Answer: B. blowout fracture.
Explanation:
The blowout fracture or orbital flow fracture is caused by the trauma in the orbital bones. The causes of this fracture are the attack with a blunt object, vehicular accidents, sky fall, blow by a fist and others.
The symptoms of the fracture includes bruising, swelling, redness of eye, double vision (observing two images at the same time), nose bleeds, numbness of cheek, air under the skin below the eye and others.
On the basis of above description, blowout fracture is the suspected fracture in 52 year old women.
Answer is 3.5ml=700mg.
1gram(1,000mg)=5ml
200mg/ml
If the patients cannot or will not follow through on treatment recommendations, it does little good to diagnose a disorder correctly and prescribe appropriate treatment.
For the proper diagnosis and treatment of a disease, it is important that a patient cooperates with the doctors and nurses. If a person does not cooperate, then the diagnosis of the treatment and its management cannot be planned correctly. A patient needs to understand that the healthcare workers advise everything for the betterment of the patient.
It is the responsibility of a patient to follow the instructions and recommendations at the time of diagnosis, he should also follow the treatment plan accordingly. Otherwise, there will be no improvement in his condition.
If a person makes a mistake in following up on a plan, he should also inform the doctor or nurse so that they can suggest an alternative.
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Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
