Hyperbilirubinemia in newborns is more common in mothers with diabetes.
HyperbilirubinemiaHyperbilirubinemia in neonates or also called neonatal jaundice is a clinical condition in neonates which is characterized by yellow discoloration of the skin, mucosa, sclera due to accumulation of bilirubin (indirect or direct) in serum/blood which will clinically appear in the facial area, when the level reaches 5-7 mg/dL.
The incidence of hyperbilirubinemia in term infants is around 60-70%, even in preterm infants/low birth weight babies is much higher.
Babies born to mothers with diabetes mellitus have a higher risk of experiencing various morbidities in the neonatal period. Bilirubin metabolism is one of the systems that may be disturbed.
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What does the medical assistant needs to do to help protect the provider against a lawsuit for abandonment?
Answer:
Details of the circumstance under which provider is withdrawing from case should be included in patient health record, the patient then should seek attention of another provider as soon as possible.
Explanation:
The medical assistant just needs to basically put in the details of the patient who denies the need of help and allow him/her to decide whether they want another, the doctor (provider) needs to keep accurate medical records of all exams, procedures, and counseling. Build functional, trusting relationships with their patient, and acquire medical malpractice insurance.
*not sure if any of it makes much sense but I hope it helps :) !
A stage of sleep characterized by almost pure delta waves, and our most restful sleep...
A. Stage I
B. Stage III
C. Stage IV
D. Stage V (REM)
Answer:
Stage III
Explanation:
Not stage 1, as you can wake up easily once you enter it
Not stage 2, as you're preparing for deep sleep
Stage 3, this is your deep sleep, your body repairs tissues at this stage
Not Rem, as rem fastens your heartbeat, you're brain is also very active in the rem stage
A 56 year old woman with Left extremity weakness
A 56 year old woman with a past medical history of hypertension and hyperlipidemia presents with left extremity weakness.
The condition initially began in January with weakness in her left foot and ankle. This remained stable until motor vehicle accident in April. The patient was evaluated for whiplash injury.
Two to three weeks following the accident, the patient noticed that the weakness had progressed up the leg.
As of July, the patient had developed weakness of the left hand.
By October, the patient had started to use a walker and then a wheelchair to ambulate.
In December, the patient was unable to grasp objects with her left hand and presented with atrophy of the hand muscles
Review of Pertinent Symptoms
No bulbar symptoms
No sensory loss
No neck pain
No bowel/bladder dysfunction
Chronic lower back pain
Localize neurologic lesions
Cortex/subcortex
Brainstem
Spinal cord
Peripheral Nerve
neuromucular Junction
Muscle
Physical Exam
Mental status intact
Cranial nerves (CNS) Intact
Motor Function
Strength
Left upper extremity 3/5 strength, except 2/5 strength in the dorsal interossei
Left lower extremity 3+/5 strength to all muscle groups tested
Right upper extremity/right lower extremity 5/5 strength.
Bulk significant atrophy in the left hand
Reflexes 3+ throghout
Sensation: intact throughout
Fasciulations within the left arm in the multiple muscle groups and less frequently in the right arm
The patient has typical Combined UMN and LMN disease findings
Rule out Mimics
Creatine kinase: 53
Erythrocyte sedimentation rate and C- reactive protein WNL
Antinuclear antibodies: negative
Thyroid-stimulating hormone: 1:2
Serum protein electrophoresis without M spike
Free light chains WNL
Rapid plasma reagin RPR was Negative
Vitamin B12 level WNL (533 pg/mL)
Copper level WNL (119 mcg/dL)
Negative for Lyme disease test
Vitamin E WNL
Human Immunodeficiency virus HIV was negative
Electromyography (EMG) Nerve Conduction Velocity
Consistent with Motor neuron disease
Left median motor and ulnar motor responses revealed low amplitude
All sensory nerve studies were intact with normal values
Needle EMG showed abnormal spontaneous activity with obvious neurogenic pattern on activation in all four extremities
Diagnosis
Motor neuron disease
Amyotrophic lateral sclerosis
Based on the patient's clinical history, physical examination findings, and diagnostic tests, the most likely diagnosis for this 56-year-old woman with left extremity weakness is amyotrophic lateral sclerosis (ALS), also known as motor neuron disease.
