Chief Complaint: Hemoptysis
History of Present Illness: The patient has been brought to the emergency department by her
mother. She is a 22-year-old female with cystic fibrosis. She has had a
1-day history of hemoptysis. She has been feeling tired for
5 days. Her mother says that the patient has had mild dyspnea and
cough. The patient’s last PFTs were much worse than normal for her.
She has not had any epistaxis, bleeding from her gums, bloody stool, or
easy bruising.
Past Medical History: Cystic fibrosis; bronchiectasis.
Medications: Inhaled antibiotic (tobramycin); mucolytic agent (pulmozyme); vitamins ADEK; bronchodilator (albuterol).
Allergies: NKDA.
Social: She is a nonsmoker. She is a sophomore in college and lives with her
parents.
Surgical History: None.
Physical Exam: RR: 30; HR: 92; Temp: 102.1°F; BP: 90/57; Pulse ox: 89%
Gen: Mildly cyanotic. In mild respiratory distress.
Her nose and mouth are a little dry.
HEENT: Her ear drums and ear canals are normal.
CV: Mildly tachycardic. No murmur. Her pulses are a little weak.
Resp: Tachypneic, shallow breaths, breath sounds are weaker than normal
bilaterally.
GI: Normal. Her liver and spleen are not large.
Emergency Department Course: When she came to the ED, the patient was in acute respiratory distress. She was intubated with an endotracheal tube and placed on
SIMV. A CXR verified correct placement in her trachea. She had poor
circulation, so she was given IVF and transfused with 2 units of blood
(prbcs). An ABG showed hypoxemia and hypercapnia, both of which
improved on follow-up ABG after she was intubated. The pulmonology
team was contacted; the team decided bronchoscopy would be best.
The team found that she was bleeding in her bronchi and treated her
with endobronchial electrocautery. Afterward, she was transferred to
the ICU for further care.

Answers

Answer 1

The patient who has cystic fibrosis has a chief complaint of hemoptysis, a common condition in cystic fibrosis.

What is the chief complaint of the patient?

The chief complaint of the patient whose medical history is given is hemoptysis.

Hemoptysis is a term which describes the condition in which a patient coughs up blood.

Individuals with cystic fibrosis usually develop hemoptysis due a severe lung infection.

In conclusion, hemoptysis is a common condition in individuals with cystic fibrosis.

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Related Questions

John has worked in the food industry for the past 20 years. He strives to reduce instances of foodborne illness. He recently adopted , an inspection system that reduces the risk of safety hazards in foods.

Answers

A system he could have used is the HACCP, Hazard analysis and critical control points.

Hazard analysis and critical control points

HACCP, or Hazard Analysis and Critical Control Points, is a methodical preventative approach to food safety that looks for biological, chemical, and physical risks in manufacturing processes that could lead to dangerous final products and develops countermeasures to lower these risks to a safe level. By doing so, HACCP focuses on preventing risks rather than checking for their impact after the fact on final goods. The HACCP system can be applied at all points throughout the food supply chain, from food preparation and production to packaging and distribution. In order to ensure the safety of food and safeguard public health, the Food and Drug Administration (FDA) and the United States Department of Agriculture (USDA) mandate HACCP systems for juice and meat.

HACCP is an effective inspection system that reduces the risk of hazards in foods.

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1
Select the correct answer.
Claire lost weight with the support and encouragement of her friends. They helped her stick to a healthy diet and inspired her to engage in
physical exercise every day. Identify the factor that helped her lose weight.
OA culture
B. heredity
OC. physical environment
OD. social environment

Answers

Answer:

OD

Explanation:

OD is the answer because her friend's supported her through the journey, which is her social environment so I hoped I helped:

Digestion relies on which accessory organs

Answers

digestion relies on which accessory organ are the liver pancreas and gallbladder.

What are accessory organs in the digestive system?

The pancreas, liver, and gallbladder are supposed as accessory organs. Food does not drive through them, as it does in the gastrointestinal tract, but these organs discharge hormones and chemicals that are important to digestion.

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12. Most common outbreaks in long term care facilities include:
C
a. Respiratory infections
b. Urinary tract infections
c. Skin infections
BA
All of the above

Answers

C. All of the above

which of these contraceptive methods on its own is least likely to prevent pregnancy A. Diaphragm B. IUD C. Vasectomy D. Withdrawal before ejaculation

Answers

Contraceptive methods are birth control and planning strategies. Withdrawal before ejaculation is the least likely method that prevents fertilization. Thus, option D is correct.

What are contraceptives?

