A patient with leukocytosis, fever and left lower quadrant (LLQ) pain will most likely have a diagnosis of

appendicitis

Barrett's esophagus.

diverticulitis

irritable bowel syndrome

Answer and Explanation

The Correct Answer is C

A. Appendicitis: Appendicitis typically presents with right lower quadrant pain, not LLQ pain.

B. Barrett's esophagus: Barrett's esophagus is a condition associated with chronic GERD and does not cause leukocytosis, fever, or LLQ pain.

C. Diverticulitis: Diverticulitis often presents with LLQ pain, fever, and leukocytosis due to inflammation or infection of the diverticula in the colon.

D. Irritable bowel syndrome (IBS): IBS may cause abdominal pain, but it does not cause fever or leukocytosis, and the pain is typically relieved with defecation and not localized to the LLQ.

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Correct Answer is C

Explanation

A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.

B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.

C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.

D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.

A. puffy appearance associated with hypersecretion of antidiuretic hormone (ADH) B. tissue puffiness associated with hypothyroidism C. proliferation of tissue behind the eyes that is common in hyperthyroidism, D. state of increased cerebral edema the morning after a college party. E. state of increased cerebral edema the morning after a college party.

Correct Answer is B

Explanation

A. Puffy appearance associated with hypersecretion of antidiuretic hormone (ADH): This describes the appearance associated with SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), not myxedema.

B. Tissue puffiness associated with hypothyroidism: Myxedema is a condition related to severe hypothyroidism, characterized by swelling of the skin and underlying tissues, giving a puffy appearance, especially in the face.

C. Proliferation of tissue behind the eyes that is common in hyperthyroidism: This describes exophthalmos, a condition often seen in Graves' disease, which is associated with hyperthyroidism, not myxedema.

D. State of increased cerebral edema the morning after a college party: This choice is incorrect and unrelated to the description of myxedema.

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