Clinical Manifestations Clinical Clinical Presentation of Sepsis Classic Hemodynamic Alterations: – HR – CVP/PAOP – BP – CO/CI – SVR – Scv02 Effects: – Edema – Hypoperfusion/ Hypotension – Tachycardia – Tissue & cellular hypoxia – Altered organ function (renal, liver, CNS, coagulation, cardiovascular) Patient’s Clinical Presentation Hemodynamic Alterations: –HR –CVP/PCWP –BP –CO/CI –SVR –Scv02 128 10/14 90/50 (60) 8.9/5.4 614 (PVR 139) 77% on vasopressors ICU day #1 PAC via Right IJ inserted Deadspace ratio performed (Vd/Vt) – Vd/Vt = 67% – AC 28, Vt 480 mLs, .70/14 – 7.32/40/64/20/-5/92% Activated Protein C (Xigris) started Calcium repleted (chloride & gluconate) Vasopressin @ 0.04 units/min started Fentanyl @ 25 mcg/hr & Versed at 3 mg/hr infusions started 6 Atypical Hemodynamic Presentation –HIGH –HIGH –LOW –LOW –LOW –LOW HR CVP/PAOP BP CO/CI SVR Scv02 Clinical Manifestations Coagulopathy – Increased clotting stimulatedmicrothrombi (PAF) – Decreased fibrinolysis –↓ –↑ –↓ –↑ Platelets PT (INR) & PTT Fibrinogen D-dimers or FDPs/FSPs 75 K 24.5 (2.2)/>100 120 mg/dL 10,000 ng/mL (Plasminogen activator inhibitor) Clinical Manifestations Clinical
Final question During the first phase of Leptospirosis, Where does the Pathogen appear? A. Blood and Cerebrospinal Fluid B. Sweat and Tears C. Interstitial Fluid D. Bile E. Sebum Correct Answer A. Blood and Cerebrospinal Fluid Which of the following is associated with dental carries?
0.05mol/6M=8.3*10-3 L=8.3mL stock solution c. 100mL-8.3mL=91.7mLwater Add 91.7 water to 6M stock solution to prepare 0.5M acetic acid. Exercise 8: a. 42.35 - 0.55 = 41.8 mL b. The moles of EDTA4- : 0.0189M*(41.8*10-3)L=7.9*10-4mol c. Zn2+(aq)+EDTA4-(aq)—Zn(EDTA)2-(aq) The ratio Zn2+ and EDTA4- is 1:1 The moles of Zn2+= the moles of EDTA4-=7.9*10-4mol d. 7.9*10-4mol*65.39g/mol=0.0517g Zn e.
Aplastic anemia is commonly with A. Chloramphenicol B. Tetracycline C. Cephalosporin D. Penicillin ANS: A {Ref: Shafer’s Oral Pathology 5th edition pg 1040 /6th edition pg 759} 14. Which of these is not a pre malignant lesion A. Leukoplakia B. Oral submucous fibrosis C. Lichen planus D. Erythroplakia ANS : B {Ref: Shafer’s Oral Pathology 7th edition 390} 15. Salt and pepper appearance is commonly seen in Inata oral periapical radiographs of: A. Thalassemia B. Sjogren’s syndrome C. Periapical
NAME____________________________________ Medical Terminology HS 103 Final Exam Medical Terminology 1. The suffix –iac is defined as: a. capable of b. pertaining to c. one who suffers d. one who specializes in 2. The medical term that means pertaining to within the skin is: a. hypodermic b. intradermal c. ungual d. subcutaneous 3. The prefix sym- is defined as: a. joined b. between c. through d. normal 4. An instrument used to cut skin is: a. dermatology b. dermatome c. hypodermic d. dermatologist MATCHING: Match the definitions in column A with the correct answers in column B.
TOPIC 8 Chi-Square goodness-of-fit test Problem 12.1 Use a chi-square goodness-of-fit to determine whether the observed frequencies are distributed the same as the expected frequencies (α = .05) Category | fo | fe | 1 | 53 | 68 | 2 | 37 | 42 | 3 | 32 | 33 | 4 | 28 | 22 | 5 | 18 | 10 | 6 | 15 | 8 | Step 1 Ho: The observed frequencies are distributed the same as the expected frequencies Ha: The observed frequencies are not distributed the same as the expected frequencies Step 2 df = k – m – 1 Step 3 α = 0.05 x 2 0.05, 5df = 11.0705 Step 4 Reject Ho if x 2 > 11.0705 Category | fo | fe | | 1 | 53 | 68 | | 2 | 37 | 42 | | 3 | 32 | 33 | | 4 | 28 | 22 | | 5 | 18 | 10 | | 6 | 15 | 8
AHEAD Test and Discussions – ANATOMY 1 . Which muscle di vi des the neck into anterior and posterior triangles a. Sternocleidomastoid b. Platysma c. Digastric d. Trapezius 2 . Articul ar disc of TMJ is a. Fibro -cart ilag inous c. Hyaline b . Bony d. Elastic 3 . Which of the foll owing does not drain into the s ubmental lymph nodes?
Ruptured tubal ectopic pregnancy 2. Hemoperitoneum 3. Pelvic adhesions Surgical Procedures: 1. Exploratory laparotomy 2. Partial self injectomy 3.
CPT Coding Chapter 7 You Code It! Practice 1. Frank Chestnut Rhinoplasty, nasal deformity, born w/ cleft plate, tip, septum, and osteotomies were all treated Index: Nasal Deformity Repair ….. 40700-40761 Page: 740 Code: 40700 Page: 187 2. Roger Appleton Amputate the thumb Index: Thumb Amputation ….. 26910-26952 Page: 796 Code: 26951 Page: 109 3. Patricia Worster Drainage of Renal Abscess Index: Incision and Drainage Abscess Kidney ….. 50020 Page: 715 Code: 50020 Page: 223 4.
Ultrasound (of the abdomen) or a Diagnostic paracentesis: ultrasound to see what is causing the distention of the abdomen, Paracentesis: fluid removal, the wave test was positive Additional blood work- Liver function tests, coagulation tests, CBC w/diff.. 4. Identify 7 treatment options and or medications that should be considered with rationale. Each treatment option with rationale is worth 2 points. Paracentesis- drain fluid Intubation- ICP related complications may require mechanical ventilation and it may be necessary to initiate hyperventilation therapy. ICP catheter- to decrease ICP Vitamin therapy/ Nutritional referral- because of her BMI and nutritional status r/t her pathologies.