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Red, White, and Blue

Transcript: Did you see that? - 3 Pb + 2NO + 2NH + 2OH --> 2NH + 2NO + Pb(OH) White - Red HPhenolphthalein + OH --> H O + Phenolpthalein 2 3 - 4 white 2+ - 2+ 2+ 2 3 4 Copper (II) sulfate solution and aqueous ammonia are mixed. 2+ Safety Measures 3 Phenolphthalein turns pink in the presence of a base Cu + 2SO + 4NH + 4OH --> 2SO + 4OH + Cu(NH ) 2 1% ehanolic phenophthalein saturated lead nitrate saturated copper sulfate 3 150ml beakers 500ml 1.0M aqueous ammonia 600ml beaker droppers HPhenolphthalein + NH OH -->NH + H O + Phenolphthalein 4 colorless 3 4 Lead (II) hydroxide is a white precipitate. - Lead (II) nitrate is mixed with aqueous ammonia. Cu(NH ) gives a blue liquid. 2- 3 + 4 It's different for each beaker. Let's take a look 4 The aqueous ammonia added to each of three beakers formed products colored red, white, and blue! - Materials Patriotic Chemistry - colorless Copper (II) sulfate can stain clothes Ammonia gas is noxious Lead is used Cu + 4NH --> Cu(NH ) 3 1. Set up 3 clean 150ml beakers 2. Add 5 drops phenolphthalein to the left beaker. 3. Add 10 drops saturated aqueous lead nitrate to the middle beaker. 4. Add 10 drops saturated aqueous copper sulfate to the right beaker. 5. Pour 400ml pf 1.0M aqueous ammonia into a 600ml beaker. 6. Use large beaker to pour 75 ml of ammonia into each beaker. Wear goggles, closed toe shoes, and lab coat Avoid inhaling ammonia gas, do in fume hood Follow proper disposal procedures for lead 4 - - Pb + 2OH --> Pb(OH) HPhenolphthalein and aqueous ammonia are mixed. 2- blue deep blue 3 2 3 2+ How does it work? Procedure pink Blue

Red, White and Black:

Transcript: On July 17th, 1862 President Lincoln declared African Americans could serve in the U.S. military by issuing the Second Confiscation and Militia Act African Americans were not allowed to engange in combat unitl the Emancipation Proclamation The Importance of Different Racial Groups Different racial groups played a key role in the Civil War African Americans fought for the North, which enraged southerners, Hispanics fought for both sides and Native Americans became scouts and giudes. More than 10,000 served in the Civil War Both the Union and Confederate had hispanic Americans fighting for them, but most regiments were in the Confederate Army because most of them lived in the Southwest of the U.S. The highest known rank of a hispanic american was admiral of the Union Navy African Americans Native Americans 200,000 served in the Union army and navy and were paid less than white men and they could not become officers The United States Colored troops suffered discrimination even though they volunteered Most were placed as factory and construction workers and did not see combat They were given wore down clothes and equipment that the white soldiers did not want When used in battle, they were seen as targets and were put on the frontlines Sources Hispanic Americans Most supported the Confederacy because the union troops abandoned the forts in indian territory making them more vulnerable to the confederacy Some Native Americans owned slaves The ones who remained loyal to the Union were only allowed to fight in indian territory for fear they would turn against white men when armed Many were guides and scouts They joined the armies for they were promised to get their homelands back if that side won Race in the Civil War By: Kelsie Owens and Chance Osborne

