Answer:
1. George O’Malley (Season 5, Episode 24)
The world collectively gasped when George was revealed to be on the other side of the elevator doors, dressed in his Army uniform, ready to guide Izzie (Katherine Heigl) to the afterlife. This intense Season 5 ending was the audience’s first time witnessing the death of a main circle doctor, forever raising the stakes to come. From Callie recognizing the freckle, to John Doe tracing “007” into Meredith’s palm, each moment created goosebumps. The underdog of the interns didn’t deserve to go out being dragged under a bus, but it’s only fitting that he did it to save someone else’s life.
2. Denny Duquette (Season 2, Episode 27)
Love makes people do crazy things; but, unfortunately cutting L-Vad wires, breaking the law, and Izzie almost losing her job couldn’t save Denny Duquette from death. Isabel and Denny’s love story was the first flame that could’ve shone brighter than Meredith and Derek’s. It’s largely why the death of Denny was so heartbreakingly tragic. Although Izzie seemed to move on, Denny’s ghostly cameo in Season 5 made it clear the love story was always doomed.
Explanation:
The nurse suspects that an older adult patient has features of basal cell carcinoma appearing in form of a small dome-shaped lesion with a pearly surface on the face.
What is Basal cell carcinoma?
The most prevalent type of skin cancer that is not melanoma is basal cell carcinoma (BCC).
- It is a tumour that causes localized damage and has a variety of clinical and histological characteristics.
- When viewed at low power magnification, a basaloid epithelial tumour emerging from the epidermis is the primary characteristic of basal cell carcinoma.
- Normally, the palisade-like basaloid epithelium forms a fissure from the surrounding tumour stroma.
The nuclei grow congested in the centre, with scattered mitotic figures and visible necrotic bodies.
The presence of a mucinous stroma serves as a helpful distinguishing factor from other basaloid cutaneous tumours. Additionally, some tumours may exhibit foci of regression, which are regions of eosinophilic stroma devoid of basaloid nests.
Hence, the answer is a small dome-shaped lesion with a pearly surface on the face.
Learn more about BCC here,
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Answer: check her medical history to see if she has had these issues before during your physical exam alway check above and below the area the patient is complaining about. So for sinuses palpate the sinus drainage passage with the digits of your fingers. For below palpate the back of the neck ask if there’s any tenderness or pain also examine the throat and check the lymph nodes and tonsils. Do an oral exam look at the tonsils tongue teeth look for any inflammation or redness. Look in the nasal cavity to see if you see a deviated septum dryness bleeding any blockage after a full physical exam like that order your x-ray which would typically not be done on an acute patient with these symptoms but in a patient with chronic issues continuing I would immediately get a consult to a specialist which in her case would be an ENT( ears,nose,throat). A simple clinical treatment for sinus issues would to just put the patient on a antihistamine some examples are (Benadryl, Allegra and Clara tin) I’d recommend the patient follow up within a week to see if that helped at all and then if not follow through with the plan I set in place above. If you do place the patient on an antibiotic I would recommend (amoxicillin).
Hm2(FMF) Gill
Explanation:
Answer:
Heart failure is frequently the cause. Pressures in the heart rise when a sick or overworked left ventricle can't pump out enough of the blood it receives from the lungs. Fluid is pushed past the blood vessel walls and into the air sacs by the increasing pressure.