Fundus assessment (done using ophthalmoscopy and fundus photos) showed CD ratio of 0.5 (H+V) OU which followed ISNT rule. The disc appeared slightly pale with healthy margins and peripapillary tissue. AV was ratio of 1:3, the macula appeared healthy and the foveal reflex was seen. Upon viewing the peripheral fundus, pigmentary mottling and bone spicule were seen in all four quadrants. Slit lamp assessment showed clear healthy lids and lashes with open puncta.
She also had a positive UDS for THC early on in the pregnancy but denies any current usage. On today’s assessment, she has no complaints and has positive fetal movement. By dates, she is 20 weeks and the measurements are concordant. The amniotic fluid volume is normal, and the cervix is long and closed with no evidence of membrane funneling. A complete fetal
Kim Zolciak is a 37 year old reality show personality, who appears on the Bravo network series, "The Real Housewives of Atlanta". She is the mother of six children. Kim has been under scrutiny recently for the plastic surgeries she has undergone, not so much for the surgeries she has admitted to having done, but for the surgeries she denies. There are a few procedures of Kim Zolciak plastic surgery list she denies. In the past, Kim has adamantly denied she has had any kind of plastic surgery performed until a few years ago, she has admitted to botox injections in her face to smooth wrinkles and fine lines.
Patient admits to taking paroxetine (Paxil) in the past for her depression but has not been taking any anti-depressants as of recent. Patient said she stop taking the medication when she felt better and did not feel she had any further use for it. FAMILY HISTORY Patient reports both parents having substance abuse issues but she is uncertain about any other mental health condition. PHYSICAL EXAMINATION VITALS: Temperature 98.3 degrees. Pulse 82.
DOI: 6/21/2014. The patient is a 52-year-old right-handed female technician who sustained a work-related injury to when metal paper holder sprung out and hit her. She did not lose consciousness but was disoriented and confused. Based on the latest medical report dated 02/27/16, the patient reports that after the injury, she had headaches on the right side of the head and had tinnitus almost right away. She developed blurry vision the next day, nausea disruptions to balance and hearing changes on the right side.
Harriet McBryde Johnson, a disability advocate and lawyer had the opportunity to debate these beliefs with Professor Peter Singer. In “Unspeakable Conversations” she details her experience. Harriet McBryde Johnson effectively uses the rhetorical appeals of ethos and pathos, along with her uses of first-person narrative and descriptive language, to support her argument that contrary to stereotypes, a person living with a severe disability can live a happy and fulfilling life. Harriet McBryde Johnson was born in 1957 with a neuromuscular disease. At the time of this essay, she had been disabled for over four decades.
She started joint pain on the right side of her knee and then the pain migrated to the left side of her body and affecting all the major joints. Her other symptom is vomiting and the mother also stated that her daughter’s body felt warm to touch. From her past medical history, we learned that this patient has had generalized hives 4-5 times per year, and the etiology has not been identified. She also had a bundle branch block 10 years ago. Her ER report
Furthermore, some patients were not even assessed on that day. This was just Amandeep’s story, I am sure many other were affected by this as unit clerk and the manager confirmed his behaviour towards nurses. If an order was not clear to nurses or pharmacy, it must be clarified or double checked by the prescriber for high quality patient care. As mentioned in the story, Amandeep informed her manager about this incidence, but nothing was done. This makes me feel uncomfortable, it sounds like everyone agreed to this behaviour and adapted this as a norm.
The funding was not supplemented again, and Genie then moved to several foster homes, and even lived with her mother for a short period. The foster homes were often abusive, a seemingly common theme in Genie’s life, which regressed Genie’s development. Genie seemed more like a science experiment than a person after a time. According to the author, “Genie had gone from
DOI: 6/25/2007. Patient is a 37-year-old female store manager who sustained injury when a tote slipped off shelf and struck her left side of the body. Per OMNI, she is status post ulnar nerve decompression on 03/11/08, left De Quervain’s release on 09/08/09, spinal cord stimulator implant on 08/03/11 and shoulder surgery on 01/19/15. Per the PT attendance report dated 05/07/15, the IW has attended a total of 30 sessions for the left shoulder from 02/05/15 through 05/01/15. Based on the medical report dated 06/24/16 by Dr. Angermeier, the patient presents for evaluation of left hand numbness and tingling.
He had no papilledema or atrophy of either optic disc. Pupils react from 4 down to 2 mm, bilaterally brisk and round to light and accommodation. He continues to have good strength with normal bulk and tone throughout his extremities. He had normal sensation to light touch, pinprick, and vibration sensation throughout both upper and