You are caring for a patient who is 36 weeks pregnant. She s…

You are caring for a patient who is 36 weeks pregnant. She states that she has been experiencing vaginal bleeding after intercourse, and denies any associated pain. Vital signs are: heart rate 84, respirations 18, blood pressure 102/72 mmHg, and warm, dry skin. The most likely cause of this patient’s vaginal bleeding is:

The son of a 73-year-old woman has called 911. The patient i…

The son of a 73-year-old woman has called 911. The patient is confused and exhibiting out-of-character behavior. The son informs you that she is a diabetic, and takes pills and not injectable insulin. Assessment reveals adequate breathing, skin that is cool, and a radial pulse that is rapid and weak. Based on this history, you should be suspicious of:

37. Alpha-1-antitrypsin (A1AT) is a protein secreted from th…

37. Alpha-1-antitrypsin (A1AT) is a protein secreted from the liver to counteract and inhibit the neutrophil enzyme Elastase. Elastase is used to destroy bacteria and debris in the lungs. Misfolding of the A1AT protein can lead to decrease liver secretion and increase Elastase function—leading to the destruction of tissue surrounding the alveoli. Which of the following would be symptomatic of misfolded A1AT?