A patient presents with polyuria, polydipsia, diminished app…

A patient presents with polyuria, polydipsia, diminished appetite, signs and symptoms of dehydration and a blood glucose level of 958mg/dL.  There is no fruity or acetone odor on their breath.  Which of the following is the MOST likely explanation for the absence of a fruity/acetone breath odor:

You are working in the Emergency Department, caring for a pa…

You are working in the Emergency Department, caring for a patient with a long history of COPD.  She has more shortness of breath today than usual and states she is experiencing increased coughing, but it is non-productive.  She has a temperature of 99.8 F.  You have drawn arterial blood gases with the patient on room air, and when the report comes back, it shows that the patient has a PaO2 of 52 mm/Hg.  Which of the following is the MOST likely reason for that:

You respond to the scene of an attempted robbery at a conven…

You respond to the scene of an attempted robbery at a convenience store.  The store owner defended himself by stabbing the robber in the upper back about 1 centimeter to the right of spinous process T-6.  Your assessment reveals that the patient has a loss of motor and sensory on the ipsilateral side distal to T-6 and a loss of pain and temperature perception on the contralateral side.  You suspect:

Your patient is a 28-year-old male who is alert and oriented…

Your patient is a 28-year-old male who is alert and oriented complaining of respiratory symptoms, general malaise and a low-grade fever over the last two days.  He noticed a rash that first appeared on his face and chest and then spread to the rest of his body.  He has no medical history, including childhood disease, has not been vaccinated because of religious objections and is concerned that he will miss work as a 2nd grade teacher.  You suspect: