Can cirrhosis of the liver be a cause of upper digestive bleeding? What is the prognosis? Explain.

According to the patient's previous medical history, it is possible that he has cirrhosis of the liver? Why? Can cirrhosis of the liver be a cause of upper digestive bleeding? What is the prognosis? Explain.

Personal Information

Name: Mr. Christopher Franklin

Age: 60 years old

Gender: Male

Description

Mr. Franklin is a 60-year-old patient with a history of a thrombotic cerebrovascular accident two years ago. After the stroke, he started with seizure attacks. He has been suffering from hypertension for the last ten years and ulcerative colitis since last year. He currently takes lisinopril, hydrochlorothiazide, aspirin, carbamazepine, and a low dose of prednisone.

Mr. Franklin has been suffering from epigastric pain, the sensation of fullness, and occasional nausea for the last six months. This time, he was brought to the ER because, while he was talking to his son, he had a dizzy spell and fell to the floor. He is conscious and is complaining of severe epigastric pain. He began with mild abdominal pain two days after he started taking a new cycle of prednisone for his colitis, around seven days ago. The pain increases when he eats or drinks something. He is also complaining of suffering from pyrosis, malaise, and dizziness, and he has noticed that his feces are dark.

The patient was a heavy alcohol drinker until he had the stroke. He is a cigarette smoker since he was 20 years old. His mother suffered from Alzheimer’s disease and died of colon cancer, and his father died of cirrhosis of the liver.

On physical examination we found:

Remarkable Signs on Physical by Regions

Abdomen: Pain on palpation on epigastric region

SOMA: Right hemiplegia and hyperreflexia

Remarkable Signs on Physical by Systems

Integumentary system: Pallor, diaphoresis, coldness

Cardiovascular system: Tachycardia. Blood pressure 70/50 mmHg. Radial pulse 110.

Digestive system: Tenderness of epigastric region. A rectal exam showed melena.

Neurologic system: The patient is conscious and well oriented to time, place, and person. Right hemiplegia and hyperreflexia.

Lab Tests

Complete blood count (CBC)

Metabolic panel

Lipid panel

Abdominal CT scan

Esophagogastroduodenoscopy

Main Diagnosis

Upper digestive bleeding due to drug-induced gastritis

Hypovolemic shock

Acute anemia

Other Diagnoses

Stabilized thrombotic cerebrovascular accident

Epilepsy

Essential hypertension

Ulcerative colitis

I Gastroenterology Consultation Report

Handout Instructions: Below is an item from a patient’s 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.

I Gastroenterology Consultation Report

Handout Instructions: Below is an item from a patient’s 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.

1.) Giving examples, explain why collagen disorders result in such a diverse array of symptoms.

2.) Explain why the symptoms of fumarase deficiency are similar to the symptoms of a deficiency in aconitase.

3.) Zach gets intravenous antibody infusions every 3 months to treat an autoimmune disorder. Why can’t he just take a pill for this?

I^S P⁺ O⁺ Z⁺Y⁺ / I⁺ P⁺ O^CZ^- Y⁺

In the presence of lactose, an E. coli possessing the lac Operon/ plasmid system above would

A voltaic cell similar to that shown in the figure above is constructed. The electronic device shown at the top of the figure is a volt meter. One electrode compartment consists of a aluminum strip placed in a 1.0 M Al(NO3)3 solution, and the other has a nickel strip placed in a 1.0 M NiSO4 solution. The overall cell reaction is:2 Al(s) + 3 Ni2+(aq) 2 Al3+(aq) + 3 Ni(s)(a) Fill in the information necessary to complete the half reactions that occur in the two electrode compartments. Use the lowest-possible whole-number coefficients. To input an ion surround the ion's element symbol with square brackets and put the ion's charge to the right like this: Al3+ = [Al]3+ (not [Al]+3), and Li+ = [Li]+ (not [Li]1+ or [Li]+1). Do not use brackets for neutral species.Anode half reaction: (s) (aq) + e-Cathode half reaction: (aq) + e- (s)(b) Figure out which electrode is the anode, which is the cathode, the signs on these electrodes, the direction in which the electrons flow through the volt meter, and the direction in which cations and anions migrate through the salt bridge and solutions. Use this work to pick all of the statements from below which are true. The nickel electrode is positive and the aluminum electrode is negative.The nickel electrode is the anode and the aluminum electrode is the cathode.The aluminum electrode is positive and the nickel electrode is negative.Electrons flow from the nickel electrode to the aluminum electrode through the volt meter.Anions migrate from the 1.0 M Al(NO3)3 solution through the salt bridge to the 1.0 M NiSO4 solution.Electrons flow from the aluminum electrode to the nickel electrode through the volt meter.Cations migrate from the 1.0 M NiSO4 solution through the salt bridge to the 1.0 M Al(NO3)3 solution.The aluminum electrode is the anode and the nickel electrode is the cathode.Cations migrate from the 1.0 M Al(NO3)3 solution through the salt bridge to the 1.0 M NiSO4 solution.Anions migrate from the 1.0 M NiSO4 solution through the salt bridge to the 1.0 M Al(NO3)3 solution.

3) A battery is constructed of a Sn^o electrode immersed in a 1.0 M Sn²⁺_(aq) solution, and a hydrogen electrode (Pt^o electrode in 1.0 M H⁺_(aq) , H_{2 (g)} at 1.0 atm). Which of the following statements is not true?

2 H⁺_(aq) + 2 e^- ? H₂^o E^o = 0.00 v

Sn²⁺_(aq) + 2 e^- ? Sn^o E^o = - 0.14 v

A) The voltage if the battery is 0.14 v.

