Undiagnosed pneumonias can lead to:

A 79 year-old male with history of hypertension, benign prostatic hypertrophy, and normal renal function presents to the emergency department with symptoms of fever and generalized weakness that has been ongoing for the past two days. His family notes that he has not been eating as much today and fell when trying to stand up from his chair. He also seems sleepier than usual today. On review of symptoms, the patient denied any symptoms other than stating “I just don’t feel well”. Pertinent physical exam findings include the following: ill appearing diaphoretic elderly gentleman, tachycardia, tachypnea, slight discomfort to palpation of suprapubic region, and mottling of the skin of his extremities. His vitals are as follows: Heart rate: 135 beats/minute, Respiratory rate: 25 breaths/minute, Blood pressure: 72/45 mm Hg, pOx: 91% on room air, and temperature of 38.5C. Labs are sent and chest X-ray is done with the following results:  WBC 24.1 Normal: 4.0-10.5 x103/uL Hb 10.2 Normal: 14-16 g/dL HCT 31% Normal: 42-48% PLT 490 Normal: 150-450 x 103/uL Bands.      12% Normal: 0-5 Sodium     144  Normal: 135 – 145 mmol/L  Potassium 3.1 Normal: 3.5-5.0 mmol/L Chloride 106 Normal: 96-106 mmol/L CO2 18 Normal: 23-29 mmol/L BUN 44 Normal: 6-20 mg/dL Creatinine 2.1 Normal: 0.8-1.2 mg/dL Glucose 61 Normal: 64-100 mg/dL eGFR 49 Normal: >60 mL/min Lactate 4.5 Normal: 0-2.0 mmol/L Urinalysis shows >30 wbcs, 4+ bacteria, and positive nitrates. Portable chest xray shows slight blunting of costophrenic angles with no evidence of infiltrates or consolidations. At what point would it be appropriate to initiate pressor support with norepinephrine for this patient?

Secondary hypertension is rapidly progressive hypertension in which diastolic pressure is usually greater than 140 mmHg. 

Look at the figure 1. If the economy is in equilibrium at Y1, it is in:  quiz 5- Figure 1.png

The aggregate demand curve is downward sloping because of 

A child has chronic hepatitis, and the healthcare professional wants to assess the child for portal hypertension. What action by the professional is most appropriate?

A 2-week-old who has previously nursed well has now begun vomiting immediately after feeding. Which condition presents with this behavior?

Look at the scenario II. What is the rate of inflation between 2016 and 2017?  Scenario II: Suppose a market basket consists of the following goods: 50 pens 25 notepads 25 paperclips Also assume that the price per unit for these goods is as follows for the years noted, and 2016 is the base year. Quiz 11.png

A healthcare professional is learning about how gonococci ascend into a woman’s uterus and fallopian tubes. Which statement is inconsistent about the factors that facilitate this ascent?

A child has a disorder that fails bones to ossify, resulting in soft bones and skeletal deformity. What treatment plan does the healthcare professional discuss with the parents?