Based on a patientâs symptoms and some laboratory tests, a patient is diagnosed as having insufficient dopamine release from a processing area dealing with movement. The patient is prescribed L-dopa and although the movement problems improve, the patient starts to âhear dead peopleâ. The dose of the patientâs medication is adjusted and the patient becomes essentially symptom free. What were the patientâs initially symptoms? What area was affected? What is the normal function of this area? What would be the name given for the original diagnosis of this condition? What name could be given to the condition that was induced by the medication (the one that made the patient hear things that were not there)? What system did this belong to?
Based on a patientâs symptoms and some laboratory tests, a patient is diagnosed as having insufficient dopamine release from a processing area dealing with movement. The patient is prescribed L-dopa and although the movement problems improve, the patient starts to âhear dead peopleâ. The dose of the patientâs medication is adjusted and the patient becomes essentially symptom free. What were the patientâs initially symptoms? What area was affected? What is the normal function of this area? What would be the name given for the original diagnosis of this condition? What name could be given to the condition that was induced by the medication (the one that made the patient hear things that were not there)? What system did this belong to?
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I Gastroenterology Consultation Report
Handout Instructions: Below is an item from a patientâs medial record. Read it carefully, make sure you understand all the medical terms used, and then answer the questions that follow. Please follow the instructions given on the email to submit assignment.
Gastroenterology Consultation Report |
Reason for Consultation: Evaluation of recurrent epigastric and LUQ pain with anemia. History of Present Illness: Patient is a 56-year-old male. He reports a long history of mild dyspepsia characterized by burning epigastric pain, especially when his stomach is empty. Over-the-counter antacids have relieved this pain. Approximately two weeks ago, the pain became significantly worse; he is also nauseated and has vomited several times. Past Medical History: Patientâs history is not significant for other digestive system disorders. He had a tonsillectomy at age 8. He sustained a compound fracture of the left ankle in a bicycle accident at age 11 that required surgical fixation. More recently he has been diagnosed with an enlarged prostate gland, and surgery has been recommended. However, he would like to resolve this epigastric pain before going forward with the TUR. Results of Physical Exam: CBC indicates anemia, and a fecal occult blood test is positive for blood in the feces. A blood test for Helicobacter pylori is positive. Erosion in the gastric lining was visualized on an upper GI. Follow-up gastroscopy found evidence of mild reflux esophagitis and an ulcerated lesion in the lining of the pyloric section of the stomach. This ulcer is 1.5 cm in diameter and deep. There is evidence of active bleeding from the ulcer. Multiple biopsies were taken, and they were negative for gastric cancer. IV Tagamet relieved the painful symptoms in two days. Assessment: Peptic ulcer. Gastric cancer has been ruled out in light of the negative biopsies. Recommendations: A gastrectomy to remove the ulcerated portion of stomach is indicated because the ulcer is already bleeding. Patient should continue on Tagamet to reduce stomach acid. Two medications will be added: Keflex to treat the bacterial infection and iron pills to reverse the anemia. Patient was instructed to eat frequent small meals and avoid alcohol and irritating foods. |
This patient reports LUQ pain. What does LUQ stand for and what organs do you find there? |
This patient had two diagnostic tests that indicated he was losing blood. Name these two tests (no abbreviations). |
This patient had a procedure to visually examine the ulcer. Name the procedure done. |
Name the serious pathological condition that was ruled out. |
A 2-year-old male child was brought to the emergency room to determine why he was suddenly refusing to walk and complaining of pain in his right leg. There was no history of trauma. He had been seen by his pediatrician earlier in the day due to the presence of fever and with an upper respiratory infection; he was diagnosed with otitis media, prescribed an antibiotic, and sent home.
Physical tests in the emergency room revealed pain and tenderness of the right ankle. There was also some edema and erythema. X-ray tests of the lower extremities did not reveal any fractures or displacements. Laboratory tests were ordered on his peripheral blood and a fluid aspirate was taken from the ankle. Lab results on these samples are listed on the table below:
Peripheral Blood WBC Count | 26,000/μL |
Peripheral Blood Differential | Neutrophils 77% Lymphocytes 19% Monocytes 4% |
Erythrocyte Sedimentation Rate | Elevated |
Plasma Glucose | 96 mg/dL |
Ankle Fluid Physical Appearance | Yellow, purulent |
Ankle Fluid WBC Count | 22,000/μL |
Ankle Fluid RBC Count | 375,000/μL |
Ankle Fluid Differential | Neutrophils 95% Macrophages 5% |
Ankle Fluid Glucose | 39 mg/dL |
What is the name for the fluid collected from the patientâs ankle, and what is the procedure used to collect that fluid called?
What collection tubes should the fluid be placed into, and to which laboratory department does each tube go?
Which lab results are abnormal?
What type of disorder do you suspect causing the illness in this patient? (More than one answer may be correct)
What additional testing could be performed to prove your suspected diagnosis?