He is scheduled to be discharged today, but still needs some reinforcement of diabetes education. He does not speak English very well. • Scheduled admission is Mrs. Mary Smith, a 75-year old black female admitted with change in mental status. ER calls to give report at 0800.
DOI: 06/05/12. Patient is a 50-year-old male construction laborer who sustained a work related injury to his back due to lifting heavy objects off a conveyor. Based on medical report dated 5/0115, the patient complains of severe, and on and off middle and lower back pain with difficulty with all activities. Pain is described as constant, burning, aching, dull, sharp, throbbing and tingling.
More now than ever athletes are being watched out for when there is trauma to the brain. After multiple cases of poor treatment to concussions parents and doctors are cracking down on letting concussions not be a big deal. As more studies advance, it is discovered that every case is different. The range is created by severity, past experience with trauma, and how the patient heals. Concussions in sports can range in severity, and how they affect each individual over time depending on times of impact.
DOI: 1/23/2016. Patient is a 21-year-old female housekeeper who sustained injuries to her head, neck and back when the elevator from the third floor dropped to the first floor. Per OMNI, she was initially diagnosed with neck and back sprain and headache. Based on the progress report dated 03/29/16, the patient presents for follow-up of her cervical and lumbar strain. She feels slightly better.
She has noticed no significant voice changes and no other symptoms suggestive of underlying tissue disorder. On examination, she was well looking. The cough today was present throughout the consultation and was a mixture of throat clearing and a dry laryngeal cough. Peripherally there was no clubbing, she was saturating at 99% on room air and her lung fields were clear. Examination of her oropharynx revealed moderate degree tonsillar enlargement, but these were not reddened and she believes they are longstanding.
Background Information: Patient R.S. is a 78-year-old male with a background in accounting; his career prior to retirement 13 years ago as an accountant. R.S. was diagnosed with COPD, community acquired pneumonia, impaired gas exchange, TURP and shortness of breath. R.S. appeared to be worn out and exhausted, he was wearing the hospital gown, had a Foley catheter in, two PICC lines bilaterally in the antecubital area, air compression legs wraps bilaterally, and heart monitor and was also wearing oxygen. He was very friendly and cooperative with having to have his vitals taken, medication given, and bed bath done. R.S. spoke in a low, happy voice.
ABSTRACT A 93-year-old man with chronic hydrocele. A hydrocelectomy was performed and the intraoperative findings revealed several nodules in the tunica vaginalis. The pathological diagnosis was malignant mesothelioma. A second procedure was performed to do a radical inguinal orchiectomy with hemiscrotectomy.
Although, there was some straightening of the curvature suggesting a muscle spasm. In September of 1985, the plaintiff was rear ended. She suffered a sore neck and soreness in the right shoulder. In April of 1992, the plaintiff was in a motor vehicle accident suffering right leg and groin pain.
Thank you for referring Christine Telfer, a 68 year-old lady who has previously worked as a travel manager for the federal police. Christine has predominantly traveled interstate as part of her work, although of late will often visit Europe or the United States for holidays. She is a non-smoker and keeps a pet cat, but no other animals. Christine is generally in good health and does not take any regular medications. Around three weeks ago, she noted sudden onset left lateral chest pain that was quite focal in nature with associated left shoulder pain.
1. Describe the relationship between intrapulmonary pressure, atmospheric pressure, and air flow during normal inspiration and expiration, referring to Boyle’s law. - Boyles law states that as the pressure of gas increases then the volume of gas decreases. Which is how intrapulmonary and atmospheric pressure are connected to one another. Intrapulmonary pressure is lower while undergoing inspiration and higher than atmospheric pressure during the time of expiration.
Specific Case This semester I cared for resident JT. JT is diagnosed with dementia, which is a form of chronic confusion. Evidence from JT’s physical assessment that supports this diagnosis is her mental status. In her patient chart, it states that JT is alert with confusion.