Anatomy

CASE : A 28-year-old female patient was admitted to hospital for the presentation of diarrhea for 2 days. Two days ago, the lady began losses bowel after a crab dinner. The stool is rice-water like, more than 10 times a day without abdominal pain. Vomiting for several times, also water-like, with mild disgusting. Physical examination: T 37.2?, BP 90/70mmHg, relaxed skin, a pallid tongue with a pasty white fur at its center; the pulse is invariably weak, and increased in frequency. Laboratory examinations: increase in packed cell volume, serum specific gravity, and total protein, prerenal azotemia, metabolic acidosis with a high anion gap, low serum potassium level, mildly low sodium and chloride levels. The white blood cell count is high. Questions : (1) What is the most probable diagnosis? (2) What are the etiological examinations of this disease? What is the gold standard for diagnosis? (3) What diseases should be included in differential diagnosis? (List at least three diseases) (4) How to treat this parient ?The Most Probable Diagnosis: Cholera

CASE : A 23-year-old male patient was admitted because of “positive hepatitis B marker for 5 years, fatigue, nausea, loss of appetite with yellow urine yellow for 1 week”. The patient was positive for hepatitis B 5 years ago, had normal liver function and no obvious discomfort, and was not treated. He developed fatigue, nausea, loss of appetite, with yellow urine 1 week ago. Physical examination: T 36.5°C, P 86 beats/min, R18 breaths/min, BP110/60mmHg, consciousness? poor spirit?moderate yellow skin and sclera, liver palm?+??several spider nevuses were visible in the neck and chest, heart and lung examination were normal, abdominal flat?soft? no tenderness and rebound pain? liver 2cm below the rib cage?soft?tender?spleen not palpable subcostal?liver area percussion pain?+??shifting dullness?-?? no edema of both lower limbs. Laboratory examination: Liver function test results: ALT 614 U/L?AST 353 U/L?TBIL109.4?mol/L?DBIL40.5?mol/L??-GT 152U/L?ALP 205U/L?PTA 65%?anti-HAV-IgM ?-?, anti-HAV-IgG?+?? Hepatitis B mark? HBsAg(+)? HBeAg(+)?HBc-Ab(+)?HBV DNA 3.24×108IU/ml?anti HCV?-??anti HEV-IgM?+?, anti HEV-IgG?+?. Liver ultrasound shows: diffuse liver damage. (1) What is the possible diagnosis of this patient? What is the basis of the diagnosis? (2) Which diseases should this case be differentiated from? (3) What is the principle of treatment of this patient?The Possible Diagnosis and Basis of Treatment for a 23-Year-Old Male Patient with Positive Hepatitis B Markers for 5 Years and Recent Symptoms of Fatigue, Nausea, and Loss of Appetite

Describe the intrinsic apoptotic pathway in detail. Include a diagram as part of your answer.Apoptosis: An Overview of the Intrinsic Pathway

Explain in your own words with illustrations the action potential in a cardiac muscle B. Explain in your own words with illustrations the Conduction System.The Action Potential of a Cardiac Muscle

What is the imaging modality used in this figure? B. Describe the shape and position of the articular disc in relation to the condyle in both closed (a) and open (b) positions. Question 3 Dental implant providers can increase treatment efficiency by adopting a digital workflow. Enumerate the steps and components of a full digital implant workflow. Question 4 In a table, compare between the different types of dental lasers covered in this course in terms of wavelength, chromophores and applications.Digital Implant Workflows: Increasing Efficiency in Dental Implant Treatment

Occupational Therapy An adolescent with a mild intellectual disability wants to be able to prepare meals independently. One of the short-term goals is for the adolescent to learn how to use a microwave oven to heat a prepared frozen meal. Which contextual strategy would be MOST BENEFICIAL for supporting the adolescent’s success with this task? Mask unnecessary microwave oven operation buttons and adhere pertinent pictures to the exposed buttons. Provide a checklist for the adolescent to refer to when using the microwave oven for meal preparation. Teach the adolescent to use a thermometer to ensure the food has reached the appropriate internal temperature.Contextual Strategies to Support an Adolescent with a Mild Intellectual Disability to Prepare Meals Independently

Describe the flow of cerebral spinal fluid within the ventricles of the brain:The Flow of Cerebrospinal Fluid within the Ventricles of the Brain

Occupational Therapy An interprofessional team is implementing a Multisystemic Therapy approach to guide interventions for a student in the fourth grade who is diagnosed with oppositional defiant disorder. Although the student wants to participate in group games during physical education class, the student typically disrupts the games by arguing, refusing to follow rules, and becoming angry. What should be the PRIMARY focus of OT intervention for this student when using this approach? Cognitive reframing of negative behaviors Development of positive peer relationships Implementation of a structured sensory dietThe Primary Focus of Occupational Therapy Interventions for a Student with Oppositional Defiant Disorder Using a Multisystemic Therapy Approach

Occupational Therapy A 10-year-old child sustained a TBI several days ago and is functioning at Level VI (Confused, Appropriate) on the Rancho Los Amigos scale. One of the inpatient rehabilitation goals is for the child to bathe independently. Which approach is MOST EFFECTIVE for facilitating success with bathing tasks based on the child’s current cognitive level? Have the child follow sequential picture cards for each bathing task. Provide intermittent verbal instructions throughout the bathing activity. Use hand-over-hand assistance for each step of the bathing routine.The Most Effective Approach for Facilitating Success with Bathing Tasks in a 10-Year-Old Child with Traumatic Brain Injury

Jack Summers has hit his head and is diagnosed with damage to his hypothalamus. Physicians are postulating what will happen if Jack’s hypothalamus is not secreting any hormones. A) What hormones will not be produced?The Impact Tof Hypothalamus Damage on Jack Summers: A Look into Hormone Production and Physiological Effects