anorexia low grade fever scleral icterus

ANOREXIA LOW GRADE FEVER SCLERAL ICTERUS SKIN

The paramedics state that his nursing home attendant reported that the patient has been 'more constipated than usual' for 2 days his last normal bowel movement was more than 2 days ago. His temperature was measured at 101.3☏ (38.5☌) at the nursing home. The patient has been complaining of pain and has been clutching his left lower abdomen since this morning.

Which of the following is the most likely location of the primary tumor?ģ918.13 A 78-year-old man is brought to the hospital from a nursing home by paramedics. His laboratory studies show the following: Vanillylmandelic acid: 5 mg/day (normal 0-7 mg/day) Metanephrine, urine: 250 μg/g creatinine (normal 0-300 μg/g) Homovanillic acid, urine: 14 mg/day (normal 0-15 mg/day) 5-HIAA: 28 mg/day (normal 0-9 mg/day) Octreotide scanning is done to localize the primary tumor and any metastatic disease. His face is warm and appears to be engorged with blood for several minutes during the examination. On physical examination, he appears pale and has a holosystolic murmur that is loudest at the left lower sternal border. He as also had an unintentional weight loss of about 10 lb. He states that the symptoms came on gradually and are associated with fevers, flushing, and heavy sweating throughout the night. The affected region of the small bowel is resected.2674.16 A 35-year-old man presents with a 2-month history of nonbloody, nonmucoid, nonoily watery diarrhea. Laparotomy reveals that the abdominal mass is composed of inflamed small bowel, adherent and indurated mesentery, and enlarged abdominal lymph nodes. Imaging is consistent with small-bowel obstruction. Examination shows a tender mass in the right lower quadrant of the abdomen. Temperature is 38.2 C (100.8 F), blood pressure is 110/70 mm Hg, pulse is 104/min, and respirations are 16/min. He has no other medical problems and takes no medications on a regular basis. However, this time, the patient's symptoms persisted and worsened. The symptoms usually occur after stress and resolve spontaneously in a few days. He has a 4-year history of recurrent abdominal pain associated with diarrhea, low-grade fever, and easy fatigability. Which of the following is the most likely underlying cause of this patient's symptoms?Ī 25-year-old man comes to the hospital due to worsening abdominal pain, distension, and nausea and vomiting for 3 days. Abdominal ultrasound reveals increased liver span and echogenicity of the liver parenchyma but no masses. Chest x-ray shows hyperlucency of lung fields and flattening of the diaphragm. Laboratory results show total bilirubin of 4.1 mg/dL and alanine aminotransferase of 90 U/L. On physical examination, expiration is prolonged and there are scattered bilateral wheezes. His father died of liver cirrhosis attributed to alcohol use. The patient drinks 1 or 2 glasses of wine on social occasions and does not use tobacco or illicit drugs. He has no other medical conditions and takes no medications. The patient has also experienced increased shortness of breath with exercise over the past few months. He has had no fever or abdominal pain and has not traveled recently or received blood transfusions.

ANOREXIA LOW GRADE FEVER SCLERAL ICTERUS SKIN

A 43-year-old man comes to the office due to yellowing of the skin over the past several days.

Anorexia low grade fever scleral icterus