A 72-year-old woman with uncontrolled hypertension presents…

A 72-year-old woman with uncontrolled hypertension presents to the emergency department with altered mental status.  His blood pressure is 210/130 mm Hg, pulse is 110/min, and oxygen saturation is 99% on room air.  CT of the head reveals a posterior fossa bleed. One hour later the patient goes into respiratory failure.  Which of the following is the most likely etiology?

  A 55-year-old man is brought to the emergency department…

  A 55-year-old man is brought to the emergency department by EMS because of altered mental status reported by his assisted living facility. The facility notes worsening progressive confusion over the past two years with difficulty tending to activities of daily living. They are unclear when the confusion initially presented.  The facility states that his confusion and behavior tends to fluctuate and he has been sleeping more during the day. They also note frequent visual hallucinations over the past two years, where he reports seeing children in the room, as well as a shuffling gait and difficulty getting out of chairs.  Six months ago he was taken to another emergency department for agitation, was given olanzapine, and he became very slow with significant rigidity. Which of the following are the most likely cause of his major neurocognitive disorder?

The founder of Kitchen Tools Incorporated in Mexico wants to…

The founder of Kitchen Tools Incorporated in Mexico wants to open its second facility to produce housewares in the United States. However, the finance manager suggests an overseas location would help the company remain competitive, because labor costs are lower in many other countries. To arrive at the decision that will best promote Kitchen Tools Inc.’s ability to compete, what other HR factors, if any, should the company consider?

A 12-month-old girl is brought to the emergency department f…

A 12-month-old girl is brought to the emergency department for evaluation of fever.  Two days prior to admission the patient developed a fever to 39.1⁰C (102.3⁰F) and became irritable with nasal discharge and decreased oral intake.  His birth history is unremarkable.  He lives at home with his mother and 6-year-old brother, who attends elementary school where several kids have been absent recently for illness.  His heart rate is 137/min, blood pressure is 72/48 mm Hg, respiratory rate is 35/min, and rectal temperature is 39.3⁰C (102.7⁰F).  Neurologic examination is remarkable for a lethargic-appearing child who is responsive to stimulation.  His anterior fontanel is open and bulging.  The resident caring for the patient is certain that he has acute bacterial meningitis and orders a lumbar puncture.  Which of the cerebrospinal fluid results from the lumbar puncture in the table below would be most consistent with acute bacterial meningitis?   Choice Pressure (cm H₂O) WBC Count (/mm³)(predominant cells) Protein (mg/dL) Glucose (mg/dL) A 6.0 2 (lymphocytes) 30 70 B 22.8 3780 (polymorphonuclear leukocytes) 327 32 C 11.5 980 (mononuclear cells) 123 62 D 12.3 300 (mononuclear cells) 194 42 E 9.7 415 (lymphocytes) 138 69