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finlep [7]
2 years ago
9

A 50-year-old man presents to the office for evaluation of persistent perianal pain and pressure. He reports it started approxim

ately 4 days ago, and has worsened. He reports he has avoided defecation because of the discomfort. Vital are as follows: T 101.2F, BP 140/80 mmHg, HR 88 bpm, RR 16/min, SpO2 99% on room air. Physical exam reveals an area of fluctuance measuring approximately 4cm in diameter in the right perianal region with swelling of the perirectal tissue on the right. Digital rectal exam reveals significant tenderness in the area of the induration, but normal rectal tone or gross blood. What is the most likely diagnosi
Medicine
1 answer:
Alecsey [184]2 years ago
5 0

The most likely diagnosis following the above listed symptoms is hemorrhoids.

<h3>What are hemorrhoids?</h3>

Hemorrhoids is defined as a disease that occur due to inflammation of the vein at the rectum. The inflammation at the rectal region is due to:

  • Straining during bowel movements.

  • Sitting for long periods of time on the toilet and

  • Having chronic diarrhea or constipation.

Therefore, the likely diagnosis is hemorrhoids.

Learn more about vital signs here:

brainly.com/question/970323

#SPJ12

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Januvia, the trade name for sitagliptin, was introduced in 2006 for the treatment of type 2 diabetes. In what type of orbital do
Paladinen [302]

In the following orbital the lone pair on each N atom is present:

N1: sp3,

N2: p,

N3: p,

N4: sp2,

N5: sp2

Sitagliptin is an anti-diabetic drug used to treat type 2 diabetes and is marketed under the brand names Januvia and others. One carbon atom has no pi bonds, while the first nitrogen atom is linked to two hydrogen atoms. It thus possesses sp3 hybridization.

The second nitrogen atom possesses a single pair of electrons and is bound to three other atoms. It is hence sp2 hybridized. The nitrogen atoms in positions 3, 4, and 5 have sp2 hybridization.

The lone pair of nitrogen in the first nitrogen atom is in the sp3 orbital. The second and third nitrogen atoms' only pair of electrons are in p-orbitals. The fourth and fifth nitrogen atoms' lone pair of electrons are in sp2 orbitals.

Here is another question with an answer similar to this about Sitagliptin: brainly.com/question/28275161

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8 0
1 year ago
How are plants and animals different in where they find shelter?
telo118 [61]

Answer:

Explanation:

I couldn't understand whether you are questioning or answering?

6 0
2 years ago
yo brainly people take this down but don't block me is just for one hour here is muy number 3218309418 but chill and brainly hel
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2021 and it’s still up

4 0
3 years ago
A patient is diagnosed with urinary tract obstruction. while planning care, the nurse realizes that the patient is expected to h
wariber [46]

A patient is diagnosed with urinary tract obstruction. while planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by <u>Renal pelvis and calyces that are close to a blockage enlarge</u>.

Because of a blockage in the urine's outflow distal to the renal pelvis, hydronephrosis is described as the dilatation and distension of one or both kidneys' renal collecting systems (i.e., ureter, urinary bladder, and urethra). Hydroureter refers to ureteral dilation brought on by blockage of urine outflow.

Intrinsic and extrinsic compression are two major categories for the causes of urinary tract obstruction. Renal stones, cancer, ureteropelvic junction stenosis, ureteral strictures from earlier inflammation, renal cysts, posterior urethral valves, benign prostatic hyperplasia, neurogenic bladder, and others are causes of intrinsic obstruction.

Extrinsic compression can be brought on by conditions such as pregnancy, peripelvic cysts, retrocaval ureters, cancer, trauma, retroperitoneal fibrosis, and prostate abscess, among others.

To learn more about urinary tract obstruction click here

brainly.com/question/9825442

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8 0
2 years ago
You are caring for Miss Clarke, who delivered a healthy baby girl vaginally about 30 minutes ago. She is currently sitting up in
qwelly [4]

Answer:

i dont know

Explanation:

5 0
3 years ago
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