Recent chest x-rays and pathology including FBE, U&Es, LFTs, CK?, TFTs and common pertussis serology are unremarkable. Treatment wise, Rachael has been treated with amoxicillin, roxithromycin an Augmentin, the most recent course of antibiotics was completed a month ago. 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.
Management Since the etiology was unknown the treatment is empirical.The patient was reassured as to the benign nature of the process. Heavy doses of vitamins have been used, but in general all types of treatment have been unsuccessful. A 10 -year study of patients with geographic tongue treated in a variety of ways concluded that treatment did not influence either the lesions or the subjective complaints of the patients 9.
1 This paper will be discussing the journal article “Incidence of Posttraumatic Stress Disorder (PTSD) After Myocardial Infarction (MI) and predictors of PTSD Symptoms Post MI- A Brief Report” by Leila P. Rocha, Mary E. Charlson, Janey C. Peterson, Nimali Jayasinghe, Barnett Meyers, Martha L. Bruce, Carla Boutin-Foster. This journal article was published in the International Journal of Psychiatry in Medicine. The journal published the article in 2008 (Leila P. Rocha, et al., 2008). Myocardial Infarction (MI) is the name that is used by doctors and members of other medical professions as professional jargon for the term heart attack. What happens during a myocardial infarction is that the muscle that surrounds the heart (known as myocardium) losses its access to the blood supply.
Post-operative period was uneventful. OUTCOME AND FOLLOW-UP Histopathological examination confirmed the diagnosis of chronic cholecystitis and benign simple cyst of falciform ligament origin. There was no histopathological evidence of granulomas or malignancy. The patient is followed up over a period of one year and observed to be symptom
He presents with continuous low back pain and right leg pain. Pain is radiating from low back to right leg and right foot with numbness and tingling. Patient’s pain is still 7/10. Over the years, the patient has been treated with physical therapy as a treatment with subsequent pain improvement. On examination of the lumbar spine, it appears straightened with a 30% decrease in range of motion.
Hematological and biochemical investigations were within normal limits. No history of consanguinity was present in the parents. Fine-needle aspiration of the prenal mass and multiple excsional and incisional biopsies revealed benign spindle-shaped cells with an eosinophilic ground substance in the background. Grossly, the nodules were of variable. Based on the clinical findings, a review of cytology smears and histopathological slides, a diagnosis of JHF was
Patient Case Patient: Angelique van Eeden Hospital number: GP 6317 1693 Date of birth: 02/06/1981 Main complaint 33 year old female patient presents with a 3 year history of tachycardia; tremors and profuse sweating. Patient also complains of protruding eyes. Previously diagnosed with Grave’s disease in 2013. Received ablation therapy in 2013 but symptoms persist as well as large goitre. Previous symptoms now improving, but patient complains of obstructive symptoms including difficulty swallowing.
DOI: 5/14/2015. Patient is a 48- year old male machine operator who sustained a cumulative injury from 12/15/14 through 05/14/15 due t normal job duties. Based on progress report dated 06/16/15, the patient reports that while performing her usual and customary work duties, she developed psychological symptoms, insomnia and digestive system problems due to stress at work. Patient states her stress was caused by mistreatment by superiors and cell leads induding, but not limited to yelling, harassment, putting hands in the workers face in order for them to stop taking, threatening with warnings, move workers from stations just to bug them. She complains of anxiety, pain to digestive system and pain to neck and shoulders due to stress.
At one to seven years after the Achilles tendon rupture, the main patient is assessed for complications, Achilles acute ruptured tendons are calculated, increased heel increment rate, and calf circumcision measured. Based on this article, as a result of surgical and nonsurgical treatment without surgery compared between patients with sex. The minimum age of injury is forty-five years. In the group's surgical treatment at Hospital 1, six of the 201 patients recovered and three had an infection. In the treatment of the nonsurgical group at Hospital 2, the rate breaks were fifteen from 227.
There are many safety issue in hospitals among one of the major issues are falls. Among the most common victims are the elder patients with multiple health problems, patient’s that undergo multiple treatment regimens, side effect of medication and patients who are unfamiliar with the environment. The consequences of falls in hospitals can result to injury with fracture, often lead to poor outcomes and increases the length of stay (National Patient Agency, 2010).The second episode of care which was the patient experiencing a fall from the side effect of the medication: valium; leading to assessment done by the nurses. RN Elliot confirmed that after 20 minutes of giving the Valium the patient had an unobserved fall. The use of the risk management
On review of his old record, he was diagnosed in the Butner systems based on our excellent electronic medical record in 02/2011 with hypertensive nephropathy. His 2009 creatinine was 1.5, 2010 his creatinine was 1.8. UA was normal. Ultrasound 10.5 cm kidneys. Fast forwarding to now in 10/2017, creatinine 1.9 (2.4), bicarb 23, potassium 4.0, sodium 140, calcium 8.2, AST 18, albumin 3.3.
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.
Electroconvulsive Therapy (ECT) is a long-standing treatment option for depression in patients who have not responded to medications. Emergence agitation occurs in approximately 1 in 10 patients post-ECT.1 The agitation is often mild, and can be settled through non-pharmacological means such as verbal reassurance, however, in some patients agitation can be severe and require pharmacological interventions. We describe a case of severe post-ECT agitation which failed treatment with propofol, esmolol and midazolam, but responded well to dexmedetomidine. Miss T, a 19 year old female with a 3 year history of major depression with melancholic features, was referred for ECT following suicidal ideation. The patient underwent 10 treatments with right unilateral electrode placement and a stimulus dose of 35%.
He chest was clear, peripherally there was no clubbing and she was saturating at 97% on room air. Examination of her cardiovascular system revealed soft heart sounds. I could not appreciate any murmurs and there was no evidence of cardiac failure. Impression/Management: The mild to moderate emphysema is an expected find with her smoking history. It appears that she seems relatively asymptomatic, but we will perform some lung function tests to see whether or not she does have underlying COPD.