Hiatal Hernia Case Study Answers

Evidence-Based Clinical Practice Paper J.D. is a 62 year old divorced Caucasian female. Patient is a reliable historian. She is allergic to Lisinopril. She currently has a desk job at a local call center. She went through menopause at age 50.

Medical Condition: GERD Patient History: KM is 29 year old patient diagnosed with GERD, who visited the pharmacy to pick up his prescription for Pantoloc 40mg. He is taking Maalox suspension 15ml as need basis for heartburn symptoms. For muscle pain he also takes Ibuprofen 300 mg four times a day as needed along with topical Rub A-535. He drinks 3 to 4 coffee per day and 2 cola per day.

References • https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/dumping-syndrome/Pages/facts.aspx • http://www.ncbi.nlm.nih.gov/pubmed/19724252 •

Cleft lip is an abnormality of the lip which is a gap on the lip that may lead up to the nasal cavity and a cleft palate is a split in the roof of the mouth. This leaves a hole between the nose and mouth. Cleft lip and palate are not contagious, it is usually a genetic malformation. This happens during our development in the womb where everyone has a clefts. The appearances of the face are separated, but as we mature throughout the pregnancy the face comes together and finally seals itself. The lips form between 4 and 6 weeks of pregnancy and the palate forms between 6 and 12 weeks of pregnancy. In babies born with a cleft the sealing did not quite finish the process of closing itself.

Nutrition is really important for those patients. Because these patients produce lots of mucus in the intestine, the mucus interfere with the appropriate absorption of vitamin, fats, and nutrients

If you have a condition like this in your family, then you should really be aware and get checked by a gastroenterologist who specialize in this

The results are based on the effects of the age, volume, consistency and gender on the duration of the swallowing assessment. The clinical importance of the results showed the difference in timing and how the diameter of the pharynx between male and female can affect the result of swallowing. 1. What did the researchers conclude?

It is important to discuss these options with your veterinarian and have your animal seen regularly as well as keeping your pet at a healthy weight. It is worth noting that on a general basis a luxation at grade 1 does not necessitate surgery, grade II could benefit from surgery depending on wear/pain and inflammation of the knee, and grade III and IV necessitate surgery. Annex 4: Umbilical Hernia An umbilical hernia is an undesired communication between the interior of the abdomen and the area bellow the skin (subcutaneous) in the area of the umbilicus (belly button). This communication is due to the fact that the muscle wall of the animal did not close completely after the mother cut the umbilical cord at birth.

Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.

Gastric bypass surgery makes your stomach smaller. This causes you to feel full with less food so you consume fewer calories. The procedure also bypasses part of your small intestine, so fewer calories are actually absorbed into your system. Fewer calories will ultimately lead to weight loss.

Elizabeth Horton is 69 year old female. She has a history of colon resection, with ostomy bag, iron deficiency anemia, lactose intolerance, diverticulitis and constipation. Mrs. Horton has no known drug allergies and is prescribed a regular diet. Previous diets have consisted of NPO, clear liquid diet, TPN with liquids to a regular diet. Mrs. Horton’s eating habits consisted of eating a wide variety of snacks during the day.

According to the Mayo Clinic staff (2014), chronic inflammation can create ulcers in the digestive system, located anywhere from the mouth to the anus, and also the genital area. Inflammation to the lining of the stomach, can lead to scars that can spread throughout the bowel wall completely. Mayo Clinic Staff (2014) state that Crohn’s causes the intestinal wall to become thickened as time goes by, which prevents food from digesting properly due to blockage making it hard for stools to pass by. Mucosa is what protects the stomach, by having Crohn’s, excess mucous is being produced which can make an individual feel as if they are always needing to go to the bathroom.

A 20 yr male patient presented to this hospital with a complaint of progressive distension of abdomen with ascites and bilateral non pitting type of pedal oedema. Incidentally he is the only one child to his parents of a non- consanguineous marriage with no history of radiation exposure , major illness during pregnancy or bad obstetric history. No other family members had similar phenotypic features.

Discussion Post Week Eleven NURS6551, N-6 As an advanced practice nurse (APN), one will evaluate many patients with musculoskeletal and endocrine conditions. Therefore, the clinician must be aware of subtle differences that occur in various diseases to ensure proper diagnosis and treatment. For the purpose of this week’s discussion, I will choose a case study and explain the likely diagnosis along with the differentials.

CASE STUDY INTERNAL MEDICINE: SYNCOPE MICHAEL RAMARA 27419399 22 SEPTEMBER 2014 Table of Contents 1. Patient’s Case Information. 2.