Dolores welborn is a 28-year-old attorney living in portland, oregon. dolores is in the second trimester of pregnancy with her first child, and though her pregnancy had been progressing normally, recently she has noticed that she tires very easily and is short of breath from even the slightest exertion. she also has experienced periods of light-headedness, though not to the point of fainting. other changes she has noticed are cramping in her legs, a desire to crunch on ice, and the fact that her tongue is sore. she doubts that all of these symptoms are related to one another, but she is concerned, and she makes an appointment to see her physician.
upon examining dolores, her physician finds that she has tachycardia, pale gums and nail beds, and her tongue is swollen. given her history and the findings on her physical exam, the physician suspects that dolores is anemic and orders a sample of her blood for examination. the results are shown:
red blood cell count hemoglobin (hb) hematocrit (hct) serum iron
3.5 million/ mm3 7 g/ dl
30%
low
a. is dolores’ red blood cell number- high, normal or low?
b. is dolores’ hematocrit- high, normal or low?
c. iron (fe) is used to make what specific protein in the blood?
d. based on these blood results, what is dolores’ probable diagnosis?
e. what is the major problem for dolores and her baby with this diagnosis?
f. why are women more common sufferers of this disorder?
g. what would the treatment for dolores’ condition be?

What is the general location and primary function of occipital lobe?

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?

List the therapeutic actions, indications, pharmacokinetics, contraindications, most common adverse reactions, and important drug–drug interactions for each of these medications