Cyclosporine Side Effects

Gross Pathology Micro Pathology Treatment Discussion A 54-year-old white female complains of intermittent nausea and vomiting, headaches, fatigue, and blurred vision over the past three months. She describes objects as appearing yellow to her. She has a history of heart failure with chronic digoxin use as well as diuretics (may induce hypokalemia). VS bradycardia (HR48) normotension no fever. PE in no acute distress slight increase in JVP S3 present rales at lung bases mild hepatomegaly ankle...

Pe

A 32-year-old woman comes to her first gynecologic visit. On routine pelvic exam a vaginal mass is felt. The patient's mother took an estrogen compound (DES) during pregnancy as treatment for threatened abortion. Well developed with breast tissue appropriate to age pubic and axillary hair normal on bimanual pelvic examination a hard, ulcerated mass is felt on posterior wall of upper vagina iodine staining of vaginal wall shows patches of decreased uptake by cells (due to adenosis). CBC Lytes UA...

Hpi Pe

Gross Pathology Micro Pathology Treatment A 36-year-old female oboe player is brought by ambulance to the emergency room because of gradual numbness and weakness on the left side of her face and arm along with headache and di . mess. She is obese and smokes one pack of cigarettes a day. She is currently taking oral contraceptive pills (OCPs). VS normal. PE patient conscious, oriented, and able to speak gaze is deviated to the right funduscopic exam does not show papilledema, hypertension, or...

Hpi

Imaging Gross Pathology Micro Pathology Treatment Discussion An asymptomatic HIV-positive 2y-year-old male visits his infect ious-discasc specialist for a routine checkup after determining his CD4 count (410), the physician decides to start him on oral zidovudine ( A7.T) at a dosage of 600 mg day. Two months later, he returns to the doctor's office feeling very tired (due to anemia) he has also had two URIs and yesterday started bleeding from his gums (due to t h rombocy topen ia). VS slight...

Aluminum Toxicity

ID CC A 48-year-old factory worker is brought to the ER after a chemical spill because of difficulty breathing and irritation of the eyes and throat. HPI He denies allergies, previous surgical operations, diabetes, high blood pressure, infectious diseases, trauma, blood transfusions, hospitalizations and he is not on any current medication. PE VS normal. PE patient conscious, alert, oriented, in no acute distress ammonia smell emanating from clothes marked hyperemia of ocular conjunctiva and...

Hp1

Gross Pathology Micro Pathology Treatment A 23-year-old female is suing her physician for sexually abusing her while he was reducing her left dislocated shoulder. She injured her shoulder while rock climbing in Colorado. The doctor was called upon to see her immediately after the accident. She did not suffer major injuries but had a dislocated shoulder and was not cooperative enough to tolerate the procedure (reduction) without medical ion, so he anesthetized her with ketamine, atropine, and...

Druginduced Tubulointerstitial Disease

Imaging Gross Pathology Micro Pathology Treatment A 59-year-old female visits her family doctor complaining of chronic fatigue, muscle weakness, and cramps. She has been receiving furosemide for the treatment of essential hypertension for more than one year. VS tachycardia. PE dehydration somnolence muscle weakness deep tendon reflexes slow. Elevated uric acid. Lytes decreased potassium and magnesium. ECG flattened T waves and prominent U waves (due to hypokalemia). Treatment consists of...

Pi Pe

A 51-year-old chemical engineer who manages the production line at a large petrochemical plant comes to his family doctor for a yearly checkup he is asymptomatic hut is found to have microscopic hematuria. He is a heavy smoker and has been working at the production plant over a period of 25 years. VS normal. PF strongly built male with gray hair and smoke discoloration of his mustache and fingertips a few wheezes heard on lung fields heart sounds normal abdominal exam normal no lymphadenopathy...