Answer:
Increased
Explanation:
A client who sustained a spinal cord Injury at the level of reports a severe headache and is diaphoretic with flushed head and neck . The client's pulse is 47 and BP is 220/11 mmHgThe nurte concludes that the client needs Immediate treatment for which
Answer:
Mayo Foundation for Medical Education and Research
38-Year-Old Woman With Hypertension, Headaches, and Abdominal Bruit
Mira T. Keddis, MD and Vesna D. Garovic, MD
Additional article information
A 38-year-old woman presented to her local clinic for recurrent episodes of headache of several weeks' duration. Evaluation revealed a blood pressure of 202/136 mm Hg. The patient was prescribed 37.5 mg of triamterene with 25 mg of hydrochlorothiazide (1 tablet) twice daily and 50 mg of atenolol once daily.
Her blood pressure remained elevated, and her headaches persisted. She was referred to the hypertension clinic for further management.
The patient's medical history was remarkable for preeclampsia during her second pregnancy 9 years previously. She smoked half a pack of cigarettes per day for 15 years. Her alcohol use was limited to social gatherings and consisted of 1 to 2 drinks monthly. She exercised regularly and had a balanced low-salt diet. Essential hypertension was common on her maternal side.
On physical examination, the patient's blood pressure was 172/100 mm Hg (both arms), and her heart rate was 90 beats/min. Findings on funduscopic examination were normal. Cardiac examination revealed a grade 2/6 systolic ejection murmur at the right upper sternal border. Abdominal examination was remarkable for a systolic-diastolic bruit present over the right midabdomen without palpable masses. No evidence of pitting edema was observed, and findings on lung examination were normal.
Initial work-up included the following (reference ranges shown parenthetically): hemoglobin, 14.1 g/dL (12.0-15.5 g/dL); creatinine, 0.8 mg/dL (0.7-1.2 mg/dL); sodium, 139 mEq/L (135-145 mEq/L); potassium, 4.2 mmol/L (3.6-4.8 mmol/L); bicarbonate, 29 mEq/L (22-29 mEq/L), and calcium, 9.5 mg/dL (8.9-10.1 mg/dL). Findings on electrocardiography were normal.
On the basis of this patient's clinical context, which one of the following is the most likely diagnosis?
Anxiety
Essential hypertension
Secondary renovascular hypertension due to atherosclerotic renal artery stenosis
Secondary renovascular hypertension due to fibromuscular dysplasia (FMD)
Hypertension associated with renal insufficiency
Anxiety can be associated with episodes of dramatic but temporary elevations in blood pressure. This patient's hypertension appears to be persistently elevated, which argues against this diagnosis.
Essential hypertension commonly occurs in middle-aged people who are usually asymptomatic with normal findings on physical examination.1 Secondary hypertension, defined as the presence of a specific condition known to cause hypertension, may affect up to 10% of hypertensive patients. It commonly presents as resistant hypertension, defined as an inability to control blood pressure despite the concurrent use of 3 antihypertensive agents, one of which is a diuretic.2 Our patient's severe stage 2 hypertension (defined as a systolic blood pressure ≥160 mm Hg and/or a diastolic blood pressure ≥100 mm Hg), young age, and inadequate response to blood pressure therapy argued against essential hypertension and raised suspicion for secondary causes.
Renovascular hypertension results from critical stenosis of the renal arteries. When the stenosis is sufficiently severe (ie, causing ≥75% diameter reduction), renal hypo perfusion ensues, leading to up-regulation of renin in the affected kidney. Consequent stimulation of angiotensin II and aldosterone leads to vasoconstriction and salt retention, respectively, which play a central role in the development of renovascular hypertension. Abdominal bruits, particularly those that have a diastolic component and lateralize to the renal areas, are suggestive of renal artery stenosis. Our patient's clinical presentation was highly suggestive of renal artery stenosis. Although atherosclerotic renal artery stenosis usually occurs in elderly patients with cardiovascular comorbid conditions such as hyperlipidemia and coexisting atherosclerotic vessel disease, fibromuscular dysplasia commonly affects young women with a history of smoking.3 Considering our patient's age, sex, and history of smoking, renovascular hypertension due to renal artery stenosis secondary to fibromuscular dysplasia was the most likely diagnosis. Hypertension associated with renal insufficiency was less likely given the negative findings on physical examination, normal kidney function, and absence of significant proteinuria on urinalysis.
A 45-year-old man is being seen because he has been experiencing vision changes, a burning sensation in his feet, and decreasing amounts of urine when he uses the bathroom. He has a long-standing history of hypertension and hyperlipidemia. Your physical exam reveals retinal hemorrhages in both eyes and decreased sensation to moderate touch in the soles of his feet. A spot urinalysis shows microalbuminuria and a stat Basic Metabolic Profile (BMP) shows decreased Glomerular Filtration Rate (GFR).