What is ALS?ALS is a progressive neurodegenerative disorder that affects the motor neurons in the brain and spinal cord, leading to weakness, atrophy, and fasciculations in the muscles. The patient's symptoms of weakness initially starting in the left foot and ankle, and then progressing up the leg and involving the left hand, along with the atrophy of hand muscles and abnormal findings on electromyography (EMG) and nerve conduction velocity testing, are consistent with the diagnosis of ALS.
Other potential mimics of motor neuron disease have been ruled out through laboratory tests and imaging studies, and the patient's clinical presentation is characteristic of combined upper motor neuron (UMN) and lower motor neuron (LMN) involvement, which is typical of ALS. Further evaluation and management should be done by a neurologist specializing in motor neuron diseases.
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which of the following can be used as an antiretroviral and is a known drug to treat hiv? azidothymidine. ciprofloxin. fluoroquinolones. rifampin. tetracyclin.
Azidothymidine (AZT) is a known drug to treat HIV and can be used as an antiretroviral.
Azidothymidine (AZT) is the first drug approved by the FDA for the treatment of HIV. It was approved in 1987. It is an analogue of thymidine that works as a chain terminator of viral DNA synthesis.
What are antiretrovirals?
Antiretrovirals are drugs that are used to treat retroviruses, which are a family of viruses that can cause cancers, neurological diseases, and immune disorders. They act by blocking viral reproduction in a variety of ways. There are a variety of antiretroviral drugs, and they are commonly used in the treatment of HIV.
What is HIV?
HIV (Human Immunodeficiency Virus) is a virus that attacks and damages the immune system. As a result, HIV-positive people are more susceptible to a variety of diseases and illnesses. HIV is primarily transmitted via bodily fluids such as blood, semen, vaginal secretions, and breast milk. There is currently no cure for HIV, but antiretroviral drugs can help control the virus and prevent the development of AIDS.
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What are the following are contraindications to MET?
Answer:
r8eyh7gfjdkddddddddddddddddddddddddddddddddddddddddddd
Explancidchdivchdv8ish fation:
What should George do when he encounters a new word?
When George encounters a new word. He should read the words carefully by going through them in books and can listen carefully to the words in online lectures.
What is vocabulary?Vocabulary is the word and meaning of any book or language.
George has the ability to break down words in such a way that he memorizes less and understands more.
Learn more about the origin and structure of medical words and discuss them with his colleagues more frequently.
Therefore, when George comes upon a new word. He should carefully read the words in books, and he might carefully listen to the words in online courses.
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The question is incomplete. Your most probably complete question is given below:
George Tomlin, RMA, has been working for several years in a specialty practice. He applies for a position closer to his home with better hours and more pay. This office, however, sees patients with a variety of illnesses. For the first time since he graduated from college, he is encountering words and procedures with which he is not familiar.
Determining the most functional and rational response to the issue at hand; it makes sense and is useful
Answer:
dictionary
Explanation:
explains in detail what something means
a nurse is caring for a client who has a traumatic brain injury. which of the following findings should the nurse identify as an indication of increased intracranial pressure (icp)?
The nurse caring for a client who has a traumatic brain injury, should consider the finding c. Respiratory rate 30/min
A traumatic brain injury (TBI) can seriously harm brain and have an impact on a number of bodily functions, including breathing. An increased respiratory rate of 30 breaths per minute, is outside of the range of normal. It implies that the patient could be having trouble breathing or be in respiratory distress. A damaged respiratory system, insufficient oxygenation, or elevated intracranial pressure can all be signs of an accelerated respiratory rate.
