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Predisposed to cystitis.

Ms. Vance, age 28 years, has noticed urgency, frequency, and dysuria recently, as well as an unusual odor to the urine. Urinalysis indicated a heavy concentration of Escherichia coli in the urine, some pus, and WBCs. Ms. T was prescribed antibiotics, which she took for the first few days. This seemed to give her relief, but she then stopped taking the medication. Within a few days, the symptoms returned, but she decided to “just live with it.”

Question 1: Explain why women are predisposed to cystitis.
Question 2: What preventive measures are important in reducing recurrence?
Question 3: Discuss other signs and symptoms that may indicate cystitis.
Question 4: What potential problems may she experience if she does not adhere to the treatment prescribed?

Mr. Rader, age 52 years, is undergoing a routine physical examination for his employer. During palpation of the prostate, the physician noted a hard nodule on the gland’s periphery. Lab tests revealed an elevated PSA level. The remainder of the examination did not reveal any other abnormalities.

Question 1: Using the information given, discuss the presentation of cancer of the prostate.
Question 2: Discuss the predisposing factors for prostate cancer and identify the high-risk groups.
Question 3: Discuss the variation in the growth and course of this type of cancer.
Question 4: Discuss how the decision to treat or not to treat is made early in the course of prostate cancer.
Question 5: If occurs, what additional manifestations will occur, and how will they be treated?

Mr. Filstrup is a 38-year-old man in overall good health who has been complaining about an aching pain in his knees when working around the house and often when simply walking. He has noticed that his knees feel “hard” and tight. His history indicates that he has always been involved in athletics and was on the college football team, but recently family responsibilities and work have not made it easy for him to exercise.

Question 1: Relate Mr. Filstrup’s case history to the pathophysiology of osteoarthritis.
Question 2: How do anti-inflammatory drugs and analgesics help Mr. Filstrup deal with this form of arthritis? Why is moderate, non–weight-bearing exercise recommended?

Sample Solution

the legislature, thus allowing for the body to play a key regulatory role. Henceforth, it must be taken into consideration that Locke refrains from calling prerogative executive power, rather Locke explicitly makes prerogative into a right of nature. In spite of Locke’s emphasis on the scope of prerogative right under an executive body, it may be said that such power is not an inherent right, therefore allowing the deliberative assemblies to close in on executive individuals through the use of authority to make laws for a political entity through the use of primary legislation. In this way the balance of power between the two branches of government allows one to maintain Locke’s theory, in contempt with the belief that such a system would endowing the executive with too much power relative to the legislature. However, it is critical that we consider the basis for Locke’s literature, as set in its given historical context; therefore in order to critically examine and thoroughly interpret Locke’s assessment of the scope of executive prerogative, it is necessary to first understand the context of John Locke’s work as influenced by his political surroundings. Set in the context of mid to late-16th century British politics, Locke’s work is largely influenced by the political landscape of the English Civil Wars, and the later struggle of the monarchy during the Exclusion Crisis followed by the ascension of William of Orange to the throne. It is in this setting that Locke’s primary philosophy is centred around the understanding that citizens are living under in a state governed by the ‘rule of law’; principally free from the arbitrary power of any individual. However, this theory was contentious in the circumstances surrounding the Exclusion Crisis, where the potential for tyrannous actions was greatly feared, under both James II and later under William III; the need for the justification of the regulated use of prerogative under the executive was critical and thus is part of the foundation for Locke’s work. However, there is a constitutive indeterminacy concerning the legal place of prerogative power, and that indeterminacy is resolved not by conceptual analysis but by popular retroactive judgment. In this way, it may be considered that one cannot acknowledge the legitimacy of extralegal action without weakening the conviction that legitimate action must accord with the law. Lockean prerogative is deftly based upon the ideology the such powers are only employed when the use of prerogative can be clearly defined. It is with this understanding that Locke sets forward the boundaries for reasonable use of such powers, and furthermore “if there comes to be a question between the executive power and the people… the tendency of the exercise of such prerogative to the good or hurt of the people, will easily decide that question”. This Lockean theory arguably allows for the emergence of a poli
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