Contraceptives are the birth control methods used by males and females to prevent the fertilization of sperm and eggs. Diaphragm, vasectomy, IUD, condoms, withdrawal before ejaculation, etc. are some of the contraceptive methods.

The diaphragm is the barrier method used by females to prevent sperm entry inside the vagina. Similarly, IUD is inserted inside the uterus of the female to prevent fertilization.

Vasectomy is the irreversible contraceptive method in which the vas deferens of the male reproductive system are tied. The withdrawal before ejaculation is least likely to prevent fertilization but is not a reliable method.

Therefore, withdrawal before ejaculation is not an effective contraceptive method.

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Mrs. parker likes to handle most of her business matters through telephone calls. she currently is enrolled in original medicare parts a and b but has heard about a medicare advantage plan offered by senior health from a neighbor. mrs. parker asks you whether she can enroll in senior health’s ma plan over the telephone. what can tell her? i. enrollment requests can only be made in face-to-face interviews or by mail. ii. telephone enrollment request calls must be recorded. iii. telephonic enrollments must include all required elements necessary to complete an enrollment. iv. the signature element must be completed via certified mail.

Answers

Mrs. Parker asks if she can apply for senior health care over the phone. we tell her that applications for enrollment can only be made in person interviews or by mail, due to the need to deliver documents.

What is Medicare and Medicaid?

Medicare and Medicaid are publicly funded programs administered by the Center for Medicare and Medicaid. Such programs hire companies, hospitals, private health plans to be responsible for the provision of health care.

With this information, we can conclude that Mrs. Parker asks if she can apply for senior health care over the phone. we tell her that applications for enrollment can only be made in person interviews or by mail, due to the need to deliver documents.

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what are the social determinants of health related to the prevalence of sexually transmitted infections in adolescents? and why?

Answers

The  social determinants of health related to the prevalence of sexually transmitted infections in adolescents are; Social factors, Economic factors and Racial factors.

What are STIs?

The acronym STI means se-xualy transmitted infections. These are those diseases that can be acquired by se-xual contact between people. They are more prevalent in societies with less access to economic power and information.

The  social determinants of health related to the prevalence of sexually transmitted infections in adolescents are;

Social factorsEconomic factorsRacial factors

Racially discriminated people with less access to education and lack the privilege of social inclusion alongside poverty can predispose people to contract STIs

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Many people in the United States have been infected with monkeypox virus, and the U.S. vector: the epidemic has spread like a snowball.

Answers

What’s the question

I need help with this question

Answers

Answer:

Studies have shown that if you exceed more than 14 drinks, you can end up with serious health problems. Your body converts alcohol into acetaldehyde when you consume alcohol. Your DNA is harmed by acetaldehyde, which also stops your body from mending the harm. Alcoholics can join AA (Alcoholics Anonymous) where they hold a meeting at least once per week and talk about their journey. First step is to remind him of how dangerous alcohol is to the human body and not judge him. Remind them of the reality; they wouldn't want their career to end just because of a simple drink.

what is an inhalant?

Answers

Answer: a medicinal preparation for inhaling.

serving for inhalation

Explanation:

a medical preparation for inhaling

Anyone please help I’m struggling with this )):

Answers

Answer:

60BPM

Explanation:

the average resting heart rate is 60-100BPM

Why are syringes often used to obtain blood from geriatric patients

Answers

They use a smaller gauge needles helps prevent trauma to small, fragile veins that frequently collapse in geriatric patients

They use a smaller gauge needles helps prevent trauma to small, fragile veins that frequently collapse in geriatric patients.

Who are Geriatics?

The medical field of geriatrics is solely focused on offering senior citizens high-quality, patient-centered treatment. Clinicians who specialize in geriatrics are trained to focus on the special problems and worries that older people face.

Older individuals may have overlapping health issues that call for several drugs, and older patients may be affected by illnesses, diseases, and treatments differently than younger adults.

Geriatricians provide care plans that meet the unique health issues of older persons while also preventing and managing illnesses.

Therefore, They use a smaller gauge needles helps prevent trauma to small, fragile veins that frequently collapse in geriatric patients.

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What is the best way to protect your skin from sun-related damage? What are the advantages and disadvantages to sunscreens containing common active ingredients such as oxybenzone, octocrylene, and homosalate? Are there benefits to using mineral sunscreens, such as zinc oxide or titanium dioxide? How effective are natural sunscreens, such as coconut oil or shea butter? If a sunscreen product is not regulated by the FDA, how can you determine if the product’s claims are true?

Answers

sunscreen helps because it blocks the sun from your skin

When conducting a formal marketing/sales event, there are elements that you must cover in order for your presentation to be compliant. Listed below are several required elements related to Star Ratings. Which one is not required?