Red and White

Transcript: Thank you... 1. Aspirin 81 mg PO Daily 2. Metoprolol tartrate 25 mg PO BID 3. Atorvastatin 20 mg PO Daily 4. Warfarin PO 7.5 mg and 5 mg PO altern. No known drug Allergies 1.Cardiology consulted -agreed to hold anticoagulation 2.Transferred to Medical Tele on 3/6 in stable state. EKG showed afib and 1 mm ST depression in V2-V5 and T wave inversions in inferior leads Troponin elevation to 3.2 EKG CT 03/13/18 E.D. course Past surgical History EtOH: 2 glasses of wine daily. Denied recreational drugs use. Denied smoking. Lives with spouse, at home. Retired financial planner. Independent of daily activities Does not use a cane /walker for ambulation ICU Course Clinical case: CT 03/13/18 CT 03/02/18 Constitutional: Denied fever, chills, malaise. HEENT: no visual changes, no tinnitus, no neck stiffness, no runny nose, no bloody nose. Cardiovascular: Denied chest pain, shortness of breath, palpitations, orthopnea, edema. Respiratory: Denied shortness of breath, cough, wheezing, post nasal drip. GI: Denied nausea, vomiting, abdominal pain, bloating, diarrhea, constipation. Neuro: Right sided fronto-temporal headache ,No weakness, No sensory complaints ,No diplopia. GU:No urinary or bowel incontinence Extremities: Denied any muscle weakness or tingling sensation. Initial Dx. Imaging studies Home Medications CT 03/03/18 Past medical History 03/13/18 Acutely confused, hallucinating and delirious. CT ordered. Laboratory data 1. Required ICU monitoring-admitted on 3/3. 2. Serial head CT 's at 6 hrs and 24 hrs were stable. 3. Had a brief course of delirium which was thought 2/2 alcohol withdrawal for which he was on CIWA Chief complaint: Social Hx.: Hx. prostate CA s/p RTUP Initial Dx. Imaging studies CT 03/02/18 Overnight the patient got up from bed -->felt dizzy-->Fell Bite his tongue May have lost LOC , but cannot report exact time. Next morning: Complained of R sided headache -->Wife identified a bruise around the left eye and then brought him to the ED Dx. Imaging studies CT 03/03/18 Morning Report Vital Signs: BP 163 / 101; Pulse 76; Resp 18; Temp 98.1(O); Pulse Ox 97% on R/A PE: Alert, awake, oriented x 3, comfortable, cooperative, NAD. Head and neck: Laceration around left eye. Extraocular movements intact. Pupils reactive and equal. Respiratory system: Bilateral breath sounds. No adventitious sounds. Cardiovascular: Irregular heart rate, S1, S2 heard. No murmurs, rubs or gallops. Abdomen: Normal bowel sounds, soft, nontender. No organomegaly palpated. Neurologically: No cranial nerve abnormalities. Motor system is intact. Cerebellar signs negative. No gait no abnormalities noticed. MSK: Joint changes due to osteoarthritis were appreciated. Allergies: Dx. Imaging studies Hospital course History of Present illness CT 03/13/18 CT 03/13/18 Medical floors course Worcester 04/05/18 Physical Exam: Hospital course 03/08/18 Patient was planned to be discharged but, then suddenly developed chest pain and diaphoresis . BP 80/40 Dx. Imaging studies 03/11/18: Na 123 Serum Osm 263 Urosm 649 Urine sodium 60 Was started on fluid restriction and salt tablets Developed AMS - was confused ,lethargic Stat Head CT... No improvement in hyponatremia started on Hypertonic saline Antiplatelet reversal in adults with Plavix and traumatic ICH Dx. Imaging studies "Prediction is very difficult, especially if it's about the future". Bohr Initial Dx. Imaging studies Medical floors CT 03/02/18 PGY-3: Anannya Patwari M.D. PGY-1: Brian Ellison M.D. PGY-1: Dánova López M.D. PA: Maryann Smith ICU Course Review of systems: Dx. Imaging studies Dx. Imaging studies Date: 03/02/18 Age: 83 y/o Sex: M Patient presents for evaluation of a unwitnessed fall Red and White CT head: Showed increase in subdural hematoma from 16mm to 18mm mm and increased midline shift from 8mm to 10mm. There were radiological signs of impending uncal herniation. Neurosurgery -No surgical intervention as patient was on plavix. Supratherapeutic INR Kcentra Vitamin K IV 10 mg INR reversed from 2.1 to 1.2 Neurosurgery consulted :Recommended BP control and admit to ICU for closer monitoring Initial Dx. Imaging studies Medical floors course CT 03/02/18 Dx. Imaging studies NSTEMI: Chest pain improved with SL nitro High dose statin ,Beta blocker and aspirin later was loaded with plavix and started on plavix 75 mg next day Hospital course Plavix response ordered. CAD, NSTEMI in 2012 s/p cath with no intervention required . Managed medically. Permanent Afib on coumadin. HTN HLPD Initial Dx. Imaging studies

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