D Question 1 25 pts A 35 year-old man presents with the following symptoms: head

Question

D Question 1 25 pts A 35 year-old man presents with the following symptoms: headache fatigue decreased libido . black, tarry stools . abdominal pain bloated feeling following meals nausea and vomiting loss of facial hair muscle pain cold sensitivity unintentional weight loss Respond to the following questions: 1. What follow-up questions should you ask? Why? (5 points) 2. What is your initial diagnosis? Why have you come to this diagnosis? (5 points) 3. What are four tests that will you perform to verify your diagnosis? Why have you selected these tests? (10 points) 4. How will you explain your diagnosis to the patient in a way that he will understand? (5 points) Please answer in your own words. I am

Explanation / Answer

1. Additional questions include

a. Does you urinate frequently?

b. Loss of erection which does not last?

c. Pain in lower regions or groin?

2. The man is suffereing from loss of Testosterone production in the body also called as erectile dysfunction. This is due to decreased libido, balck and tarry stools. Lesser production of this hormone will lead to loss of facial hair.

3. The additional tests to confirm this diagnosis.

a. MRI or CT scan

b Genetic studies

c. Hormone tests

4. The patient needs to informed by saying that the compound necessary for keeping high sex drive is lower due to which he is experiencing all the other symptoms.

I. The diagnosis could be the girl is suffering from Hematoma which is having mass of clotted or coagulated blood. It differs from simple bruise or contusion because the area becomes swollen, raised or painful.

II.

a. Whether the girl had a minor accidents or dropping of heavy object on the stomach area?

b. Any medications like anticoagulants being taken lately?

c. Any history of bleeding disorders in the family?

III. The main tests performed to diagnose is performing physical examination by looking for skin discoloration. Secondly, there may be bone fracture that causes discoloration or fractures can cause internal bleeding.

IV. Treatment for bruises include

a. Aplly a ice pack for 24 to 48hrs. Rest and raise an injured limb to help reduce pain and swelling

b. Taking Acetaminophen to relieve pain or comfort.

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