Answers

Providing a list of plans that are having the same Star Ratings is an element that isn't required when conducting a formal marketing/sales event.

What is a marketing/sales event?

A marketing/sales event can be defined as a type of event which must be conducted by an agent to enable the collection of consumer information, schedule future appointments, as well as acceptance of enrollment applications.

As a general rule, an agent isn't required to provide a list of plans that are having the same Star Ratings when conducting a formal marketing/sales event.

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What do you think colleges can do to promote and keep their students from exposure to contagious diseases?

Answers

Answer:

Colleges could provide short courses that educate and give students a new perspective of these diseases and to encourage students enrolling in these free classes students with amenities and dicounts for choosing to take these classes.

Explanation:

Even if some students do not pay attention during these classes physcologically our brains process information thorugh our subconsious thus this approach would reduce the ignorance when it comes to infectious  diseases.

what does regional development means ? explain with proper example​

Answers

development in a certain environment and learning and dealing with environmental changes

Do you think that participation in physical activity has influenced your character? If so, what was the activity and how do you think if affected you?

Answers

I strongly agree that physical activity has influenced my character. The activity and how it affected me is: Relay Racing it helped me develop a character that accommodates others as well as a good team spirit.

Meaning of Character

A character can be defined as  a pattern or quality that is peculiar to an individual.
Character are influenced and shaped by our everyday activity and also the people that are around us.


we can conclude by saying, When  we engage in physical activities, we get to interact with different individuals and also engage in different activities that tends to shape our characters over time either positively or negatively.

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4. What are some of the hazards that domestic pets like dogs and cats can experience in regard to poisons? How are pets exposed to these poisons? What do you think can be done to reduce the exposure?

Answers

Answer:

Many pets can die from poisons. They can be exposed to many harmful household items such as bleach. Making sure your animals are kept away is a good way to reduce the exposure.

what is digestive system explain it​

Answers

Answer:

wrote hshsj

Explanation:

isऔबौबगौबगौगबौबग,जब,बझलझझल,जै

Answer:

The digestive system is made up of the gastrointestinal tract—also called the GI tract or digestive tract—and the liver, pancreas, and gallbladder. The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. The hollow organs that make up the GI tract are the mouth, esophagus, stomach, small intestine, large intestine, and anus. The liver, pancreas, and gallbladder are the solid organs of the digestive system.

The small intestine has three parts. The first part is called the duodenum. The jejunum is in the middle and the ileum is at the end. The large intestine includes the appendix, cecum, colon, and rectum. The appendix is a finger-shaped pouch attached to the cecum. The cecum is the first part of the large intestine. The colon is next. The rectum is the end of the large intestine.

Bacteria in your GI tract, also called gut flora or microbiome, help with digestion. Parts of your nervous and circulatory NIH external link systems also help. Working together, nerves, hormones, bacteria, blood, and the organs of your digestive system digest the foods and liquids you eat or drink each day.

Explanation:

I included a picture below!!

I need help with this question…

1. How, in general, do contraceptives work? What is the difference between perfect-use and typical-use failure rates? Which do you think is a better predictor of effectiveness? Why?

Answers

Answer:

Explanation:

1 Hormonal birth control methods prevent the ovaries from releasing eggs, thicken the mucus of the cervix to prevent sperm from entering the uterus, and thin the lining of the uterus to prevent implantation.

2 Typical use means how well the method works to prevent pregnancy when people use it in real life, while perfect use means how well the method works when it is being tested in a clinical trial. by people who are following the instructions to the letter always and for a full year. For example, a perfect use effectiveness rate of 99% means that over the course of a year, on average, 1 out of 100 people who used this method as directed will get pregnant.

Since life is not a clinical trial, we recommend that more attention be paid to numbers that reflect typical use of the method. But you can get closer to the perfect number if you learn to use the method correctly and consistently.

Some methods, such as the IUD and the implant, have a typical use rate very similar to the perfect use rate. This is because in these methods there is very little room for error because the person does not have to do or remember anything, they just have to change it from time to time. Other methods, such as condoms, have a more drastic difference between typical and perfect use rates, because there is more opportunity to make a mistake when using these contraceptive methods.

3 Blood pregnancy tests are about 99% accurate. The blood test is often used to confirm the results of a home pregnancy test.

Question 1 of 5
A client is admitted with multiple pressure ulcers. When developing the client's diet plan, the
nurse should include
O ice cream
O fresh orange slices.
steamed broccol
O
ground beef patties
SUBMIT ANSWER

Answers

Steamed broccoli

Hope your studies are going well!

the heart wants what?