Required:
Describe the pathophysiologic processes related to your diagnosis that explain the signs/symptoms, and lab results obtained.
Answer:
45nyear old man hu
Explanation:
1. What are the two types of orofacial clefts?
and
how do you assess if your community is healthy what are the characteristics of a healthy community
Answer: Health is the state of physical, mental, and social well being.
Explanation:
The assessment of the healthy society can be done by keeping in mind the parameters that are required to be checked upon the population like physical, mental and social health. The physical and mental health can be checked upon by routine check up like blood pressure check, weight, skin, assessment of any kind of chronic disease like chronic heart diseases, diabetes, obesity, and others. The less incidences of chronic and pandemic ailments can be considered in saying that the population is healthy. The community is said to be healthy when majority of the population is free from obesity, anemia, free from social disputes in the neighborhood, clean ambience, and pollution free surroundings.
True or False: The Recommended Dietary Allowance is defined as the average daily
nutrient requirement adequate for meeting the needs of most healthy people within each
life stage and sex
Answer:
i think its true
Explanation:
Today you are seeing a 35 year old, with no complaints except for her broken finger. Prior to doing surgery to fix the finger bone, your assistant collects blood for routine blood work. The results come back indicating high glucose levels, Diabetes. Should we start treatment immediately so she does not progress to the symptomatic stage of Diabetes?
a. True
b. False
After flowing through venules, then veins, eventually all blood enter either the superior or inferior _______ which empty into the heart.
Answer:
wait let me think
Explanation:
what causes parasympathetic activity
Answer:
Stimulating the vagus nerve stimulates the parasympathetic nervous system, which in turns reduces our neurophysiological experience of stress. It reduces our heart rate and blood pressure. It influences the limbic system in our brain, where emotions are processed.
Explanation:
Why is it important for us that we identify the proper posture, body position and the mechanics in executing the "set" skill in volleyball.
"A volleyball set is an over the head pass to a hitter so they are able to spike the volleyball over the volleyball net. A hitter wants a setter they can trust to put the ball where it needs to be when it is supposed to be there."
source: myosource.com
How common is Anorexia in the US?
Answer:
The incidence of anorexia is around eight per 100,000 persons per year. Hope this helps! =)
what is this ??????????
What is Pulmonary Diffusion?
MATCH THESE PLS!! Help pls!! QUESTION HELP PLS!! I WILL MARK YOU THE TOP COMMENT!! TANK YOUU!
Answer:
1.c
2.e
3.b
4.a
5.d
Explanation:
just trust me
A taco has 180 calories and an ice cream sundae has 540 calories. How many
tacos could you eat to equal the number of calories in the ice cream sundae?
HELP PLS I WILL GIVE YOU THE TOP COMMENT!! :))) THANK YOUUU
Answer:
C. Relying on subject behaviors
Explanation:
Subjective if when a person brings their own biased and experience into something. Objective would be what you want for that sort of thinking is unbiased, and not based on personal feelings. Subjective information can lead into lying in facts and mixing up opinions with facts.
Professor Devine and her colleagues are interested in assessing whether active versus passive play causes a preference for sweet or salty foods in toddlers. They assign groups of children to either an active play, passive play, or no play group and record their food choices when presented with a variety of sweet and salty foods. In this study, ________ is the independent variable and ________ is the control group.
Answer:
type of play, no play
Explanation:
In a study, the independent variable is the variable that isn't changed by the other variables during the experimental procedure. On the other hand, the dependent variable is the variable being tested/measured during the experiment (in this case, children's food choice), and therefore this variable is 'dependent' on the independent variable. Finally, the control group is the group where the independent variable is not manipulated, i.e., the group where participants do not receive the experimental treatment. A control group enables the establishment of causal-effects relationships by isolating the effects of the independent variable.
Professor Devine and her colleagues are interested in assessing whether active versus passive play causes a preference for sweet or salty foods in toddlers. They assign groups of children to either an active play, passive play, or no play group and record their food choices when presented with a variety of sweet and salty foods. In this study on health, active play and passive play is the independent variable and no play is the control group.to understand more about the subject.....
VariableA variable represents a measurable attribute that changes throughout an experiment, verifying the results. These attributes have different measures, depending on the variables, the context of the study or the limits that the researchers consider.
With this information, we can conclude that the active play and passive play group will be variables in Health, and the no play group will be the control group, because it will be in normal conditions.
Learn more about Health in https://brainly.com/question/13179079
1. The upper chambers of the heart are the _____
2. The lower chambers of the heart are the _____
3. When both ventricles relax and refill this is the ________
4. When both ventricles contract and pump the blood out through another series of valves this is the_________.
Q 5-6 Select Physiology.
