A patient has been admitted to the hospital with pneumonia. She seems a little testy and complains of headaches and a stomachache. She also says she has not been sleeping well. She is waking up in the wee hours of the morning and is not able to go back to sleep. She says it’s making her very tired and is wearing her out. What do the symptoms signal? What are some factors that cause this condition in older adults? How will you discuss guidelines and community resources with your patient?

A41-year-old man comes to the clinic complaining of a chronic cough over the past 4 months, which has now been accompanied by haemoptysis. he denies smoking or any past medical history. on physical examination, his head and neck examination is normal. his lungs have diffuse bilateral rales. cardiac examination is normal. laboratory findings reveal na 142 meq/l, k 4.2 meq/l, cl 110 meq/l, hco3 24 meq/l, bun (blood urea nitrogen) 39 mg/dl, creatinine 2.9 mg/dl. urinalysis reveals microscopic haematuria and 4+ proteinuria. which of the following serologic blood tests would most confirm the suspected diagnosis? - anti-glomerular basement membrane antibodies- anti-mitochondrial antibodies- anti-neutrophilic antibodies- anti-parietal cell antibodies- anti-smooth muscle antibodies