How To Develop Your Skill For Great Success And Happiness Including Become CPA? | Additional special tips From Admin
Proficiency Development is certainly the number 1 essential and principal issue of obtaining genuine achieving success in every procedures as everyone observed in each of our community in addition to in Worldwide. Consequently fortunate enough to talk over with everyone in the right after with regards to just what thriving Skill level Advancement is; ways or what solutions we job to accomplish desires and sooner or later one will operate with what whomever loves to carry out any working day meant for a whole everyday life. Is it so superb if you are equipped to develop efficiently and come across success in exactly what you dreamed, targeted for, regimented and functioned very hard every daytime and definitely you develop into a CPA, Attorney, an owner of a substantial manufacturer or quite possibly a general practitioner who may exceptionally bring about terrific support and valuations to other people, who many, any contemporary culture and neighborhood certainly popular and respected. I can's believe that I can allow others to be finest specialized level who seem to will chip in substantial methods and elimination values to society and communities at present. How thrilled are you if you turned out to be one such as so with your personal name on the label? I have arrived on the scene at SUCCESS and conquer all of the hard locations which is passing the CPA qualifications to be CPA. What's more, we will also include what are the traps, or alternative difficulties that could possibly be on the means and the best way I have in person experienced all of them and might exhibit you the best way to conquer them. |
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A 65-Year-Old Man With a Hugely Distended Abdomen
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Prashanth Rawla, MD; Jeffrey Pradeep Raj, MD
October 24, 2019
Editor’s Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.
A 65-year-old white man presents to the emergency department with a hugely distended abdomen. He states that his abdomen has been progressively distending over the past 4 days. He describes decreased appetite and nausea but no vomiting. He also describes abdominal discomfort and mild diffuse pain. He states that the last time he had a bowel movement was 5 days ago. He is passing flatus.
The patient denies any fever, chills, or chest pain. He mentions that he has difficulty breathing. His medical history is significant for hypothyroidism, for which he is taking levothyroxine. He has also been diagnosed with chronic obstructive pulmonary disease (COPD), for which he uses an albuterol inhaler and a budesonide and formoterol inhaler. He also has hypertension, for which he takes amlodipine, and hyperlipidemia, for which he takes atorvastatin.
His past surgical history is significant for a meniscal tear repair in his right knee. The patient reports a 50–pack-year smoking history and denies any significant history of alcohol use or illegal drug use.
He was recently admitted to the hospital for a COPD exacerbation and acute bronchitis. He had a prolonged stay in the hospital (7 days) and was treated with intravenous methylprednisolone, levofloxacin, albuterol, budesonide, and arformoterol. He was discharged home on a tapering course of oral prednisone 4 days ago.
Medscape © 2019 WebMD, LLC
Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Prashanth Rawla, Jeffrey Pradeep Raj. A 65-Year-Old Man With a Hugely Distended Abdomen – Medscape – Oct 24, 2019.
Hospitalist, Sovah Health, Department of Medicine, Martinsville, Virginia
Disclosure: Prashanth Rawla, MD, has disclosed no relevant financial relationships.
Senior Resident, Department of Clinical Pharmacology, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India
Disclosure: Jeffrey Pradeep Raj, MD, has disclosed no relevant financial relationships.
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A 65-Year-Old Man With a Hugely Distended Abdomen
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A note for you if you pursue CPA licence, KEEP PRACTICE with the MANY WONDER HELPS I showed you. Make sure to check your works after solving simulations. If a Cashflow statement or your consolidation statement is balanced, you know you pass right after sitting for the exams. I hope my information are great and helpful. Implement them. They worked for me. Hey.... turn gray hair to black also guys. Do not forget HEALTH?
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