A 52-year-old man complains of impotence. On physical examination, he has an elevated jugular venous pressure, S3 gallop, and hepatomegaly. He also appears tanned, with pigmentation along joint folds. His left knee is swollen and tender. The plasma glucose is 250 mg/dL, and liver enzymes are elevated. What is the best next step to establish the diagnosis?

Answers

Answer 1

Answer:

Immediately perform an anamnesis, magnetic resonance imaging, computed tomography, and more rigorous laboratory analysis such as the evaluation of glycated hemoglobin, RIN, KPTT, and complete coagulogram in order to determine the state of coagulation if an emergency surgical act.

Explanation:

All the studies named plus those written in the question are those that determine the certainty diagnosis, not the presumptive one.


Related Questions

Maintain a positive self-concept

Answers

Answer:

i dont get it

Explanation:

Ooh I would say this answer is a bit tricky is this anything include with y=Mx+b?

A patient in her mid-twenties saw an ophthalmologist for a routine eye exam. Due to her young age, a glaucoma est was not performed. She later was diagnosed with glaucoma and sued the ophthalmology group, alleging negligence in failing to preform a glaucoma test. The defense argued hat the standard of care was to not administer the test to patients younger than 40 because the instance of glaucoma at younger ages was rare. Which of the following statements do you think best describes the applicable standard of care in this case?
1. The defense should prevail because the reasonable, customary, and prudent course of action followed by practitioners in the same or similar circumstances would be the same.
2. The plaintiff should prevail because all patients should be protected against glaucoma, regardless of age.

Answers

1. The refund should prevail because of the reasonable customary and prudent course of the action caused by the practitioners in the same or similar circumstances would be the same.

The statement that best describes the applicable standard of care, in this case, is 1. The defense should prevail because the reasonable, customary, and prudent course of action followed by practitioners in the same or similar circumstances would be the same.

What is the applicable standard of care?

The applicable standard of care is taking any actions reasonably likely to have the opposite effect than a reasonable and prudent person acting in similar circumstances.

The case is of a patient who is diagnosed with glaucoma in after. And when she took the test the glaucoma test was not written for the patient, and now she sued the ophthalmologist.

The defense should reclaim the claim because it is not the doctors' act that she got glaucoma. It is not a mistake of the ophthalmologist.

Thus, the correct option is 1. The defense ought to be successful because doing nothing would not be the reasonable, typical, or sensible course of action used by practitioners in the same or comparable situations.

To learn more about the applicable standard of care, refer to the link:

https://brainly.com/question/28155015

#SPJ2

You need to use your
to evaluate and control your emotions.

a heart
b body
c mind

Answers

You need your Mind to to evaluate and control your emotions. Your brain is what tells/controls your body and also the one who sends signals to your nerves.

Answer: i believe is mind

Vaping is the inhaling of a vapor created by an electronic cigarette or other device.
True of false

Answers

Answer:

This statement is correct.

Explanation:

After training, how long does it typically take for DOMS to set in?

Answers

Usually,

between 24 and 48 hours and disappears around the fourth

day

Answer:12-48 hours

Explanatio

⚠️15 points!!⚠️
Using the picture from the previous questions in section A...
(I provided the picture above, sorry for bad quality)

What is this???
A). Lice
B). Bed bug
C). None of the above

If you chose a or b, explain why ☺️

Answers

I think the answer to your question is B because In general, an adult bed bug is reddish-brown with a long, oval-shaped body that's about the size and shape of an apple seed. Bed bugs may be flat or they may look like tiny brown balloons. Hope that helped:))
Answer : bed bug



Explanation: B

How do psychological tests differ?

Answers

Answer:

I could poke you, or I could yell at you or i could question you

Explanation:

these come from 3 different approaches/pov's

1 is more suttle

the other is more aggressive

the last is very informing to you

I'm not a psychologist but at least i can spell

Answer:

Tests and assessments are two separate but related components of a psychological evaluation. Psychologists use both types of tools to help them arrive at a diagnosis and a treatment plan. Testing involves the use of formal tests such as questionnaires or checklists. These are often described as “norm-referenced” tests.

Explanation:

A list of each employee's access to the EHR is an example of
safeguards.
A, administrative
B. privacy
C. technical
D. physical

Answers

Answer:

B

Explanation:

Remember, the EHR (Electronic Health record) contains confidential information about patients health data. Today many consider their health records as private and would expect health institutions to protect their privacy.

Therefore, it is very much important to know how many employees have access to this sensitive information in case of any misuse or intrusion.

