Hematuria

Cardiovascular- denies CP or tightness, palpitations, DOE, edema, claudication, or history of heart murmur. GI- denies N/V/diarrhea/ constipation, abdominal pain, change in bowel habits, bloody stools, or rectal pain. Genitourinary- denies dysuria, hematuria, and pain. Menstrual- denies dysmenorrhea, previous pregnancies, sexual activity, or previous venereal diseases. Last Menstrual Period 2 weeks before this visit. Neurologic- denies smell changes, taste changes, hearing, and speech changes;…

2.1. Ivermectin in Mass drug administration (MDA): A miracle drug, or a double sword in the elimination programs Ivermectin has been used in several hundreds of millions of individuals within the onchocerciasis and lymphatic filariasis MDA control programs and is considered well tolerated[59]. The drug has shown good efficacy against several other parasitic infections, such as soil-transmitted helminth infections, pediculosis, and cutaneous larva migrans [87]. A reduction of the transmission of…

without causing any symptoms. However, bigger stones can lodge anywhere in the urinary tract and block the flow of urine and can cause severe pain. The symptoms of kidney stone includes, severe pain that move from the back and sides to the groin, hematuria, dysuria, increased frequency, nausea and vomiting (Punnoose, Golub, & Lynm,…

Case Summary Ms. Charles is a female who presented with a gradual onset of seemingly unrelated symptoms that progressively worsened throughout her life. As a child she developed multiple dental caries and periodontal disease. A few years later, she began having dry mouth symptoms; generalized myalgias and arthralgias; and chronic eye irritation and blepharitis, which did not respond to over-the-counter eye drops, allergy medications, or pain medications. She was evaluated by multiple physicians…

Diseases defined by the abnormal metabolism of hemoglobin are classified as porphyrias. Porphyrias cause an abnormal buildup of porphyrin ring compounds that are essential for proper function on hemoglobin. There are multiple different classifications of porphyria, with acute intermittent porphyria being the most common. Porphyrins, the building blocks of hemoglobin, are excreted in the urine of affected people, causing extreme symptoms that range from pain to neurologic disturbances. While…

Preeclampsia, HELLP syndrome and eclampsia are part of a spectrum of hypertensive disorders specific to pregnancy. Hypertensive disorders in pregnancy are a leading cause of maternal and fetal morbidity worldwide. The root cause of hypertensive disorders specific to pregnancy is the placenta. As the cytotrophoblastic tissue of the placenta fails to widen the maternal spiral arteries – this is called decreased spiral remodeling. This causes decreased tissue perfusion (ischemia) in the…

CC: “Nosebleed that won’t stop” HPI: A 66 year old white male, with history of Type II diabetes, gout, hypertension and coronary artery disease status post 3 stent placement most recent 2009. was transferred to UF Health, from a medical center in The Villages, Florida for ENT evaluation of persistent unilateral epistaxis of the right nostril. The three days prior to admission, the patient admitted that while taking a shower he cleared his nose and “red chunks” were seen, he also noted some…

6. Coumadin Classification: Vitamin K Antagonists Clinical uses and indications: The drug Coumadin is used to prevent and treat venous thrombosis, pulmonary embolism, and according towww.rxlist.com, “thromboembolic risks associated with atrial fibrillation and cardiace valve replacement.“ Coumadin also helps reduce the risk of death, myocaridal infartion, and strokes. (www.rxlist.com/coumadin) Normal dosages: Coumadin requires “individualized patient dosage“ (www.rxlist.com) as each patient’s…

Hard dreamer age 25 male a case of frequent disruption to studies & parents under emotional & financial stress. As a kid “he cuts his small toe when he was one years old resulting in an unusual bleed,” (Ramchander, 2009). Then he starts “bleeding frequently from different sites like his gums, nose & ears,” (Ramchander, 2009). Three years later he bleeds from his forehead & hip after a fall, he experiences a major bleed in the urinary tract, & lastly his right knee is swollen making his movements…

Goodpasture’s Syndrome, also known as Goodpasture’s Disease, antiglomerular basement antibody disease, or anti-GBM disease is an autoimmune disease affecting the lungs and kidneys. In this rare disease antibodies are formed that attack the collagen in the lungs and kidneys leading to kidney failure and bleeding in the lungs. The laboratory plays an important role in the diagnostic process of Goodpasture’s disease. Patients will experience edema, joint pain, changes of urine color, and…