Cholecystitis Case Study

DOI: 5/31/2016. Patient is a 44-year-old male warehouse operator who sustained injury to his right elbow when he struck his right upper extremity on a metal crate. Per OMNI, he was initially diagnosed with contusion of the right elbow. Per the progress report dated 07/20/16, a corticosteroid injection was provided into the right elbow.

PATIENT: 4 MINUTES PRESENTING PHYSICIAN: 66-YEAR OLD MAN WITH A PAST MEDICAL HISTORY RELEVANT FOR MYOCARDINAL INFARCTION (sp?) SECONDARY TO CORONARY ARTERY DISEASE, HYPERLIPIDEMIA, PERIPHERAL VASCULAR DISEASE WITH INTERMITTENT CLAUDICATION (sp???) AND SLEEP APNEA. HE HAS A HSTORY OF TOBACCO EXPOSURE AND NO HISTORY OF ALCOHOL USE.. PATIENT PRESENTED WITH EPIGASTRIC PAIN OVER A 3-MONTH PERIOD AND SUBSEQUENTLY HAD ONE EPISODE OF GASTROINTESTINAL BLEEDING THAT REQUIRED ADMISSION. DURING THAT ADMISSION A COMPLETE WORKUP WAS PERFORMED INCLUDING AN EGD THAT REVEALED THE PRESENCE OF AN ULCERATED AND FRIABLE MASS IN THE GASTRIC

Visuals: Slides & images , vitamin d pills. Audience: Classmates as well as anyone who cares for their health/well-being. Introduction: I.

He went to the emergency room last week and was provided with Toradol injection. He was told it was sciatica on the right leg. Now, it is in the center of the back and sacroiliac area. Current pain level is 8/10 with pain medications. He also reports that the left side of the back and leg is aggravated by sitting between 1 to 1.5 hours.

She does tell me she had similar symptoms years ago when she was working at a different job. She was diagnosed at that time with a herniated disk and did have steroid injections and was out of work for six months. She tells me since then symptoms have come and gone, but this was the worst case of it she has had for quite some time. She was given both Percocet as well as Valium in the Exeter Hospital Emergency Room and does tell me she took these and completed them. She currently is just taking ibuprofen.

She also had a five-day course of prednisolone around two months ago. On review today, oxygen saturation was 97% and oropharyngeal inspection was unremarkable. Chest auscultation was surprisingly clear.

Thank you very much for referring John along for further investigation of his shortness of breath on exertion and what sounds to be repeated exacerbations of COPD. As you are aware, he first noticed difficulties in 2001 when he had an acute episode of shortness of breath and cough whilst holidaying in Turkey and was hospitalised for this. He was not started on any active treatment at the time and symptoms did resolve themselves after a couple of weeks. Since then, he has had three to four of what he calls bad attacks whereby he has quite suddenly become very short of breath and wheezy. He has had no obvious trigger for these, but on one or two occasions it has been related to an upper respiratory tract infection.

Psychology truly is everywhere. “The Pain Medication Conundrum” is a news story that was published on August 13, 2015 in the New York Times written by Danielle Ofri. The news story discusses the confusing and difficult problem that the prescribing of pain medication has caused. In summary, the news story explains a situation where an old man, in his mid-60s, entered his primary doctor’s office asking for a prescription of oxycodone for pain because the clinic where he used to get it from closed. In the six months that the doctor had been seeing him, he was unaware that his patient was taking narcotic pain medication.

So, Darry had to run in there to save him. The doctor said that Dally would be okay after two or three days in the hospital. But, Johnny was in critical condition and was suffering from severe shock and third-degree burns. He couldn’t even feel the burns below his waist (102). This is proof that Darry got sick and stayed in the hospital for a few days, but was fine eventually.

For example, one morning I saw first my patient on 5 L O2 via oximizer with a sudden decrease in SpO2 yesterday, second, I saw my patient with two episodes of hypoglycemia the previous day and severe pain, third, I saw my patient admitted a week ago with a GI bleed that had been treated and had maintained stable vital signs and labs for the past 4 days, and finally, I saw my patient that was due for discharge that day. I mainly used the ABC framework; however, as you can see above, I would look at the overall situation of the client, not only based off of the

Cefazolin 1g IV 8 hourly for 7 doses are routinely prescribed post-op. Monitor electrolyte levels, especially potassium, magnesium, and calcium. Electrolyte imbalances are common causes of dysrhythmias and guide treatment. My patient was having regular Span K 1 tab TDS and the surgeon would add chlorvescent 2 tabs stat doses whenever required.

DOI: 1/24/2008. Patient is a 57-year old male medical assistant who sustained injury to her neck and right shoulder due to performing normal work duties. Per OMNI, he was initially diagnosed with cervical radiculopathy and stenosis. He was declared P & S by primary treating physician Dr. Chan on 07/23/09 with 9 % permanent disability (PD). Future medical care includes MD visits, ESIs, acupuncture and medications.

Introduction: 63 year old male arrived at the hospital complaining of hip pain accompanied by nausea and vomiting. During examination it was revealed he had a hip replacement three years ago and the sickness could be from eating an unhealthy supper. The gentleman was admitted and treated for gastroenteritis and bursitis. He received in injection in his left buttock for the bursitis. Two days later the same male patient came back to hospital due to red, raised blister appearing at the injection site.

He was advised to decrease Norco 7.5/325 mg from 4 times daily to twice daily as needed #60 (should last 45 days) and Cyclobenzaprine 10 mg 1 tablet twice a day as needed #90 for 6 weeks. Per Review # 197682, the IW was certified with a 30-day supply of Flexeril 10mg for weaning to discontinue. Current request is for 45 Tablets of Norco 7.5/325 mg; and 90 Tablets of Cyclobenzaprine 10 mg between 7/14/2015 and

Concept Map Patient Profile KJ is a 55 year old male admitted to the hospital with chef complain of Chest Pain and Syncope. Patient stated that he was watching TV when he started to have Chest pain with nausea and vomiting. This pain was the same as when he had his MI 3 years ago. He called 911 and the ambulance has transported him to Holy Cross. In the ER the patient has stated that few days before admission he has lost consciousness and fell to the ground, however do damage was caused by the fall.