Answer:

privacy

Explanation:

Elizabeth is 20 weeks pregnant with her second child. Her blood type is AB negative. Her obstetrician is concerned about the possibility of a reaction between Elizabeth's blood and the baby's blood because of the father's blood type. The obstetrician prescribes RhoGAM for Elizabeth. RhoGAM contains immunoglobulins that prevent the production of certain antibodies. What condition does the obstetrician fear may be a complication with this pregnancy in the event that RhoGAM is not given?

Answers

RHo(D) immune globulin can cause an abnormal breakdown of red blood cells. This effect can lead to life threatening blood clots or organ failure

How many ounces of potato would someone on a 2,000 calorie diet need to eat to get their recommended daily allowance of iron? (round to the nearest whole number) _____________ ounces

Answers

2500 grams (88 ounces) if the person ate nothing but potatoes. Potatoes are not a rich source of iron.

Nicole and Anthony have been together for about six months. Nicole has decided she wants to remain abstinent until she gets married. Anthony has not vowed to stay abstinent, but he supports Nicole’s decision and does not pressure her to have sexual intercourse. Recently though, Anthony has been hinting to Nicole that they should engage in other sexual activities. Nicole is considering this because she would still maintain her virginity. She also believes it might make their relationship stronger. Gina is a friend of Nicole's. What advice should Gina give Nicole? Check all that apply. “You can still contract STDs even if you’re not engaging in sexual intercourse.” “Is this something you’ve discussed with Anthony and are ready to do?” “Anthony won’t respect you if you don’t eventually have sex with him.” “If you think it’s a good idea, go for it.” “Being abstinent means avoiding all sexual activities, not just sex.”

Answers

I assume that the answer would be...

"Being abstinent means avoiding all sexual activities, not just sex"

    I hope this helps you!

on edge 2020 its

A) “You can still contract STDs even if you’re not engaging in sexual

intercourse.”

B) “Is this something you’ve discussed with Anthony and are ready to do?”

E) “Being abstinent means avoiding all sexual activities, not just sex.”

What health problems are associated with being overweight and having too fat fat in the blood?

Answers

Answer:

High blood pressure, abnormal levels of blood fats, and high blood glucose levels may raise your risk for heart disease. Blood fats, also called blood lipids, include HDL cholesterol, LDL cholesterol, and triglycerides. Losing 5 to 10 percent of your weight may lower your risk factors for developing heart disease.

Explanation:

Which is a possible impact of alchol use on the community

Answers

Explanation:

With this increase in consumption not only is there an increasingly harmful effect on health but also harm more broadly within our families and communities. Alcohol consumption is directly associated with violence and aggression (including domestic abuse).

Belinda's blood test indicates that she is iron-deficient. All of the behavior patterns her mother reported would also suggest iron deficiency except:
a. She is lazy and does not want to help with household chores.
b. She complains about being too hot.
c. She has lost interest in playing with friends.
d. She is more irritable than usual.
e. She is having difficulty concentrating at school.

Answers

Answer:

she complains about being to hot

Explanation:

its goood

What do chromosomes do once they are connected during prophase I?

continue to replicate

exchange DNA

form their own nucleus

break away from each other

Answers

During prophase I, the homologous chromosomes condense and show because the x shape we all know, pair up to create a tetrad, and exchange genetic material by crossover. During prometaphase I, microtubules attach at the chromosomes' kinetochores and also the nuclear envelope breaks down.

Answer:

exchange dna

Explanation:

Why use needle loop to prepare fungi slide ​

Answers

Answer:

A needle loop is also known as the inoculation loop or smear loop.

It is used to transfer and innoculate microorganisms. Some of the reasons why it is used to prepare fungi slides are:

the base of the needle has a blunted end. This makes for efficient spearing of the fungi samples;The loop is also useful for manipulations It is disposable

Cheers!

which of the following identities the responsibilities of parenting?
a.provide for the child’s wants
b. provide for the child’s physical and emotional health
c. provide education television and stylish clothing
d. provide private schooling and extracurricular activities

Answers

Answer:

It's B.

Explanation:

Answer:

B. provide for the child’s physical and emotional health

Explanation:

Which of the following does HIT stand for

Answers

HIT Stands for high intensity training. Hope this helps correct me if I’m wrong. :)
“Hit killed him, that's wot hit did, hand hit'll kill some more of us," said James, his lower lip trembling.
...
HIT.
Acronym Definition
HIT Health Inf

Ordinary people have occasional intrusive thoughts with bizarre, sexual, or aggressive content, but they would not be considered to have obsessive-compulsive disorder (OCD). What is required for someone to be diagnosed with OCD?

Answers

Answer:

See explanation

Explanation:

Intrusive thoughts and irrational fears that are only resolved by performing a ritualistic action

For example, fear of germs leads to excessive hand washing which is the fear and the ritualistic behavior to calm the fear

summarize the four ways that children learn.

