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A M K 2SPUPE ImmunctxationQuestionsWhat does the presence of the monoclonal IgGk E band indicate? What further information is obtained from the UPE? Was this patien...

Question

A M K 2SPUPE ImmunctxationQuestionsWhat does the presence of the monoclonal IgGk E band indicate? What further information is obtained from the UPE? Was this patient's SPE finding consistent with his complicated medical history?

A M K 2 SP UPE Immunctxation Questions What does the presence of the monoclonal IgGk E band indicate? What further information is obtained from the UPE? Was this patient's SPE finding consistent with his complicated medical history?



Answers

When prescribing antibiotics, what aspects of the patient's health history should the clinician ask about and why?

Building off what we have said in the previous question. We now need to determine what is the next step in making our diagnosis to be able to distinguish between the two possible disorders that the patient might have. So, as we said, the symptoms from the question prompt are indicative of a major depressive episode. So those symptoms alone tell us that there is a major depressive episode. Jonah. It is our job now to determine whether this is going to be part of depression. So it is just a standalone major depressive episode. So it's just going to last Ah, greater than two weeks, um, and just manifest itself as that. Or it might be part of something bigger known as bipolar disorder, which consists of the cycle between these depressive episodes and manage episodes. So, as you can see here, the common factor to both will be the depressive episode, right. It's both in bipolar disorder and depression. The differentiating factor, however, is the manic episode. So if the patient has manic episodes in conjunction with depressive episodes, then we would say that the patient had bipolar disorder. If these manic episodes are absent, then that means that the patient simply has the pressure, so the question to ask would be whether or not the patient has manic episodes, So that means that Choice B is going to be the correct answer.

So the doctor in this case study went through a few diagnoses before arriving at Disassociative Identity Disorder, And this is because it's very difficult to win. All of the symptoms aren't present during the limited therapy sessions that the doctor would be seeing the patient in. So at first he diagnosed her with dysthymia, a long term low, great depression and borderline personality disorder. And this made sense because she was showing a lot of those symptoms. She had very unstable, intense relationships with her friends and her neighbor. She had wide mood swings and was frequently fighting with her relatives and friends. And she also had us Siris of suicidal threats and self injury and a history of that kind of behavior. However, after the doctor found out about the altars he at first considered malingering, which is when people are faking disorders but quickly realized that this couldn't be it because she wasn't familiar with diseases that are typically associated with malingering and didn't know enough about disassociative identity disorder to be faking it. And she had those memory lapses as well, which were very indicative of disassociative identity disorder and wouldn't really be conducive towards faking a disease. And so finally he arrives at the fact that she could have disassociative identity disorder, and she has most of the symptoms. She has more than two identities or alters, and she has sustained memory loss when she's switching between alters as well as trouble functioning in day to day life. And this can be seen in her tumultuous relationships as well as it affecting her schoolwork, because she did really well on the first two exams but didn't show up for the third. And also you have to exclude cultural and religious practices and substance use when diagnosing with disassociative identity disorder. And since the patient met all of these criteria, that's why this is the correct diagnosis for her.

So ah, clinician suspects that a patient with pneumonia may be infected. Ah, with legend l that you feel all right on. So we want to know why a. D If a test is better for detecting this than normal cell culture technique, right? The first reason first reason is that it's very quick. So the DF a test can be carried out while the patient is still at the doctors office. So number one, it's quick. The second reason is that it's a little bit more reliable than standard cell culture techniques, right? So if you were to try toe culture this bacterium from the patient sample, there are a number of different ways your sample get contaminated. You might have a secondary infection or sloppy lab technique could lead to contamination. So then you would have an inconclusive result so that the DEA Fay will give you a definitive yes or no to detect that pathogen. So it's more robust, then culturing the patient sample


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