Treatment of diarrhea accompanied by abdominal pain

 

M​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​rs. Z is a 34-year-old female who come in with a complaint of diarrhea accompanied by abdominal pain. Onset of the symptom was about 4 days ago. She reports thinking she is running a fever but has not taken her temperature. She concerned that she is starting to feel weak. When asked how about the characteristics and the number of bowel movements a day, she reports increased number of BMs over the last few months. In the last few days she reports averaging about 10 small volume watery stools with varying amounts of blood daily. She denies recent travel and reportedly has not been on any antibiotics in the past few weeks. In reviewing her record, you notice that her health history is positive for history of ulcerative colitis. She has not been on any medications for this over the last few years as she had not been symptomatic. Mrs. Z is on an oral contraceptive. She takes slippery elm capsules and has for the last several years. She reports that she has been taking 2 to 3 do​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​ses of Benefiber prebiotic fiber for the last couple days. Objective data: BP 116/70 sitting, 100/66 standing; P 92; Temp 100.1 Abdomen – active bowel sounds all 4 quadrants, mild tenderness with palpation Otherwise her exam is unremarkable for pertinent positives or negatives. Labs – WBC 14,000; Hgb 11.9; Hct 35.7; Sodium 133; Potassium 3.3 What pharmacologic therapy would you prescribe for Mrs. Z? How will you evaluate the effectiveness of this therapy? What patient education would you provide for Mrs. Z relative to the pharmacologic agent you prescribed? Are there any pharmacogenetic considerations related to what you prescribed for the patient? Are there any alternative therapies or over-the-counter agents that might be of value to Mrs. Z? What, if any, lifestyle changes would you recommend? Instructions: Please prepare and submit a paper 3-4 pages [total] in length (not including APA format) answering the questions below. Please support your position with exam​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​ples.

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scene, you can hear Estella bragging about her home and the expensive qualities and decorations in her home. She talks about the interior decorative details from foreign places and how exquisite everything in her home was. She also begins to talk to him in French and obviously Finn is not as culturally inclined to understand French. She also brings up the fact that she has a gardener working at her house doing all of the outdoor work. Finn comes from a family where they do not have money to just waste on a gardener. This shows how she talks without regard to others, and she doesn’t take into account the fact that Finn probably does not understand what she is saying, nor can he relate to things like having people working in the home. She is in her own little privileged world, and does not understand that not everyone is as privileged as she is. Estella also talks to Finn as if she is talking down to him. She does not talk to him with the same regard that she might regard other wealthy individuals with. The last, and most important, cinematic element that was prevalent throughout the movie and this scene sequence is the color green. The color green is such a prominent color in symbolizing wealth, as money is green. In this sequence Miss Dinsmoor is dressed in green head to toe, symbolizing her excessive wealth. Estella is also seen wearing a green skirt. Throughout this scene sequence you can see how the underlying colors can bring to the surface these themes throughout the movie. Money motivates everything that goes on in this movie, and to make it more prominent the directors work to make it obvious that all the characters are wearing green and that the scenes are constantly focused on the color green. In conclusion, these cinematic elements within the film adaptation of Great Expectations reveal many underlying rhetorical meanings. Until being asked to recognize the cinematic elements of the movie, one would not have recognized them, nor would they have been as prevalent. There were 4 important thematic and cinematic elements that bring forth the theme of wealth in the movie: the actor placement, the camera angles, the dialogue, and the color green.

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