Answers

Answer:

what it wants.

Explanation:

Answer:

the heart wants what it wants.

what does tigernut mean​

Answers

Answer:

kind of a nut

Explanation:

not really a nut but more of a tiny tuber, like a potato. Also known as Nookon or Chufa. Tastes like a brazil nut and sweet potato, they are mostly eaten with a salad, an oatmeal or eaten as it is.

Diabetes,Type II
Possible Causes:
Symptoms:
Treatment:

Answers

Possible causes: age, weight, being inactive, family history, blood lipid levels.

Symptoms excessive hunger &h thirst, fatigue, losing or gaining weight, frequent urination, or poor wound healing.

Treatment: anti-diabetic meds, insulin, or statin

Why is angling the body and face towards the ground important when placing a person in the recovery position?

Answers

Answer: It helps keep things like fluids and your tongue away from your airway.

Explanation:

It helps keep fluids and the tongue clear from the airway.

Explanation: their airway needs to be cleared to be kept alive until other authorities can come to the scene

Sara had 2,000 cookies, she ate 1,000 cookies how many cookies does she have now?

Answers

Answer:

1,000 cookies.

Explanation:

2,000 take away 1,000 equals 1,000.

What are some of the ways that psychological tests might produce biased or inaccurate results? Do you think that some disorders, such as ADHD, anxiety, and depression, are over-diagnosed today? Or are we just more aware of the symptoms? Defend your opinion.

Answers

Q: what are some of the ways to psychological test might produce biased or inaccurate results?
A: social, cognitive and behaviors among each test participants. These can lead to problematic behaviors such as poor reading and writing which they can perform inconsistently.

Q: do you think that some disorders such as ADHD anxiety and depression are over diagnosed today?

A: these conditions are mostly over-diagnosed today. ADHD is mostly diagnosed in young children and teens and anxiety and depression is common in youth as well.

Psychological tests may produce biased or inaccurate results due to various factors, such as cultural biases in test design, language barriers, or inadequate consideration of individual differences.

Test-takers' mental and emotional state during the assessment can also influence results. Additionally, the subjective interpretation of test scores by the examiner may introduce bias.

As for the over-diagnosis of disorders like ADHD, anxiety, and depression, it is a complex issue. Increased awareness and destigmatization of mental health have likely contributed to more people seeking help and receiving diagnoses.

However, there is also concern about overdiagnosis due to the influence of pharmaceutical marketing, limited access to mental health services, and the potential for symptom misinterpretation.

Striking a balance between awareness and accurate diagnosis is crucial to ensure appropriate and effective treatment.

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Leo is going out with some friends to eat at a barbeque restaurant. He checks out the menu beforehand so he can look up nutritional information online for items he is interested in and see what his healthiest option would be. Which of the following items would most likely be his healthiest option? (5 points)

Beef brisket with a side of baked beans

Chopped pork sandwich on buttered garlic toast

Fried chicken salad with cheese and ranch dressing

Roasted chicken breast with a side of green beans

Answers

Answer:

I think that its the last option; roasted chicken with a side of gran beans

Huntington chorea is an inherited disorder, with children of a parent with the disorder having a 50% chance of developing the disease. An individual with the disease usually does not manifest symptoms until he or she is between 30 and 45 years of age. The disease then progresses to death over the next 10 to 15 years. If a child of an affected parent has not developed symptoms by the age of 45, it is not likely that the symptoms will ever develop.

Discuss your thinking process when deciding whether you would or would not choose to have the testing to know if you will develop Huntington chorea.

Answers

I would decide to take the test to find out if you will develop Huntington's chorea, because it is a disease that has a lethal progeny, with early treatment it is possible to live longer.

What is this Huntington's disease?

Huntington's disease is a genetic disease that affects the nervous system, causing involuntary movements, changes in behavior and motor coordination. Symptoms begin to appear in adulthood, between 35 and 45 years of age, and may worsen over time.

With this information, we can conclude that Huntington's Disease (HD) is an autosomal dominant disease, which confers a 50% risk of transmission to offspring. Although there is no cure, it is possible to prevent the transmission of this disease to future generations through PGT-M.

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Based on the USDA Eating Patterns, which of the following would be recommended as primary sources of fats in the diet?

Answers

The primary sources of fats in the diet seafood; meats, poultry, and eggs; and nuts, seeds, and soy products

What are fats?

Fat is one of the major sources of energy giving foods found in our daily diets.

The primary sources of fats include seafood; meats, poultry, and eggs; and nuts, seeds, and soy products.

These primary sources are low in cholesterol that is way they are usually recommended.

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