Answers

Each child typically also has a preferred learning style, which generally falls into one or more of these categories: visual, auditory, kinesthetic, and reading/writing (also known as tactile).

What’s the key for effective communication?

Answers

Answer:

Effective receptive communication is based on good listening skills: Face the message sender and maintain eye contact. Nod, smile, or occasionally make affirmative vocalizations or other responses that tell the sender you're paying attention

Explanation:

Correct me if I am wrong

A young man sustains a gunshot wound to the base of his neck. He was shot point blank with a .38 caliber revolver. The entrance wound is above the left clavicle, below the level of the cricoid cartilage, and just lateral to the sternomastoid muscle. The exit wound is just above the spinous process of the right scapula. He has normal breath sounds on both sides, is awake and alert, is talking with a normal tone of voice, is neurologically intact, and is hemodynamically stable. Portable x-ray films of the neck and chest took in the emergency department showed some air in the tissues of the lower neck, but are otherwise non-diagnostic.
Which of the following is the most appropriate next step in management?
A. Observation for several hours
B. CT scan of the lower neck and upper chest
C. Angiogram, esophagogram, esophagoscopy, and bronchoscopy prior to surgical exploration
D. Immediate surgical exploration of the lower neck through a collar incision
E. Immediate surgical exploration of the upper chest through a median sternotomy

Answers

Answer:

C. Angiogram, esophagogram, esophagoscopy, and bronchoscopy prior to surgical exploration

Explanation:

Based on the information being provided in regards to the scenario at hand it can be said that the most appropriate next steps would be to first conduct an angiogram in order to determine if the heart was affected and to what degree. After this procedure, three more procedures need to be conducted in order to determine if any other organs were affected before actually going into surgery. These procedures would be esophagogram, esophagoscopy and bronchoscopy. Therefore the answer to this question would be C.

A 68-year-old man awoke one morning with severe pain in his right shoulder. On turning his head or lifting his shoulder, he experienced extreme discomfort and lancinating (shooting, piercing, darting, or stabbing) pain. The pain was a sharp, burning pain that moved across his shoulder and down into his right arm. Finding a comfortable position lying down was difficult. A cervical MRI study showed no bone abnormalities, whereas a neurologic examination provided evidence of damage to multiple peripheral nerves. He developed weakness of his shoulder muscles and was unable to lift his right arm. Final diagnosis was brachial plexus neuritis [also known as Parsonage-Turner syndrome]. The cause of the condition is unknown, but it may be related to a flu vaccination he received 2 weeks previously. Treatment consisted of pain medication and physical therapy to rehabilitate weakened muscles in his arm and shoulder.

Answers

Then bring him to to hospital or the doctor. He might have a temperature within 35 degrees between 30 degrees if he has a cold. Or might be worse he might have a virus as he might need to test it out. I think I have experienced this kind thing before. I think you just need to massage his right shoulder or go to somewhere where there are people that can help him to massage his shoulders, but if it gets worse then at least go to the doctor or the hospital. Or it is just he has high blood pressure or maybe gas. There are many sicknesses related to this so I am not sure which one is which, but you can figure it out. There are many ways you can fix this problem. You can allow him to drink 3 bottles of water everyday, eat fruits, eat some vegetables, drink some tea, give him medicine if he is sick, going to the doctor if the pain doesn’t stop, if it gets worse then bring him to the hospital and praying to God about fixing the problem.

the brown color gene is dominant over the blue color gene.
A man with brown eyes, son of a father with blue eyes and a mother with brown eyes, marries a homozygous woman with brown eyes, how likely is it that the couple will have children with blue eyes?

Answers

Answer:

5/6

Explanation:

if we are talking percentages here we are talking about a 83 percent chance of brown eyes and 17 percent for blue

there is a very low possibility of a child with blue eyes

1. Which of the following is an energy nutrient? Select all
that apply
1 Phytochemicals
2 Fats
3. Vitamins
4. Minerals
5. Carbohydrates

Answers

fats and carbohydrates.
hope this helps!!

Health is divided into two types -- physical health and mental health Select one: True False

Answers

Answer:

true because physical health is your body and mental health is only your mind.

Explanation:

Answer:

False

Explanation:

Is it safer to use a condom or the pill when having sex?

Answers

it is safest to use both. condom to protect from STD’s and pregnancy and a pill to protect from pregnancy if the condom breaks
Condoms, because the birth control is a contraceptive, it does not protect you from contracting a virus such as Aids, HIV, Herpes, ETC.

Andrew is a young boy who loves to climb trees. While attempting to climb his favorite oak tree, Andrew fell and fractured his humerus. The radiologist described Andrew’s injury a transverse fracture that spanned his epiphyseal growth plate. The doctor tells his parents that:_______

Answers

Answer:

This type of fracture can be treated with immobilization.

