Make a list from most to least important
<span>Heath could seek the help of support groups or he could go look for help, rehab, counsel advisors to help cure his father's alcoholic habits before his father ruins his health.</span>
Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
Answer:
Prolong exposure to stress causes a continuous production of cortisol, which can lead to depression and fatigue.
Explanation:
HPA axis is the hypothalamic–pituitary–gonadal axis. HPA axis is often taken as a body;s stress system, which controls the amount of cortisol and other stress hormones.
Prolong exposure to stress, increases the cortisol production in body. Prolong stress can also cause certain changes to the neurons located in paraventricular nucleus, ultimately resulting in sustained activation of the axis. Long term activation of the axis causes negative feedback mechanism and ultimately causes fatigue, exhaustion, headache and depression etc.