Nausea and vomiting-dyspnoea on exertion and dizziness

Assignment Help Science

Reference no: EM133878864

Question

Smith, a 47-year-old male truck driver presents to the emergency department with intractable nausea and vomiting, dyspnoea on exertion, and dizziness. The nausea began about two weeks prior to admission; vomiting has occurred within the last few days. There is no history of medication or toxin exposure. Smith has lost some weight recently and his current body weight is 52 kg. His past medical history is positive for hypertension diagnosed 14 years ago with no follow-up. He has smoked 1 packet per day for 27 years. On physical examination, his blood pressure is 160/120 mmHg, temperature 36.7°C, pulse 100/min. His skin is pale with numerous areas of bruising and excoriations. Chest x-ray shows moderate cardiomegaly with increased pulmonary vascular markings and hazy obliteration of the lower lung bases. Abdominal ultrasound examination shows a right kidney size of 7 cm and a left kidney size of 6.8 cm (normal kidney size approx. 10 cm).

What is the pathophysiological basis of renal changes in long-standing hypertension?

Reference no: EM133878864

Questions Cloud

Compare hypospadias versus epispadias : Compare and contrast hypospadias versus epispadias. Name six abnormal findings during clinical breast examination.

Evaluate the applications of the moral theories : Evaluate the application(s) of the moral theories, i.e. which do you think offers the best guidance for the topic and why - compare it to the other two.

Collaboration and communication : Explain the processes used to ensure that the team communicates effectively, and all members are included and provided with opportunity to participate.

Why your plans for office space are designed to build : why your plans for Office Space are designed to build a positive relationship with your Ideal Client and deliver high-quality work product and excellent service

Nausea and vomiting-dyspnoea on exertion and dizziness : Smith, a 47-year-old male truck driver presents to the emergency department with intractable nausea and vomiting, dyspnoea on exertion, and dizziness.

How would you apply this decision-making experience : Create a decision tree for the scenario you outlined. How would you apply this decision-making experience to larger scale decisions at an organizational level?

How has h&ms strategy succeeded in being different : How you all worked as team, and how you planned, prepared, and rehearsed for this presentation as a team and How has H&M's strategy succeeded

What two types of insurance will protect the doctor : What two types of insurance will protect the doctor both in the event of any claims for negligence on the doctor's behalf

Explain why she suffered from recurrent infections : Explain why she suffered from recurrent infections and the reasons why she specifically lacked the cell-mediated and the humoral response.

User Account

All Pages