Monday, November 28, 2011

Multiple choice question help please

Multiple choice question help please?
A patient with type 2 diabetes mellitus, hypertension and gastroesophageal reflux disease is more at risk for drug reactions because of? A. multiple drug intake B. increased gastrointestinal peristalsis C. consumption of too much water D. hypertension, which effects nutrient absorption
Medicine - 3 Answers
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1 :
A
2 :
to the what now?
3 :
A.-right answer B-wat does that have to do with drug reactions C-look at it and tell its wrong D-Could be right because the hypertension could affect the way the drugs have on the body






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Thursday, November 24, 2011

Clinical data/laboratory data on diseases such

Clinical data/laboratory data on diseases such?
Hi, where can i get clinical data and laboratory data on diabetes mellitus, cardiovascular disease, hypertension and renal disease? thanks alot
Medicine - 1 Answers
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1 :
your question is too wide. you will need to invest in a text book such as kumar and clark. if you are looking only for normal numbers, then you can get them from google. however, every lab has their own normal range.





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Sunday, November 20, 2011

Diseases concerning specific glands

Diseases concerning specific glands?
pituitary dwarfism, gigantism, acromegaly, diabetes mellitus, goiter, graves disease, cushings syndrome, hurtism 1) how many people are effected? 2)what gland is effected? 3)Signs/ Symbptoms of disease 4) causes 5)treatment 6)pitcures Please give links or info concering any of these please & thnak you so much
Other - Diseases - 2 Answers
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1 :
Ms. lil one Is this about you!?? ☆★☆ http://www.osoq.com/funstuff/extra/extra02.asp?strName=Ms._lil_one
2 :
pituitary dwarfism-http://en.wikipedia.org/wiki/Dwarfism%2C_pituitary gigantism-http://en.wikipedia.org/wiki/Gigantism acromegaly-http://en.wikipedia.org/wiki/Acromegaly diabetes mellitus-http://en.wikipedia.org/wiki/Diabetes_mellitus goiter-http://en.wikipedia.org/wiki/Goiter graves disease-http://en.wikipedia.org/wiki/Goiter cushings syndrome-http://en.wikipedia.org/wiki/Cushings_syndrome hurtism-I could not find anything on this






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Wednesday, November 16, 2011

Mcq on ketone bodies, please help

Mcq on ketone bodies, please help?
Which statement is not true of ketone bodies? A.They are soluble in blood. B.They consist of acetone, acetoacetate and D--hydrobutyrate. C.They are produced at a high rate in well nourished and healthy individuals. D.Their export from the liver allows the continued oxidation of fatty acids when acetyl-CoA is not oxidized by the citric acid cycle. E.Untreated diabetes mellitus can lead to their overproduction.
Biology - 1 Answers
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1 :
A - they are water-soluble, so yes B - not sure what that symbol is. Beta-hydroxybutyric acid is the 3rd one. C - No. They're broken down only when carbs aren't available. D - Yes. E - see ketosis. http://en.wikipedia.org/wiki/Ketone_body







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Saturday, November 12, 2011

Could this be psoriasis

Could this be psoriasis?
For several years I have on and off rashes on my fingers. And after I scratch them, little white dots/bumps (that resemble sand or sugar) appear on my skin. And my fingers are really dry. Could this be psoriasis? I read online that a sign of diabetes mellitus is finger pebbles where the skin would have white pebbles often on the finger. The picture looks like what I have. I'm worried the white bumps could be a sign of diabetes.
Skin Conditions - 6 Answers
Random Answers, Critics, Comments, Opinions :
1 :
The only way to find out if you have diabetes is to have a simple blood test. You can live with Diabetes with a controlled diet and if anything you will learn how to eat healthy.
2 :
that's not the signs and symptoms of diabetes. The signs and Symptoms are hunger, thurst ect.. . you need to check a dermatalogist
3 :
this site might help you. http://www.mypsoriasistreatment.com/
4 :
Dry and flaky skin can be a sign of psoriasis, but it can be from other conditions as well. Personally, I think you best go and have it checked with your doctor. Psoriasis or diabetes, both need immediate attention if your want them to be treated correctly. Good luck!
5 :
i have psoriasis, and it sounds more like eczema to me. try going to mayo clinic.com, they actually show different pictures of skin rashes, so maybe this can give you a better idea...good luck