B) The tin electrode, Sn, is the cathode.

C) The K⁺ of the salt bridge migrate towards the Pt^o electrode of the hydrogen half-cell.

D) The )G value for the battery reaction must be = 0.0 kJ/mole.

E) Electrons flow through the external circuit (the wire connecting the electrodes) from the Sn^o electrode to the Pt^o electrode.

How many watts would be produced from this circuit if the 6.00 V battery were replaced with a 586 V battery?

Now that you have learned about entrepreneurship, think about the business that you want to start. Once you have thought about the business that you want to start, please answer the questions below. Please make sure the word count is between 250-500 words. 

1 What, exactly, is your business idea? Is it feasible?

2 What industry do you want to enter? Why? 

3 What will be your competitive advantage?

4 Do you want to start a new business, buy an existing one, or buy a franchise? Why? 

5 What form of business organization do you want? Why? 

6 Do you have what it takes to be a successful Entrepreneur? Why? 

Warm-Up: In at least 5 sentences tell me what your business does and what tone and emotion you want your business to convey to your consumers and clients

Answer this NOW!!! because this close at 10 minutes

A 6.00-V battery is connected across a 2.00-kΩ resistor.

A) How much current (A) and how many electrons/second flow through the circuit?

B) How many joules of heat are produced for each electron?

C) If the circuit operates for 30.0 min, how many moles of electrons will have flowed through the resistor?

 In at least 5 sentences tell me what your business does and what tone and emotion you want your business to convey to your consumers and clients.

Because my business is The Great Pizza & Pasta Place.

I need you to help me because I don’t know how to answer the questions on my own.

Assume that a PEM fuel cell consumes 1 kmole of hydrogen per second, how many moles of electrons are “flowing” in the circuit per second? How much electrical charge is carried on by these electrons?

What parts do all plants have, and what parts do only some plants have?

6. Predict: How would a change to the sequence of nucleotides in a DNA segment affect the mRNA transcribed from the DNA?

Suppose you are given the following information about a particular industry: QD = 6500-100P Market demand QS = 1200P Short run market Supply C(q) = 784 + q2 /400 Firm total cost function Assume that all firms are identical and that the market is characterized by perfect competition. a) Using the demand and supply curves above find the short run equilibrium price and quantity in the industry. b) Using the total cost function derive the marginal cost function for firms in the industry. c) Using your answers to parts a) and b) find the quantity produced by each firm in a short run competitive equilibrium. Find the profit of each firm in the short run equilibrium. d) Using your answers to parts a) and c) find the number of firms in a short run equilibrium. e) Would you expect to see entry into or exit from the industry in the long run? Explain. What effect will entry or exit have on market equilibrium (market price and quantity)? f) Given the cost curve above, what is the long run equilibrium price in the industry?

MULTIPLE CHOICE

Which of the following is NOT true about trade?

1. Trade will cause expansion in the export-orientedsector.

2. Trade will cause contraction in the import-competingsector.

3. Trade occurs because of similarities in the availability offactor inputs across countries and differences in the proportionsof those factors that are used in producing differentproducts.

4. None of the above.

Please explain. Thank you!

What is a credit score?

Write a typical scenario about a student just entering college trying to build a credit score

Write a typical scenario about a student just entering college trying to build a credit score. Stress about there finances.

1.In four-o'clock plants, red flower color is dominant to white flower color. However, heterozygous plants have a pink color. If pink-flowered plants are self-crossed, what will be the phenotypic ratios of their offspring?

A. ½ pink, ½ white

B. All pink

C. ½ red, ½ pink

D. ¼ red, ½ pink, ¼ white

E. 1/3 red, 1/3 pink, 1/3 white

1. Two heterozygous pink plants are crossed. Some offspring are red (PP), some are pink (Pp), and some

are white (pp). What is the genotypic ratio? What is the phenotypic ratio?

2. A heterozygous female with black eyebrows and red toenails (BbRr) mates with a homozygous male

with blue eyebrows and yellow toenails (bbrr). What percent of offspring will have blue eyebrows and

red toenails? What percent of offspring will have black eyebrows with yellow toenails?

Fingernails and toenails start to form in the ________ week of development in uteral

True or False?

1)If demand is perfectly inelastic and supply is elastic, then sellers bear the whole tax burden.

2)Absolute advantage is the basis for gains from trade.

3)A price ceiling set above the equilibrium price will create a permanent surplus.

4)The deadweight loss from taxation will be zero if demand for proudct is perfectly inelastic.

5)Buyers will pay the whole tax burden if demand is more elastic than supply

One of the following would not to lead to a deadweight loss.Which one?

a. A tax imposed on sellers when demand is downward sloping andsupply is perfectly elastic

b. A price ceiling that is set below the equilibrium price

c. A subsidy paid to sellers when both demand and supply areelastic, but not infinite

d. A tax imposed on sellers when demand is perfectlyinelastic

e. All the above will result to a deadweight loss

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What is an ecosystem?What is a biosphere?

What is ecosystem?

A) Briefly describe the structures of class 1 MHC and class 2 MHC protein

B) Briefly describe how MHC class 2 molecules allow immune cells to communicate with one another.

C) Class 3 MHC molecules are not cell-surface proteins. What are they, and what do they do?

Prior Knowledge Questions (Do these BEFORE using the Gizmo.)

1. Suppose you want to design and build a house. How would you communicate your design plans with the construction crew that would work on the house? 

2. Cells build large, complicated molecules such as proteins. What do you think cells use as their “design plans” for proteins?