American Public University CHEM 133: CHEM 133 Array. UNIT 4 LAB QUIZ

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Victor Lockhart, a 29-year-old male, presents today with a fever of 100.6 F. He says 1 minute he is sweating and the next he is shivering and his stomach hurts. Dr. Osterlund documents paleness and... tenderness in the right hypochondria region. Victor is admitted to Weston Hospital, where blood tests, a liver function test, and a CT scan confirm the diagnosis of amebic liver abscess due to Entamoeba histolytica. Lauren Wheatle, a 68-year-old female, presents today with chest discomfort when resting. Dr. Billings completes an examination with ECG. The ECG reveals an elevated ST segment. Lauren is admitted to the hospital, where blood tests show elevated cardiac enzymes and a cardiac echo confirms the diagnosis of variant angina. Ruby Jenkins, a 26-year-old female, presents with popping or clicking sounds in her ears. After a thorough examination and the appropriate tests, Dr. Thompson diagnoses Ruby with palatal myoclonus. Paul Plum, an 8-month-old male, is brought in by his mother to see Dr. Wallace, Paul’s pediatrician. Paul’s stomach feels hard and he is also having some diarrhea and vomiting. Dr. Wallace notes Paul is failing to thrive and hospitalizes him. After blood tests and a hydrogen breath test are completed, Paul is diagnosed with congenital lactase deficiency Raykeem McFadden, a 63-year-old female, was last seen in this office 6 months ago for her annual checkup; no concerns were noted at that time. She presents today because of excessive itching after a warm bath. She also complains of a burning sensation in her arms, especially her left arm. Dr. Dingle completes a physical exam and notes aphasia, hepatosplenomegaly, and some loss of physical coordination. Raykeem is admitted to the hospital. The laboratory tests and bone marrow aspiration confirm a diagnosis of polycythemia vera. Charles Copeland, a 48-year-old male, presents today to see Dr. McElmurray. Charles is scheduled to have a cardiac pacemaker implanted. Dr. McElmurray completes the pre-procedural cardiovascular examination and clears Charles for the implant. Mendenhall Aguirre, a 37-year-old male, presents today with a burning sensation during urination. Dr. Boykin collects a penile swab specimen for a microscopic examination, which confirms trichomonal prostatitis. Martha Henry, a 38-year-old female, was diagnosed with breast cancer. Martha had a mastectomy 1 month ago and Dr. Martin chose to delay the breast reconstruction. Martha presents today for the breast reconstruction procedure. Alexandra Smith, a 31-year-old female, presents today to donate blood platelets for her child, who has been diagnosed with thrombocytopenia. Monica Pressley, a 37-year-old female, comes to see Dr. Wheaten today because she has been having diarrhea and abdominal cramping and states her heart feels like its quavering. The MRI scan confirms a diagnosis of benign pancreatic islet cell adenoma. Elizabeth Conyers, a 56-year-old female, presents with unexplained weakness, weight loss, and dizziness. Dr. Amos completes athorough examination and does a work-up. The protein electrophoresis (SPEP) and quantitative immunoglobulin results confirm the diagnosis of Waldenström’s macroglobulinemia. Steven Crooks, a 16-year-old male, presents today with a sore throat. Dr. Hoffman notes acute pharyngitis with a low-grade fever, as well as petechiae on the roof of the mouth. A serological test confirms the diagnosis of Epstein–Barr infectious mononucleosis. Kewane Childs, a 44-year-old female, has a history of smoking cigarettes for 15 years; she quit last year. Kewane sees Dr. Cope for a dry cough, hoarse voice, and coughing up blood. Dr. Cope notes crepitation and dyspnea. Kewane is admitted to the hospital. The MRI scan and lung function tests confirm a diagnosis of neoplasm of the trachea, malignant primary. Margaret Carll, a 28-year-old female, presents today with the complaint of feeling dizzy and has some headaches. Dr. Dithomas notes a fever and completes an ECG, which shows an ST depression.PMH and PFH are noncontributory. Margaret is admitted to the hospital, where further blood tests, a chest CT scan, and a ventilation scan confirm the diagnosis of hyperventilation (tetany). Babbs Fisher, a 48-year-old female, just returned from an African vacation. Babbs is brought in by her husband, George, who noticed she was acting confused. Dr. Carla notes a low fever. Babbs states she feels tired and has a sore throat. She started vomiting this morning and admits to abdominal pain. Dr. Carla examines Babbs and orders an enzyme-linked immunosorbent assay (ELISA) test, which confirms the diagnosis of Ebola virus. Babbs is admitted to Weston Hospital for treatment. Eric Lewter, a 56-year-old male, presents with the feeling of tiredness but has been sleeping a lot over the last 3 to 4 months. Eric is accompanied by his wife, Peggy, who states she has noticed some mild mood changes as well. Dr. Shealy completes a thorough examination and the appropriate tests and diagnoses Eric with Kleine-Levin syndrome (KLS). Kevin Genutis, a 24-year-old male, presents with the complaint of experiencing early orgasm and ejaculation, usually a minute or two after beginning sexual activity. Dr. Fox completes an examination and diagnoses Kevin with premature ejaculation. [Show More]

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