It may indicate a deteriorating neurological condition or imminent respiratory failure in the context of a traumatic brain injury. To evaluate the client's respiratory condition, offer suitable respiratory support, and handle any possible consequences, immediate action is necessary. This can entail giving extra oxygen, making sure the airways are open, and alerting the medical staff so they can continue the examination and action.
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Complete Question:
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention?
a. Axillary temperature 37.2° C (99° F)
b. Apical pulse 100/min
c. Respiratory rate 30/min
d. Blood pressure 140/84 mm Hg
Identify a true statement about the initial experiments carried out in the 1960s on self-administration of morphine on monkeys.
True statement: The monkeys were allowed to experience the initial stages of withdrawal in the initial experiments
The "self-administration" behavioral paradigm represents the human illness of addiction using an animal behavioral model. Animal test participants are operant-conditioned to carry out a single action during the task—typically, pressing a lever—in exchange for a medication.
Drug self-administration techniques give researchers a way to investigate addiction in the lab under carefully controlled circumstances. In these techniques, a human volunteer or animal subject makes a response—such as pulling a lever—that causes a dose of a drug—such as cocaine or heroin—to be administered.
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The following question may be like this:
Identify a true statement about the initial experiments carried out in the 1960s on self-administration of morphine on monkeys.
Multiple choice question.
The monkeys were allowed to experience the initial stages of withdrawal in the initial experiments.These experiments were based on the predominant view that drug use is driven by behavioral dependence.The monkeys were directly attached to the morphine-releasing apparatus without a controlling equipment.These experiments concluded that drug use is driven by a combination of acute and chronic toxicity of the drug.The effect of a medication on blood pressure is being tested. Let Ai and Bi denote the pre-treatment and post-treatment measures of the blood pressure on subject i. The possible effect of the medication is measured by the differences Di = Ai − Bi , which are assumed to be independently distributed, with the same mean and variance. Fifty patients are included in the study, so it is assumed that Di are N(µD, σ2 D) distributed. The null hypothesis is that µD = 0. The null hypothesis will be rejected at the significance level of α = 0.05. Earlier tests suggest that σD = 20. The marketing division has requested that the medication show a decrease in blood pressure of at least 10 mm Hg (alternative hypothesis). Find the rejection region for the test and the power of the test
The rejection region for the test is z < -1.645 and the power of the test is 1.12%.
Let Ai and Bi denote the pre-treatment and post-treatment measures of blood pressure on subject i. The possible effect of the medication is measured by the differences Di = Ai − Bi, which are assumed to be independently distributed, with the same mean and variance. 50 patients are included in the study, so it is assumed that Di are N(µD, σ2D) distributed.
The null hypothesis is that µD = 0. The null hypothesis will be rejected at the significance level of α = 0.05. Earlier tests suggest that σD = 20. The marketing division has requested that the medication show a decrease in blood pressure of at least 10 mm Hg (alternative hypothesis).
The rejection region for the test:
The test of the hypothesis is: H0: µD = 0 vs. Ha: µD < -10, where µD is the true difference between pre- and post-treatment blood pressure measures in the population of all patients taking this medication and σD = 20. α = 0.05 is the significance level of the test.
The test statistic is: z = (D' - (-10)) / (σD / √n)
Here, z is the test statistic; D' is the sample mean of the differences in blood pressure measures; n is the sample size. The rejection region is given by:
z < -1.645
The power of the test:
Power of a test is the probability of rejecting the null hypothesis when the alternative hypothesis is true. Here, the alternative hypothesis is µD < -10. Let us assume that the true mean difference is µD1 = -15.The power of the test is given by:
P(z < zα | µD = -15) = P(z < -z0.05 | µD = -15)
P(z < -1.645 | µD = -15) = Φ(-1.645 - (10 / (20 / √50))) = Φ(-2.295) = 0.0112
Therefore, the power of the test is 0.0112, or approximately 1.12%. Thus, the probability of rejecting the null hypothesis when the true mean difference is -15 is very low.
