A 92-year-old patient with mild dementia, chronic kidney dis…

A 92-year-old patient with mild dementia, chronic kidney disease stage 4 (GFR = 25ml/min), and arthritis is seen for two days of new-onset urinary incontinence. She has had increased urinary frequency and inability to get to the bathroom in time due to her severe arthritis. This is the first time she has had these symptoms in the past several years. She also has some worsening confusion from her baseline and has been more sleepy. On exam, she is a thin, frail female with a BMI of 14 and a weight of 47 kg (103.6 lbs). She is not as attentive as is typical. Her vital signs and physical exam are normal other than vaginal atrophy. Urinalysis is done and shows > 100 WBC, leukocyte esterase, nitrites, many bacteria, with no squamous cells. Specific gravity is 1.004. Culture is pending. She only takes a multivitamin and calcium and is on no other medications and has no allergies. What is the best next step?

A 75-year-old patient comes to the clinic accompanied by her…

A 75-year-old patient comes to the clinic accompanied by her three adult children because of a three-month history of intermittent incontinence episodes occurring both at home and in public. These tend to occur when she rises from a chair, laughs, or sneezes. She denies pain, burning, fevers, or chills. Medical history is significant for diabetes, hypertension, mild obesity (BMI of 32), arthritis in her hips and knees, constipation, and a remote history of breast cancer treated with lumpectomy and radiation. Medications are lisinopril, insulin, and ibuprofen. Temperature, pulse, and respiratory rate are all normal. Her blood pressure is 139/86. Weight is 100 kg (220 lbs). Height is 175 cm (5 ft 9 in).   Body mass index is 32 kg/m2.  Physical examination shows a well-groomed female who appears younger than stated age and in no acute distress. Normal cardiac and lung exam. Abdomen soft, non-distended, and with mild suprapubic tenderness. Pelvic exam deferred at this time. Neurologically intact. Laboratory and diagnostic studies have not been completed yet. What is the most likely cause of this patient’s incontinence?  

For the given functions f and g, find the requested composit…

For the given functions f and g, find the requested composite function.f(x) = 6x + 15,  g(x) = 3x – 1;Find (f ∘ g)(x). You MUST show your work for this question.  On your scratch paper, copy the problem and show the steps you used to solve it.  Type in the answer, then hold the paper up to your webcam for at least 5 seconds so that your work can be verified.  Failure to do so could cause a score of 0 points for this question.