Mr. J.R. Is A 73-Year-Old Man, Who Was Admitted To The Hospital With Clinical Manifestations

Mr
J
R
is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury
The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth
The patient is pale and sweaty
He had been well until two days ago when he began to experience severe nausea several hours after eating two burritos for supper
The burritos had been ordered from a local fast-food restaurant
The nausea persisted and he vomited twice with some relief
As the evening progressed, he continued to feel very bad and took some Pepto-Bismol to help settle his stomach
Soon thereafter, he began to feel achy and warm
His temperature at the time was 100
5°F
He has continued to experience nausea, vomiting, and a fever
He has not been able to tolerate any solid foods or liquids
Since yesterday, he has had 56 watery bowel movements
He has not noticed any blood in the stools
His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up
His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder
Case Study 1 Questions: The attending physician is thinking that Mr
J
R
has developed an Acute Kidney Injury (AKI)
Analyzing the case presented, name the possible types of Acute Kidney Injury
Link the clinical manifestations described to the different types of Acute Kidney injury
Create a list of risk factors the patient might have and explain why
Unfortunately, the damage to J
R
‘s kidney became irreversible and he is now diagnosed with Chronic Kidney Disease (CKD)
Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved
Reproductive Function: Ms
P
C
is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis, and a heavy, malodorous vaginal discharge
She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months
She has no previous history of genitourinary infections or sexually transmitted diseases
She denies IV drug use
Her LMP ended three days ago
Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom
She admits to unprotected sex every once in a while
She noted an abnormal vaginal discharge yesterday and she describes it as thick, greenish-yellow in color, and very smelly
She denies both oral and rectal intercourse
She does not know if her partner has had a recent genitourinary tract infection, because he has been away on business for five days
Microscopic Examination of Vaginal Discharge (-) yeast or hyphae (-) flagellated microbes (+) white blood cells (+) gram-negative intracellular diplococci Case Study 2 Questions: According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probable diagnosis for Ms
P
C
? Support your answer and explain why you get to that diagnosis
Based on the vaginal discharge described and the microscopic examination of the sample, could you suggest which would be the microorganism involved? Name the criteria you would use to recommend hospitalization for this patient