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Tuesday, November 8, 2011

Is this person experiencing ketoacidosis or insulin shock? Explain why

Is this person experiencing ketoacidosis or insulin shock? Explain why?
A 21 year old noncomplaint male with a history of type I (insulin-dependent) diabetes mellitus was found in a coma. His blood glucose was high, as well as his urine glucose, urine ketones, and serum ketones. His serum bicarbonate was <12 mEq/L. His respiration was exaggerated and his breath had an acetone odor. His blood pressure was 90/60 and his pulse weak and rapid (120).
Diabetes - 6 Answers
Random Answers, Critics, Comments, Opinions :
1 :
ketoacidosis makes your breath have a fruity smell.And the increase of ketones in the blood is indicative of Ketoacidosis. It is as if there is too much glucose in the blood for the amount of insulin there is to interact with and the glucose goes sky high.
2 :
i think a doctor in the ER would have to make a diagnosis for him and treat him
3 :
diabetic coma with ketoacidosis.without insulin the body cells cannot metabolize glucose,the body needs glucose for energy,therefore the body compensates by breaking down fat or glycogen into glucose.However without the insulin the glucose just floats around in the blood,not being used.Ketones is a byproduct of fat breakdown and the ketones are acidic in nature,they cause a imbalance in the acid base balance of the blood.Fruity breath caused by acetone
4 :
Well, a nice question really. Since the patient is Type 1 or (Insulin Dependant Diabetes), : 1. He is at higher risk of Diabetic ketoacidosis, since these patients tend to have uncontrolled diabetes; primarily because they have almost complete absence of pancreatic Insulin. 2. For the same reason, he is not very much likely to go into insulin shock unles he messes with insulin dosing. Since we know that he is "non-compliant", it is likely that he skips doses rather than take them. This puts insulin over-dose out of question just on history alone. However, if any doubt remains, i guess that is cleared by his elevated blood glucose levels. Glucose will never be high with insulin over-dose. This definitely goes in favor of diabetic keto-acidosis. And with keton bodies in urine and blood stamps the diagnosis. (by effectively truling out one other heavy differential diagnosis of Non-ketotic hyperosmolar coma; however, this one is also ruled out by the fact that it is more common in Type 2 diabetes) You probably are confused just be "coma" presentation. while, infact it is true that coma can be a presenting feature of both insulin shock and diabetic ketoacidosis, the other features lead us to simple and plain diagnosis. - Diabetic ketoacidosis.(DKA) Note: Another good point in favor of DKA is the fact that he is over-ventilating (respiring). As long as he does that, it values little to debate over his breath's smell. Smell of his breath might have been an issue had we been considering Lactic acidosis (another one that might present as coma in diabetics). However, we cant give much attention to lactic acidosis as a differential because of the history again. Lactic acidosis affects patients who are type 2 and are taking oral anti0diabetic drugs like Metformin. Having said all that, Serum plasma osmolality, PH studies, Arterial blood gases, Blood urea studies, C-peptide levels , might be indicated. I hope that answers ur question.
5 :
Either way he should be in an emergency room if he was found in a coma. There could be any number of causes.
6 :
Someone in pre-med or pre-nursing needs their homework done for them, I presume. Tsk.






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Friday, November 4, 2011

Help nursing management for DM type II

Help nursing management for DM type II
can you guys help me on my problem... can you give me good nursing interventions for patient who has diabetes mellitus type II thanks a lot!!! i need it for my case study ty
Diabetes - 1 Answers
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1 :
Well, if i wanted to help a T2DM patient, I would learn from someone who worked their way off the medication, like Mr. Peachy here:





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Tuesday, November 1, 2011

Pituitary hypersection in adulthood will result in this disease

Pituitary hypersection in adulthood will result in this disease:?
diabetes mellitus diabetes insipidus myxedema acromegaly
Diabetes - 2 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Acromegaly definitely. in children it is giantism. The pituitary gland secrets growth hormone thus causing an excess.
2 :
Diabetes mellitus = sugar diabetes, nothing to do with the pituitary except sometimes a side effect of hormonal disfunction Diabetes insipidus = correct answer - listed as a side effect of pituitary surgery and happens, but not always, not for long, so the question is strange, and can also happen on its own myxedema - thyroid related skin disorder acromegaly - excess growth hormone caused by an adenoma (so disagree with the other responder)







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