Patho Exam 2 GCU Questions And Answers | 2024 Latest Study Solutions

A patient presents with a severe headache blurry vision. He said he has not hit his head, but earlier this evening he felt a lot of pressure behind his right eye and then it started to go dark. You get a medical history and find that he is an avid smoker. His bp is elevated and his 58th birthday is next weekend. What is your diagnosis? How can you test to be sure? - Brain (berry) aneurysm CT/MRI or Cerebral arteriogram A 22 year old female patient presents with severe abdominal pain. Her amylase and lipase levels are in good standing, her CRP levels are within normal range, but she continues to cry out. You do a blood test and find that her ABGs and CBC come back absolutely normal; but her her blood pressure is extremely high and her plaque levels are also elevated. Her medical record shows a mother and grandfather with Marfan's Syndrome. What is her diagnosis? How can you be sure? How can you treat it? - Abdominal Aorta Aneurysm Abdominal Ultrasound, CT or MRI AAA Stent A patient presents with extreme gastric pain. She says that she has had heart burn all week and is exemplified after she finishes smoking. Rolling your eyes when you turn around, what do you think is wrong with her? - She likely has a Peptic Ulcer A patient presents with acute abdominal pain and melena. He complains that he has migraines every day and takes Ibuprofen and Aspirin every morning with a shot of Jack to ease his headaches. With this combination of Non-Steroidal Anti-inflammatory drugs and alcohol mix, what is your initial diagnosis and how can you test for this? - Peptic Ulcer Upper GI EndoscopyA female complains of feeling very ill the past week. She has a fever and complains of a searing pain in her vagina. When she urinates; blood comes out. What is this symptom called? How can you test to find out what is wrong? - Hematuria Urinary analysis, MRI, US, or Cystoscopy What is the likely cause of hematuria if there is there is an alarming level of calcium inside of the a blood test? - Nephrolithiasis A patient presents with extensive bleeding that does not seem to stop. She has a small but deep laceration on her thigh. What is your dd after 10 minutes of consistent-bleeding? - Hemophilia or Von Willebrand's Disease A patient explains that he has been feeling very weak and his back has been in pain since falling off a ladder and landing on his back three weeks ago. You can tell that there is a mass on his back through his shirt. When he takes it off, it is severely bruised and very dark. There is a bulging swelling around his lumbar spinal vertebrae. Concerned, you order a blood test and order an APTT and PT test. His PT Test comes back normal, however her APTT is elongated. What disease does this study describe? How can you explain the swelling/mass? APTT and PT test results? - Hemophilia The swelling is due to falling on his back and him having posterior swelling. The vertebral foramen have acted as pockets for blood The APTT test confirms hemophilia. A mother and daughter were involved in a car crash earlier this evening. They were brought to your ER and both were bleeding excessively. With your amazingly extensive knowledge of bleeding disorders, you immediately think of _________________. What test would you do to confirm this? - Von Willebrand's Disease. Blood Test for platelets and vWF; APTT and PT test to determine normal levels Mrs. Barrow, age 25, has just been transferred to the postpartum unit from the recover room following an emergency C-Section for an abruption placenta following a MVA this morning. What would you keep an eye out for? - DICA male patient presents with an extremely low platelet count after sustaining full-body 3rd degree burns. He decided it would be a good idea to jump a ring of fire on his unicycle. It didn't work out. His PT and PTT times are extremely fast and is currently hypotensive. What is your diagnosis? How can you treat this? - DIC Prescribe Anticoagulants and stimulate Fibrinolysis A patient presents with severe abdominal pain and complains that she feels a lot of pressure. Her blood tests come back with regular amylase, lipase, and uric acid levels, but her estrogen levels are slightly elevated. She explains that, for the past week, she has been having dysmenorrhea and severe cramps. She explains symptoms of metromenorrhagia. What is her diagnosis? How can you be sure/what test should you perform? - Leiomyoma Transvaginal US and possibly a biopsy to rule out cancer