The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12
A three-month-old baby boy comes into your clinic with the main complaint that he frequently vomits after eating. He often has a swollen upper belly after feeding and acts fussy all the time. The vomiting has become more frequent this past week and he is beginning to lose weight.
Write three (3) differential diagnoses at this time?
Is there any genetic component to the top of your differentials?
What tests would you order?
Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:
Sodium (Na+)
156 mEq/L H
Potassium (K+)
4.0 mEq/L N
Chloride (Cl–)
115 mEq/L H
Arterial blood gases (ABGs)
pH- 7.30; Pco2-40; Po2-70; HCO3-20
METABOLIC ACIDOSIS with respiratory compensation, High anion gap
Normal values
Sodium (Na+)
136-146 mEq/L
Potassium (K+)
3.5-5.1 mEq/L
Chloride (Cl–)
98-106 mEq/L
Arterial blood gases (ABGs)
pH- 7.35-7.45
Pco2- 35-45 mmHg
Po2-80-100 mmHg
HCO3–22-28 mEq/L
List three (3) reasons on why she may have become bed ridden?
Flu? Pneumonia?
Based on these reasons what tests would you order?
Accu check? CXR? Lactic Acid level, serum and urine ketone levels
Describe the molecular mechanism of the development of ketoacidosis. (p. 744) *Pt’s who develop DKA do so bc bicarbonate buffering does not occur, which begins the development of metabolic acidosis
pH 7.30 = acid
CO2 40 = Normal
O2 70 = Low
HCO3 20 = acid
Prepare a paper that meets or exceeds the following requirements:
Using current data, determine whether or not the United States still has the highest level of spending among OECD countries. Discuss trends in data concerning spending and determine if rates are higher or lower.
Discuss the impact of technology and its relationship to spending in the United States vs. health outcomes.
Support and justify your opinions with credible reference sources. Include three to five peer-reviewed articles as reference sources.
Your paper should include the following:
Four to six pages in length, not including the title and reference pages.
Include five (5) current quality references, three (3) of these references must be peer-reviewed articles. All references should be five year old or less. Remember, you must support your thinking/opinions and prior knowledge with references; all facts must be supported; in-text references used throughout the assignment must be included in an APA-formatted reference list.
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