what is the most likely diagnosis for Ms. P.C.?


Urinary Function: Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patients chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel very bad and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 56 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. Case Study Questions
1 The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
2 Create a list of risk factors the patient might have and explain why.
3 Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.
Reproductive Function: Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex every once in a while. She noted an abnormal vaginal discharge yesterday and she describes it as thick, greenish-yellow in color, and very smelly. She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, because he has been away on business for five days. Microscopic Examination of Vaginal Discharge (-) yeast or hyphae (-) flagellated microbes (+) white blood cells (+) gram-negative intracellular diplococci Case Study Questions
1 According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.
2 Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?
3 Name the criteria you would use to recommend hospitalization for this patient

Submission Instructions:
Include both case studies in your post.
Your initial post should be at least 250 words per case study, a total of 500 words for both, formatted and cited in current APA style with support from at least 2 academic sources per case study. Your initial post is worth 8 points.
You should respond to at least two of your peers, by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response before 11:59 PM ET Thursday, and comment on the posts of two classmates before 11:59 PM ET Sunday. NB: Responses to peers can be done on the same day, but not on the day the initial post is made.

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Introduction: Urinary and Reproductive Functions are two essential components of human health, and any disturbances in these systems can have severe consequences. In this case study, we will explore two different cases, one related to Urinary Function, and another related to Reproductive Function. We will analyze the clinical manifestations presented in these cases and dive into the possible pathophysiological mechanisms, risk factors, and complications.

Urinary Function:

Description: Mr. J.R., a 73-year-old man, has been admitted to the hospital with possible renal injury and gastroenteritis. The patient has been experiencing clinical manifestations such as fever, nausea, vomiting, diarrhea, weakness, and dizziness. After analyzing the case, the attending physician suspects that Mr. J.R. may have developed Acute Kidney Injury (AKI). The case study questions prompt us to examine the possible types of AKI, risk factors present in the patient, and the complications in the Hematologic system as Mr. J.R. is now diagnosed with Chronic kidney disease.

what is the most probable diagnosis for the patient? List possible differential diagnoses and explain the reasons for your choices.

Suggested Resources/Books:
– The Kidney in Systemic Autoimmune Diseases edited by Fabiola Atzeni and Andrea Doria
– Chronic Kidney Disease, Dialysis, and Transplantation: A Companion to Brenner and Rector’s The Kidney by Jonathan Himmelfarb and Mohamed H. Sayegh

Similar Asked Questions:
1. What are the risk factors for developing an acute kidney injury?
2. What are the potential complications of chronic kidney disease?
3. What is the role of urine output in assessing kidney function?
4. Can acute kidney injury be prevented?
5. What are the common causes of chronic kidney disease?

Suggested Resources/Books:
– Comprehensive Gynecology by Morton A. Stenchever, Barbara A. Hoffman, et al.
– Current Diagnosis and Treatment: Obstetrics and Gynecology, 12th Edition, edited by Alan H. DeCherney and Lauren Nathan

Similar Asked Questions:
1. What are the common causes of abnormal vaginal discharge?
2. How can sexually transmitted infections be prevented?
3. What are the different diagnostic tests for identifying genitourinary infections?
4. How can a woman maintain reproductive health throughout her lifespan?
5. How does sexual activity affect reproductive health?

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