position to tolerate any strong meals or liquids. Since yesterday, he has had 5–6 watery bowel actions. He has not seen any blood within the stools. His spouse introduced him to the ER as a result of he was turning into weak and dizzy when he tried to face up. His spouse denies any latest journey, use of antibiotics, laxatives, or extreme caffeine, or that her husband has an consuming dysfunction.

Case Research Questions
1. The attending doctor is pondering that Mr. J.R. has developed an Acute Kidney Harm (AKI). Analyzing the case offered title the potential sorts of Acute Kidney Harm. Hyperlink the scientific manifestations described to the various kinds of Acute Kidney harm.
2. Create a record of danger elements the affected person might need and clarify why.
three. Sadly, the injury on J.R. kidney turned irreversible and he is now identified with Continual kidney illness. Please describe the problems that the affected person might need on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms concerned.

Reproductive Operate:
Ms. P.C. is a 19-year-old white feminine who stories a 2-day historical past of decrease belly ache, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually energetic with just one companion for the previous eight months. She has no earlier historical past of genitourinary infections or sexually transmitted illnesses. She denies IV drug use. Her LMP ended three days in the past. Her final intercourse (vaginal) was eight days in the past and she or he states that they didn’t use a condom. She admits to unprotected intercourse “each as soon as in a whereas.” She famous an irregular vaginal discharge yesterday and she or he describes it as “thick, greenish-yellow in coloration, and really smelly.” She denies each oral and rectal intercourse. She doesn’t know if her companion has had a latest genitourinary tract an infection, “as a result of he has been away on enterprise for 5 days.
Microscopic Examination of Vaginal Discharge
(-) yeast or hyphae
(-) flagellated microbes
(+) white blood cells
(+) gram-negative intracellular diplococci

Case Research Questions
1. In line with the case offered, together with the scientific manifestations and microscopic examination of the vaginal discharge, what is essentially the most most likely analysis for Ms. P.C.? Help your reply and clarify why you get to that analysis.
2. Primarily based on the vaginal discharged described and the microscopic examination of the pattern might you recommend which might be the microorganism concerned?
three. Title the factors you’d use to advocate hospitalization for this affected person

Submission Directions:
• You need to full each case research.
• Your preliminary publish needs to be at the very least 550 phrases per case examine, formatted and cited in present APA type with Help from at the very least four educational sources.

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