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during an assessment, the nurse notices that a patient's left arm is swollen from the shoulder down to the fingers, with nonpitting brawny edema. the right arm is normal. the patient had a left-side mastectomy 1 year ago. the nurse suspects which problem?
Based on the information provided, the nurse suspects that the patient may be experiencing lymphedema in the left arm. Lymphedema is a condition characterized by the accumulation of lymph fluid in the interstitial spaces, resulting in swelling, typically in an extremity.
In this case, the left arm is swollen from the shoulder down to the fingers. The presence of nonpitting brawny edema is a key indicator of lymphedema. Unlike pitting edema, which leaves an indentation when pressure is applied, nonpitting edema does not show any indentation. Lymphedema often occurs following a disruption or removal of lymph nodes, such as in the case of a mastectomy.
The patient's history of a left-side mastectomy one year ago further supports the suspicion of lymphedema. Lymph nodes in the axilla (armpit) are commonly removed or damaged during mastectomy procedures, which can impair the normal flow of lymphatic fluid from the affected arm. This disruption in lymphatic drainage can lead to the development of lymphedema over time.
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Which of the following is superior to the lumbar region
Answer:
Thoracic region is above the lumbar region
Explanation:
The spinal column has 5 regions-cervical, thoracic, lumbar, sacral and coccyx.
Sacral promontory is superior to the lumbar region.
The sacral promontory is a bony landmark located at the base of the sacrum, which is the triangular bone situated at the lower part of the spine, below the lumbar region.
In relation to the lumbar region, which consists of the five vertebrae (L1-L5) found in the lower back, the sacral promontory is indeed superior. It is positioned at the top of the sacrum, which is below the lumbar vertebrae.
The sacrum itself is a curved bone that connects to the pelvis and forms the back of the pelvis. It is composed of five fused vertebrae (S1-S5) and is situated beneath the lumbar region.
In summary, when comparing the sacral promontory to the lumbar region, the sacral promontory is positioned higher or superior to the lumbar vertebrae.
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When fluid seeps into the abdominal cavity this is called?
Answer:
Ascites (ay-SITE-eez) is when too much fluid builds up in your abdomen (belly). This condition often happens in people who have cirrhosis (scarring) of the liver. A sheet of tissue called the peritoneum covers the abdominal organs, including the stomach, bowels, liver and kidneys. The peritoneum has two layers.
Handout 22-1: Anatomy Cardiothoracic Surgery Review 10.8 23 TE 1 M 516 CHAPTER 22 Handout 22-1: Anatomy Cardiothoracic Surgery Review
Cardiothoracic surgery is the kind of surgery that focuses on the heart and the thorax or chest.
The specialist responsible for conducting cardiothoracic surgery is referred to as cardiothoracic surgeon. The indications or symptoms for cardiothoracic surgery are the conditions which affects the heart , lungs, and chest area. Such cardiovascular and lung diseases are at a high risk of morbidity and mortality. Cardiovascular diseases are the most common cause of preventable death. Diseases related to cardiothoracic spectrum are mainly caused due to metabolic, environmental causes, and also due to factors such as genetic or congenital defects, blood vessel stenosis and malformations.
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A woman experiences the loss of a very early term pregnancy. Her
friends do not mention the loss, and someone suggests to her that
she can "always try again." The woman feels confusion over her
sadness and stops talking about it with others. Which type of grief
response is this patient most likely experiencing?
Answer:
Disenfranchised
Explanation:
I am pretty sure it is disenfranchised. In mental health disenfranchised means distracting feelings of loneliness. The woman stops talking because her friends don't get what she is going through.
that is my thought process.
Medicare as Secondary Payer: The patient has a retirement plan through his former employer, Medicare, and a cancer policy.
The patient is diagnosed with cancer. The spouse is deceased.
Billing order: ____________
Answer:
medicare
Explanation:
diagnose with cancer
sometimes you just want to yeet people out windows. How do you not do this.