5. Oxygen poor blood flows from the right atrium to the right ventricle that pumps blood out through the _________ to the lungs.
6. The freshly oxygenated blood returns to the left atrium of the heart by way of the ______.
Q 7-10 Select Continue.
7. Oxygen rich blood flows down through the left atrium to fill the left ventricle, which pumps into the _____.
8. Blood flows from the aorta into smaller _________, which carry it to all body organs and tissues.
9. From the arterioles, blood flows into thin walled blood vessels called _______________.
10. After flowing through venules, then veins, eventually all blood enter either the superior or inferior ____________ which empty into the heart.
Answer:
lungs maybe
Explanation:
Based on the cell theory, which of the following is true? (5 points)
All cells are too small to be seen.
All living things are made of cells.
Small organisms have more cells than large organisms.
Large organisms have larger cells than small organisms
Answer: All cells are too small to be seen.-true. ( of course they are larger if u see them with a microscope)
All living things are made of cells.- true
Small organisms have more cells than large organisms.-true
Large organisms have larger cells than small organisms- false
Explanation: hope i helped! im sorry if i got an answer incorrect!! have an nice day!1 :D
Answer:
a
Explanation:
give the another girl brainleast
Explain the endocrine system
including the structures
involved and the function of
the system.
Answer:
The endocrine system is made up of glands that produce and secrete hormones, chemical substances produced in the body that regulate the activity of cells or organs. These hormones regulate the body's growth, metabolism (the physical and chemical processes of the body), and sexual development and function
Which phase is shown in the picture below?
A) Prophase I
B) Metaphase II
C) Anaphase I
D) Anaphase II
When your sperm enters a opposite gender what happens next?
1. Diseases are caused by microscopic --------
Answer:
germs
Explanation:
Infectious diseases are caused by microscopic germs (such as bacteria or viruses) that get into the body and cause problems. Some — but not all — infectious diseases spread directly from one person to another.
X
Which is the correct order of the organization of the human body?
A. cell – tissue-organ-organ system - organism
B. cell-organ- system organ-tissue – organism
C. tissue – organ- cell – organ system- organism
D. organ-organ system - tissue - cell – organism
Answer:
A
Explanation:
From smallest to largest is A
Cells make up tissues, tissues make up organs, organs make up organ system, and this organ system makes up a whole organism.
Answer:
A
Explanation:
Tissues are made of specialized cells, organs are made of tissue, an organ system is a group of organs that work together.
Giving the body more work or stress than it can safely handle, is the definition of which term?
The term for giving the body more work or stress than it can safely handle is "overtraining."
What is overtraining?Overtraining is a condition that occurs when an individual performs excessive physical or mental stress beyond what their body can handle.
This can result in physical exhaustion, injury, and decreased performance. Symptoms of overtraining can include fatigue, decreased motivation, decreased strength and endurance, increased injury risk, and changes in mood. To avoid overtraining, it's important to maintain a balanced and varied training program, listen to your body's signals, and give yourself sufficient time for rest and recovery.
Learn more about overtraining, here:
https://brainly.com/question/26094798
#SPJ6
this is a questoin thats been on my mind how long can you go without brushing your teeth before a cavity
Answer:
This will all depend on what you eat, and how much you eat. As well as what you drink, and how much you drink. Also, if you floss or not.
Answer:
Bro im not sure, when I was younger I brushed my teeth everyday and still ended up with a cavity.
Explanation:
What facts would you select to support development during the first trimester?
O
The embryo and the fetus evolve.
The fetus evolves.
The embryo provides the mother with nutrients.
The mother provides the embryo with nutrients.
The embryo does not evolve.
Answer:
The mother writes the embryo with nutrition
Explanation:
why does cheese have holes???
Creating recipes and cooking can be a very enjoyable experience. However, it is important to remember that there is more to being a master cook than cooking. A professional cook must also practice proper health and sanitation standards. For many, this means breaking the comfort zone of home cooking and adopting a stricter and more systematic approach to cooking. What are some common health, safety, and sanitation hazards in many of today’s restaurants? What foodborne illnesses commonly occur from poor sanitation in the kitchen? How can you ensure that your kitchen is safe?'
you can ensure that your kitchen is safe buy sanitizing every day wiping down counters and things like that and another thing that can help people get get on task with an everyday thing has some like wiping things they should sanitizer hands before coming to the restaurant
which activity offers the most health benefits?
A gardening
B taking out the trash
C walking down a flights of stairs
D doing sit-ups and push- ups
Answer:
D is the correct answer for PLATO
Explanation:
28. What are the suggested guidelines for each of intensity, frequency, duration, progression, overload, and specificity in reference to planning a fitness program?
Answer:
Frequency, Intensity, Time, and Type of Activity . When you put a lot of effort into increasing physical activity, you want results! Whether you are a beginner or have experience
Explanation:
