HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm.

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1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
QUESTION 2
1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
1. A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
1. A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu didn’t seem to work. States had a slight sore throat a couple weeks ago and attributed it to the flu. Physical exam revealed thin young man who appears to be uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset 2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart disease (RHD).
Question:
Explain how a positive strep test has caused the patient’s symptoms.
QUESTION 5
1. The APRN sees a 74-year-old obese female patient who is 2 days post-op after undergoing left total hip replacement. The patient has had severe post op nausea and vomiting and has been unable to go to physical therapy. Her mucus membranes are dry. The patient says she feels like the skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis (DVT).
Question:
Describe the factors that could have contributed to the development of a DVT in this patient explain how each of the factors could cause DVT.
QUESTION 6
1. A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. The APRN suspects the patient experienced a massive pulmonary embolus.
Question:
Explain why a large pulmonary embolus interferes with oxygenation.
QUESTION 7
1. A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. While waiting for the Emergency Medical Service (EMS) to arrive, the APRN places EKG leads and the EKG demonstrates right ventricular strain.
Question:
Explain why a large pulmonary embolism causes right ventricular strain.
— Fo
QUESTION 8
1. A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.
Question 1 of 2:
Explain early asthmatic responses and the cells responsible for the responses.
QUESTION 9
1. A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.
Question 2 of 2:
Explain late asthmatic responses and the cells responsible for the responses.
QUESTION 10
1. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema.  He asks the APRN if this means he has COPD.
Question 1 of 2:
Explain the pathophysiology of emphysema and how it relates to COPD.
QUESTION 11
1. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema.  He asks the APRN if this means he has COPD.
Question 2 of 2:
Explain the pathophysiology of chronic bronchitis and how it relates to COPD.
QUESTION 12
1. Mr. Jones is a 78-year-old gentleman who presents to the clinic with a chief complaint of fever, chills and cough. He also reports some dyspnea. He has a history of right sided CVA, COPD, dyslipidemia, and HTN. Current medications include atorvastatin 40 mg po qhs, lisinopril, and fluticasone/salmeterol. He reports more use of his albuterol rescue inhaler.
Vital signs Temp 101.8 F, pulse 108, respirations 21. PaO2 on room air 86% and on O2 4 L nasal canula 94%. CMP WNL, WBC 18.4. Physical exam reveals thin, anxious gentleman with mild hemiparesis on left side due to CVA. HEENT WNL except for diminished gag reflex and uneven elevation of the uvula, CV-HR 108 RRR without murmurs, rubs, or click, no bruits. Resp-coarse rhonchi throughout lung fields. CXR reveals consolidation in right lower lobe. He was diagnosed with community acquired pneumonia (CAP).
Question:
Patient was hypoxic as evidenced by the low PaO2. Explain the pathologic processes that caused this patient’s hypoxemia.
1 points
QUESTION 13
1. A 64-year-old woman with moderately severe COPD comes to the pulmonary clinic for her quarterly checkup. The APRN reviewing the chart notes that the patient has lost 5% of her body weight since her last visit. The APRN questions the patient and patient admits to not having much of an appetite and she also admits to missing some meals because it “takes too much work” to cook and consume dinner.
Question:
The APRN recognizes that COPD has a deleterious effect on patients. Explain why patients with COPD are at risk for malnutrition.

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 11-year-old boy complains of wheezing and difficulty “getting enough air.” Notices it more when he is playing baseball and symptoms improve when exercise activity stop

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Using the below listed case scenario you are to create a 1-2 page paper (excluding the title page and reference page). It is important that you review the APA sample paper and APA requirements for writing your paper.

11-year-old boy complains of wheezing and difficulty “getting enough air.” Notices it more when he is playing baseball and symptoms improve when exercise activity stops. He says that the symptoms are getting worse and the symptoms are even occurring at rest. Mother says the child is allergic to cat dander and his next-door neighbor in their apartment building recently began sheltering cats for the local humane society. Auscultation demonstrates wheezes on forced expiration throughout all lung fields.

Be sure that you are addressing the following within the body of your paper:

  • Analyze processes related to cardiovascular and respiratory disorders
  • Analyze alterations in the cardiovascular and respiratory systems and the resultant disease processes
  • Analyze racial/ethnic variables that may impact physiological functioning
  • Evaluate the impact of patient characteristics on disorders and altered physiology

Make sure that you are following APA guidelines for writing your paper, in-text citation and references.

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Media Analysis: Socio-cultural Issues and Eating Disorders

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Find one advertisement image and one music video and critique each, with each critique being 1-1.5 pages each. Comment on what messages the advertisement and video convey in terms of body image and eating. Following this, write a 4-page reflection about the relationship between eating disorders and western culture at large. Since this is a reflection, you will be sharing your own ideas (feel free to back up your opinions with references, but these are not needed). Describe your opinion logically and clearly.

Visual Analysis Essay

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Knowth, Ireland
Knowth is a Neolithic passage grave and monument located in the valley of the River Boyne in Ireland. Located in close proximity to similar sites such as Newgrange, Knowth consists of one large cruciform passage tomb and 17 smaller satellite tombs, estimated to date between 2500 and 2000 BCE. Additionally, the monument contains three recesses and basin stones into which the cremated remains of the dead were placed. The right recess is larger and more elaborately decorated than the others, a typical trait of Irish passage graves. The reason, however, remains unknown. Many monuments at Knowth were megalithic tombs, and archaeologists speculate that most have religious significance.
Knowth is reputed to have approximately one-third of all megalithic art in Western Europe carved into its rock faces. Typical motifs include spirals, lozenges, and serpentiform markings. Much of the art was carved on the backs of stones, a phenomenon known as hidden art. There are many theories about the function of hidden art, including a desire to hide images or the recycling of stones in order to use both sides.

Explain its cultural significance as a primary text of that culture and explain why it is important to that culture

Begin your essay with a brilliant exciting and engaging introduction in which you lead up to the topic and engage the audience with your topic and why that topic is important.

Arrive at an original thesis.

For example, do not say that Buddhist art was religious. Instead, specifically, explain why the Great Stupa of Sanchi is specifically an important work of art of Buddhist culture and how the building/shrine has contributed to the veneration of that Buddhist culture.

Here is a simple format for a five-paragraph essay with an introduction and thesis, three evidence/support and body paragraphs with specific examples supporting your case, and a concluding paragraph.:( this is a good starting point.  You may deviate from this but it should give you a solid outline).

First paragraph with an intro, your thesis sentence, and a colorful example

Second paragraph proof one

Third paragraph proof two

Four paragraph proof three

Fifth paragraph a clever quote, suggestion or new idea that challenges the reader and the status quo.

Source Requirements
Use two database sources from solid/reputable journals or books on Asian art.

Do not use encyclopedias and Wikipedia style sources.

Articles must be signed by actual authors.

An MLA style bibliography must be included.

Each source must be used properly ( paraphrased and possibly quoted) at least once substantively in the essay. Do not piece together extensive quotes.