1 go outside at 11:00 pm and scream and shout. draw them and draw how you feel then go to some form of lake/ river and let your feeling of hate drift away...
If very low peaks appear on the ECG tracing, the sensitivity level should be set to
increase the height of the peaks.
Answer:
i donde nowwwwwwwwwwwwwww
Hello everyone can someone answer this question please
The correct answer is C. Hippocampus.
Explanation
The hippocampus is a brain structure that is located in the temporal lobe of each cerebral cortex. It is an important part of the limbic system. In this area of the brain stimuli, emotions, learning, and memory are regulated. Likewise, in this region, adult neurogenesis takes place, a process in which new neurons are produced. According to the above, the complete paragraph of the question would be:
Thought I was once believing that we were born with all of the neurons we would ever have, recent research suggests that neurogenesis continues in the hippocampus, an area of the brain that is important for learning and creating new memories.
According to the above, the correct answer is C. Hippocampus.
A girl has been chewing and swallowing her food but her digestive system is not doing what its supposed to do. why is her solution exercise
Answer:
molecules from food are not getting broken down small enough to get inside her cells.
Explanation:
Why might the xiphoid process be missing from the sternum in a set of human remains? a. The remains are from an adult younger than 40 years of age, and the hyaline cartilage does not preserve as well as bone. b. Because the xiphoid process shrinks with age Because the xiphoid process is small and does not articulate with any other bones c. Because the xiphoid process may be broken off if the individual had been given CPR
Answer:
c. Because the xiphoid process may be broken off if the individual had been given CPR
Explanation:
En un supermercado intentan hacer una promoción de frutas de acuerdo a su peso, intentando juntar varias frutas para que en total su peso sume 10 kilogramos y así se pueda vender todo junto a un precio menor. Las frutas del supermercado son famosas por tener un peso casi igual, y se sabe que una sandía pesa 8 kilogramos, una manzana 200 gramos y una pera 170 gramos. En una balanza se sitúan al lado izquierdo 4 manzanas (m), 4 peras (p), 1 sandía (s) y 8 ciruelas (c), mientras que al otro lado se coloca un peso de 10 kilogramos, dando como resultado el equilibrio de la balanza. 1. Siendo así, ¿cuánto pesan en total las ciruelas? ¿podrías decir cuánto pesa cada una? 2. Con estas cuatro frutas, ¿hay más posibilidades de armar la promoción de los 10 kilogramos? ¿Puedes encontrar al menos 4 más? (Dibuja las promociones en balanzas, encontrando relaciones entre las promociones) 3. Si el gerente del supermercado quiere ampliar la promoción a distintos pesos y en el lado derec
Answer:
Cada ciruela pesa 65 gramos, y las 8 ciruelas en total pesan 520 gramos.
Explanation:
Si cada manzana pesa 200 gramos y hay 4 manzanas, su peso total es de 800 gramos (200 x 4). A su vez, si cada pera pesa 170 gramos y hay 4 peras, su peso total es de 680 gramos (170 x 4). Finalmente, hay también 1 sandía, cuyo peso es de 8 kilos. Por ende, el peso de estas frutas en conjunto es de 9.480 kilos.
Ahora bien, dado que también hay en la balanza 8 ciruelas, y que el peso total de las frutas es de 10 kilos, para determinarse el peso de las ciruelas debe realizarse el siguiente cálculo:
10-9.480 = 8 CIRUELAS
0.520 = 8 CIRUELAS
0.520/8 = CIRUELAS
0.065 = CIRUELAS
Así, cada ciruela pesa 65 gramos, y las 8 ciruelas en total pesan 520 gramos.
Irritant Contact Dermatitis Risk of Common Topical Traditional Chinese Medicines Used for Skin-Lightening: A Pilot Clinical Trial with 30 Volunteers
Contact dermatitis caused by topical traditional Chinese medicine (TTCM) is rather prevalent but rarely recognised. 30 subjects underwent patch and photopatch testing utilising Bai-Zhi-Kao (BZK), a skin-lightening TTCM preparation, and 6 other herbal component.
