A 34-year-old woman presents to the emergency department with a 6-month history of recurrent epistaxis and easy bruising. She has experienced approximately two or three epistaxis episodes per month during this period, and the bleeds eventually stop following packing of the anterior nares. She has no past medical or surgical history and takes no medications. She has never been pregnant but notes that her menstrual periods have been "heavier than usual" during the same 6 months. She denies headaches or changes in vison. On examination, she is afebrile, has a pulse of 78 beats/minute and blood pressure of 119/82. On dermatologic examination, she has diffused areas of petechiae under her tongue, on the extensor surfaces on her forearms, and on her posterior thighs bilaterally, none of which are elevated or palpable. Abdominal exam is negative for splenomegaly. Laboratory examination shows: BUN 13 mg/dL creatinine 0.8 Mj/dL WBC 8,000 cells/mm3 Platelets 24,000 platelets/mm3 Hemoglobin 14.1 Mj/dL Hematocrit 42% PT 14 seconds (normal 11-15 seconds) Aptt 27 seconds (normal 25-40 seconds) Bleeding time 11 minutes (Normal 2-7 minutes) what is the diagnosis for this patient's condition?

Discuss the 2 major types of diabetes insipidus (central and nephrogenic).

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?

List three other drugs used for anxiety or sleep that are not classified as benzodiazepines or barbiturates.