Explanation:

Bone grows as tissue that is added to the physeal disk (growth plate), which is surrounded by the metaphysis at the proximal level and the epiphysis at the distal level. Children with injuries involving the epiphysis, as well as the growth plate, or that compress the growth plate, tend to have a worse prognosis. Epiphysiolysis fractures and epiphyseal fractures are more serious due to the greater possibility of complications: growth arrest, progressive deformity due to asymmetric growth cartilage involvement, or future osteoarthritis due to joint incongruity.  The fundamental steps in the treatment of fractures are: reduction, if displaced, and immobilization. The objectives are: pain relief, correct consolidation and avoid possible complications

Im just curious. What does a person with no eyes experience. They can’t see darkness because they have no eyes or can they?

Answers

Those who are born totally blind, see nothing. Not black...just nothing.

Those who go totally blind later, see black as they are familiar with the color. Most people are not totally blind and see a variety if things. Some people have perfect vision for what they can see but it is very little compared to sighted people. It would be like poking a hole in a piece of paper and walking around like that.

Other people it is blurry. It is like looking through wax paper. They can make out shapes and colors but it is not crisp.
Still others can only see thing up close. So everything appears normal to them but they cannot see more than a few inches or a few feet away.

which of these is associated with binge eating disorder?

Answers

Answer:

are there options to chose from?

Explanation:

Answer:

bingeing but not purging

Explanation:

a p e x

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Which statement is true about the CO2 cycle? Reservoirs add more carbon dioxide to the environment than they remove. Carbon dioxide travels through the environment in a single direction. Carbon dioxide is constantly moving throughout the environment. When carbon dioxide enters a reservoir, it no longer cycles. 90 grams of glucose, C6H12O6, is dissolved in 2 liters of solution. Determine the molarity (M). Please help ;-; what is the answer? Ralphs Leadership in Lord Of The Flies---Defend and/or criticize Ralphs actions as leader. What were his motivations? What was he trying to accomplish? What were his weaknesses? Could he have prevented any of the deaths?I need half a page to graduate Which type of map is most often used to show towns, cities, borders, and capital Do you believe that we are the only people who exist in the universe? Why or why not? Please this is urgent. I need help please someone. (excluding, water, oxygen, food, and all -_- ) what are the 3 most important things to you in life? or who are the 3 most important person in your life? 6.In the figure, the perimeter of sector AOB with centre O is 70 cm.Find the value of r.(Give your answer correct to 3 significant figures.) what is 8 times 1 over 1000?? Chlorine gas has a pressure of 1.05 atm at 25C. What pressure will it exert at 75C? The winner of a 100 mile race drove his car to victory at a rate of 145.0441mph A Florida neighborhood is comprised of a total of 250 houses of which 12% are in foreclosure. A random sample of 91 homes from this neighborhood was selected. The standard error of the proportion is ________. what is the simplified form of 4.2x + 1.5x yall already now imma mark brainliest Are you always this late? (Imperative sentence) a) True b) False A 3-ton Toyota land cruiser travelled at a speed of 45m/s, collides with a 2- ton comfort taxi which was parked in front of the traffic lights intersection. After the collision, both cars lock together and move off in one direction. Determine the speed of cars after collision. during drought years on the galapagos,small easily eaten seeds become rare, leaving mostly large, hard-cased seeds that only birds with large beaks can eat. if drought continues for several years, measurable changes to the beak size of the galapagos bird population can be observed. which of the following identifies the changes to the beak size of the galapagos bird population what would most likely be expected as a result of natural selection? a) more small-beaked birds dying than larger beaked birds. the offspring produced in later generations have a higher percentage of birds with large beaks. b) small birds gaining larger beaks by exercising their mouth parts c) small birds mutating their beak genes resulting in later-generation offspring having larger beaks d) small birds anticipating the long drought and eating more to gain weight, resulting in them growing larger beaks The displacement of over 700,000 Palestinians in 1948 is called The Nakba.True or False ? McHale Enterprises has the following incomplete General Journal entry for the most recent pay date: Oct 27 Wages and salaries expense 522 $299,384.00 Federal withholding tax payable 220 $50,895.28 Social Security tax payable 221 18,040.82 Medicare tax payable 222 4,219.22 401(k) contributions payable 223 Health Insurance payable 224 8,655.68 Savings bonds payable 227 1,912.00 Wages and salaries payable 226 208,817.61Oct 27 Wages and salaries payable 226 208,817.61 Cash 101 208,817.61What is the amount of the 401(k) contributions for the pay date? I need help once again :( HELP ME PLZZZZ QUICKLY ILL GIVE U 15 POINTS !!!!!