He reported that the intervals between the episodes of biliary colic decreased from one time every 10 days until it became daily. Also, the attack of biliary colic was relieved by intramuscular injection of antispasmodics and analgesics at first, but they weren’t effective anymore. The option of cholecystectomy was discussed and the patient agreed. Pre-operative laboratory investigations revealed normal kidney function, normal blood picture and elevated liver enzymes and elevated bilirubin (AST=174 u/L), (ALT=399 u/L), (GGT=206 u/L), (Alkaline phosphatase=147 u/L), (Direct bilirubin=2.0 mg/dl) and (Indirect bilirubin= 0.6 mg/dl). The patient was admitted to gastrointestinal endoscopy unit for Endoscopic retrograde cholangiopancreatography (ERCP).
Mary Harvey, a 42-year-old African American female, postop day 2 from abdominal surgery. Has an NGT still. She is also Muslim. • Ms. White, a 60-year-old female, admitted 3 days ago with a diagnosis of bacterial pneumonia. She still is dyspneic with exertion and on 2L of oxygen via nasal cannula.
A thirty- seven year old nurse practitioner was working at an urgent care when a 23-year-old graduate student arrived. Complaining of fever, chest pains, and cough. He had a temperature of 101°F. He also stated that he had been unwell for the last couple of days. The nurse practitioner completed a brief examination of the patient, and gave a diagnosis of bronchitis.
Had very poor health in her childhood and contracted polio at age of 6 and had to be bedridden for nine months. The disease caused her right leg and foot to grow much thinner than her left one and as a result she only wore long skirts to cover it up 4. Her father (who was a major influencer in her life) encouraged her to do lots of sports to help her recover. Including soccer, swimming, and even wrestling , which is very unusual at that time for a girl ii. Later in life 1.
One woman dies of cervical cancer every 8 minutes in India. Following below the most recent statistics available for survival by the current staging system. Stage Relative 5-Year survival Rate 0 93% IA 93% IB 80% IIA 63% IIB 58% IIIA 35% IIIB 32% IVA 16% IVB 15% Why are some cancers diagnosed late? As we all know that late diagnosis ant late initiation of treatment lead to more chance of morbidity and mortality. In UK, around 25% of cancers are diagnosed through emergency admission to hospital and most of them have lower chances of survival compared to other patients.
GINGIVAL BLEEDING AS PRESENTING SIGN OF ADVANCED HIV/AIDS – A CASE REPORT ABSTRACT: Introduction: Acquired immune deficiency syndrome (AIDS) caused by human immunodeficiency virus (HIV), remains as a significant health care problem since its discovery in 1981. Oral manifestations are considered as the earliest and important indicators of HIV infection. Most of the oral manifestations of HIV are due to immunosuppression and related opportunistic infections. Case presentation: A 43 year old female patient reported to our department with a chief complaint of bleeding gums for 4 days. Based on the history and clinical examination, necessary investigations has been done and she was diagnosed as clinical stage IV HIV disease with pancytopenia, disseminated tuberculosis and tuberculoma brain.
He is referred from Kyeik Htaw Station Hospital due to neck swelling and unable to swallow for five days. He has tightness of chest and fever. In Immunization history, his mother said to be complete. In past medical history, he had admitted to hospital due to hepatitis. He did not take any drug regularly.
In the novel, Cassie Logan, along with many of her neighbors caught the fever. Her illness lasted two weeks, and during that time frame, she was barely awake and was unaware of her surroundings. Since scarlet fever is contagious, Cassie had to be separated from her family while she was infected. The sickness began when she felt nauseous, weak, and hazy. Even after she felt better, Cassie spent a lot of time resting as her strength was not fully recovered.
Acute Otitis Media Blaire, the 10-month-old patient, came into the doctor’s office with tugging of the ears. The doctor soon after diagnosed Blaire with bilateral acute otitis media. This disease primarily occurs in children between the ages of 6 months to 2 years.3 This is because the eustachian tube in children is in a different shape as compared to adults. The shape is shorter and more horizontal in children.4 This allows for an infection to stay in the tube for a much longer time. The infection occurs mostly after a viral infection has lowered the immune system and has inflamed and obstructed the eustachian tube.
The acute stage can last for a number of weeks or several months. Possible symptoms of this phase include swelling at the site of infection, fever, fatigue, rash, headache, appetite loss, nausea, vomiting, and diarrhoea. Many patients do not present symptoms until the chronic stage has been reached, as much as 10-20 years after initial infection. These can include abdominal pain (caused by swelling of the colon), difficulty swallowing (caused by swelling of the oesophagus), irregularity of the heartbeat, congestive heart failure and sudden cardiac arrest. In some cases, symptoms never