Emilia (age 22) was brought to the emergency department of Bendigo hospital by her father early in the morning. Emilia was in a state of confusion with intense cyanosis (skin slate gray and lips almost black. Blood pressure was 80/40 mmHg, pulse rate was 140 b.p.m., respiratory rate was 28/min and saturated partial pressure oxygen was 85% at the oximeter readings. Blood tests showed •       white blood cells      22.14     (4-12 x 109/L)•       red blood cells           4.8          (3.9-5.6 x 1012/L)•       haemoglobin              135        (115-155 g/L)•       haematocrit                39.4        (36-48%)Emilia was immediately placed on O2 therapy. The clinicians tried to gather information during the initial assessment in parallel with resuscitation, but nothing was found; she did not take any drugs. However, her father recalled that she had drunk some iced water that an instant ice packet (instant ice contains ammonium nitrate) had leaked into.  An abdominal ultrasound was normal. but she appeared to be getting worse. Emilia’s arterial blood is now a chocolate colour. What does this suggest?Question 4Select one:A.hereditary defect that stops O2 release when O2 plentifulB.white blood cells diluting red colourC.haemoglobin not releasing O2D.hereditary defect that prevents O2 binding when O2 plentifulE.haemoglobin not binding O2

Examine the complete blood count below for Mrs Chen and select the most appropriate answer to describe her results.Question 2Answera.Megaloblastic anaemiab.Hereditary spherocytosisc.Normocytic hypochromic anaemiad.Microcytic anaemiae.None, her blood looks perfectly normalClear my choice

complaining of excessive urination and constant hunger and thirst. She has no other complaints and no past medical history. Her family history is significant for hypertension, type 2 diabetes mellitus, and hyperlipidemia. She does not smoke but lives a sedentary lifestyle. On examination, she is afebrile with a blood pressure of 134/88 mmHg, heart rate of 84 beats per minute, and respiratory rate of 14 breaths per minute. The rest of her examination is normal. The patient is scheduled for a return visit to have fasting laboratory tests drawn. At her return visit, her blood pressure is 138/86 mmHg. Her fasting glucose is 156 mg/dL, and urine albumin-to-creatinine ratio is 200 mg/g. What is the next step in management for this patient?

What is the probable explanation for her cardiac findings?

Cyanosis occurs when the blood concentration of __________Blank is abnormally high.Multiple Choiceoxyhemoglobinoxygencarbon dioxidedeoxyhemoglobin

Une patiente de 35 ans est admise en médecine Interne pour suspicion de syndrome de Sheehan. Vous confortez votre diagnostic en recherchantAUne mélanodermieBUne dépilation axillaire et pubienneCDes troubles digestifs à type de vomissementsDUn antécédent d'accouchement hémorragiqueEUne hypertension artérielle