What is Contact Dermatitis ?An allergic reaction to a material or direct touch with it might result in the itchy rash condition known as contact dermatitis. Despite not being communicable, the rash can be extremely unpleasant.
This reaction can be brought on by a variety of items, including cosmetics, scents, jewellery, and plants. Within days of exposure, the rash frequently appears.Spreading irritant contact dermatitis must be avoided. The area of skin where the irritant comes into contact with it is affected. You can experience an Allergic Contact Dermatitis reaction if the rash spreads to other body regions.Learn more about Contact dermatitis here:
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An __ drug is also known as a tranquilizer
Answer:
An anxiolytic drug is also known as a tranquilizer
Explanation:
Difference between implantation bleeding and period.
Answer: Implantation bleeding lasts 1 to 3 days while your period lasts 4 to 7 days
implantation bleeding can resemble a lighter version of your period... and i think your period your cramps are worse
Explanation:
A detailed list of items in stock or in possession of an individual or business size s a/an:
Answer:
size small
Explanation:
What feature does the beheaded Kali and the body of the decapitated harlot share? A) the same beauty spot on their left thigh B) they both had a necklace of hands C) the same color of hair D) the same tattoos
The feature that the beheaded Kali and the body of the decapitated harlot share is a necklace of hands.
Both the beheaded Kali and the body of the decapitated harlot were adorned with a necklace made of hands, which is a symbol of power and strength in Hindu mythology This necklace of hands is a common Hindu motif and can be found in many Hindu-inspired artwork. It is usually meant to represent the protective power of the gods and goddesses, as well as their ability to offer protection and blessings to their devotees. It is also believed to bring good luck and prosperity.
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The feature that the beheaded Kali and the body of the decapitated harlot share is a necklace of hands.
Both the beheaded Kali and the body of the decapitated harlot were adorned with a necklace made of hands, which is a symbol of power and strength in Hindu mythology This necklace of hands is a common Hindu motif and can be found in many Hindu-inspired artwork. It is usually meant to represent the protective power of the gods and goddesses, as well as their ability to offer protection and blessings to their devotees. It is also believed to bring good luck and prosperity.
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Drug X has a half-life of 6 hours. How much drug is left in the body 18 hours after an IV injection of 1200 milligrams (mg)?
Answer:
150 mg
Explanation:
at 0 hours 1200 mg
after 6 hours 600mg
after 12 hours 300 mg
after 18 hours 150 mg
How does drinking alcohol and using drugs contribute to the women abuse?
Answer:
When someone is dr unk, or high, it causes one not to think straight or have control of their inhibitions. If they are vio lent when dru nk it can cause abuse.Being under the influence of any substance greatly increases the chances of abu sive behavior.
Explanation:
I hope i answered your question. stay safe:)
-Hailey
With CPT codes changing each year, why is it important that the medical office obtain a new code book each year? What are the dangers of not obtaining this book? Why should coding books for the two previous years be kept?
Answer:
A new code book needs to be obtained each year to accurately identify all patient care accurately. ... Having two previous years' books on hand is important during an audit to understand the CPT codes entered into each patient's record during that time.
A new code book needs to be obtained each year to accurately identify all patient care accurately.
What is CPT codes?Current Procedural Terminology (CPT) exists as a medical code set that exists utilized to report medical, surgical, and diagnostic techniques and services to entities such as physicians, health insurance companies, and accreditation institutions.
A CPT code exists as a 5-digit numeric code that is utilized to represent Medical, surgical, Radiology, Laboratory, anesthesiology, and evaluation management Services of Physicians hospitals, and other care providers. there exist approximately 7,800 CPT codes. Including two previous years' books on hand exists significant during an audit to understand the CPT codes entered into each patient's record during that time.
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