An 81-year-old g3p3 woman presents to your office with a history of light vaginal spotting. she states this has occurred recently and in association with a thin yellow discharge. she has not experienced any vaginal bleeding since menopause at the age of 52 and denies ever having been on hormone replacement therapy. she has osteoporosis, well-controlled hypertension and diabetes. she is physically active and still drives to all her appointments. she is no longer sexually active since the death of her husband two years ago. on examination, she is noted to have severe atrophic changes affecting her vulva and vagina. a small pederson speculum allows for visualization of a normal multiparous cervix, and the bimanual examination is notable for a small, mobile uterus. rectovaginal exam confirms no suspicious adnexal masses or nodularity. which of the following is the most appropriate management for this patient? a. pelvic transvaginal ultrasound
b. office endometrial biopsy
c. reassurance and observation for further bleeding
d. vaginal estrogen therapy
e. clindamycin vaginal cream
b) Office endometrial biopsy
Genetic disorder ( it is hereditary from his parents)
Explanation: Autosomal dorminant polycystic kidney disease is an inherited kidney disease that causes the kidneys to contiously form cysts( water filled sacs which very in size) as seen in the picture attached.
When mutation occurs in any of the PKD1 or PKD2 genes it will lead to ADPKD. A person suffering from ADPKD must try as much as possible to stop smoking, alcohol and also reduce salt intake,this substances can trigger more cysts to form leading to more damage to the kidneys.
In case of a child getting affected by the acute respiratory issues the nurse must first observe the child for signs of increasing respiratory distress, especially vital signs, altered mental status, and audible wheezing on auscultation. The changes in the sound of the breathe must be monitored regularly which will give an indication of an object moving and blocking the bronchus. Document the details of the pattern observed and make a status report. Attach the child to a cardiorespiratory monitor and pulse oximeter to detect the amount of hemoglobin saturated with oxygen to assess the child for sign of increasing hypoxia.
Self help group
Self help group :
Self help groups is also called shared assistance, common guide, or care groups, will be gatherings of individuals who give shared help to one another. In a self improvement gathering, the individuals share a typical issue, regularly a typical infection or fixation.
Self-efficiency is the conviction that individuals have in their own capacity to accomplish objectives. ...
It Provides Participants With Social Contact.
technology has affected us because it gave us the option to create things like mcdonalds and things we should not have
hope it have a great day!
The nurse should address the importance of parents not smoking inside their home so that the child has fewer seizures and needs less to go to the hospital.
Sybils are sounds that come when a person is breathing hard. This occurs there is some airway blockage. The child shown in the above question has audible expiratory wheezes, showing that they have severe breathing difficulties. In addition, the child has intercostal retractions that are caused by decreased air pressure within the chest, which is also caused by difficulty breathing.
It is important that the home that this child lives in do not have things that can trigger these respiratory crises, such as pet dander, dust and smokers. For this reason, the businesswoman should communicate with the child's parents the importance of them not being smokers, so that the child has less crisis.
This individual is predisposed to the development of vulnerability
Vulnerability refers to the inability of an individual to anticipate, cope with, withstand and recover from the impact of a hostile environment. Although, it is closely associated with poverty, it can also occur when an individual is isolated, insecure and defenceless in the face of risk and stress. Poverty, age, changes in physiology, terrible life experiences are some predisposing factors to the development of vulnerability in an individual.
This individual is predisposed to the development of: Vulnerability.
The development of vulnerability is due to life conditions and life experiences. This person would be consider of vulnerability because as any other person with such conditions, that has no insurance or health coverage, and doesn't have a baisc economic conditions either would be consider as such.
obviously, the latter.