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. Within several hours the blister grow exponentially to 8cm. His calf had a pale appearance that had begun to turn a gray color. Upon examination there was a crackling sound from beneath the skin of his left leg, correlating side of his hip replacement. …show more content…
There was a high probability the bacterial infection could have been necrotizing fasciitis due to the overlapping signs and symptoms of both infections. Both of these bacterial infections can be caused by a Gram-positive bacteria called Clostridium perfringens and the portal of entry for this endospore is through breaks in the skin that will infect the tissue. Necrotizing fasciitis causes intense pain and swelling at the site of infection. Discoloration of the skin along with hot to the tough, fever, nausea, malaise and other flulike symptoms. Patients normally have extremely low blood pressure which results in confusion. (Braumen, 2012, p. 569) Gas gangrene causes intense pain, swelling around the injury, fever with pail skin that will turn gray and end up being dark purple and red. A foul smelling drainage will come from the tissues along with crepitation, the crackly sound documented earlier, and tachycardia. (Braumen, 2012, p. 563) I am diagnosing the patient with Gas gangrene due to the ability for the C. perfringens to have been introduced to the man’s dead tissue from his hip replacement surgery 3 years ago, along with the gas found in his leg most likely causing the
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Another could have been the doctor's superiors or any one of the nurses who witnessed him, place the cast on the leg, however, they didn't say anything thus why they were in the predicament in the first place. Another is himself because he could have said that he felt that the cast was too tight. Let alone all of this happened in less than one day. Meaning that it was most likely the constriction portion, meaning that the cast felt like a boa constrictor was warped around his leg. In this case, the best guess for the type of gangrene is dry gangrene, which is primarily caused by construction, poor circulation, and also diabetes.
Section 1: Identification of the unknown pathogen Patient is Terrance V. Haller, a 13-year-old male who enjoys outdoor activities such as skateboarding. No previous medical history and there are no known allergies. Terrance had a skateboarding accident where there were multiple lacerations and contusions. The wound on his forearm extending to his elbow was slow healing and therefore became pus producing. The patient has since returned to his primary care physician to find out what is going on.
The patient comes today for a wound check and staple removal. He states he still gets some throbbing, moderate to severe pain, particularly with movement. PHYSICAL EXAM: Notes that it was too painful to do a stability test, but the incision is clean, dry, and well approximated with retained staples. There are no signs of infection. The foot is neurovascularly intact.
MEDSURG Nursing, 23(3), 187-188. Farber, J., Illiger, S., Gartner, F. B., Lutz, v. M., Lohmann, C. H., Bauer, K., . . . Geginat, G. (2017). Management of a cluster of Clostridium difficile infections among patients with osteoarticular infections. Antimicrobial Resistance and Infection Control, 6 doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1186/s13756-017-0181-4 Wang, J., Quan, K. A., Tjoa, T., Yim, J., Dickey, L., Chang, J., ... & Gohil, S. K. (2016, December).
After being taken to the hospital the nurses reported that the bandage had not been changed for some time and they notice the smell of decaying flesh, also her catheter was clogged. Its also seem that a mouse had chews a hole in her feeding tube. The
Doctors advised that he should have his leg surgically removed. His parents had no money for such a costly operation. But, luckily a specialist offered to perform a surgery on his leg if he allowed his students to watch it. This surgery saved Tommy’s life and was the very moment that inspired him to come up with universally accessible medical care. He knew instantly that just like him there are others who would undergo the same situation.
DOI: 09/26/2010. The patient is a 63-year-old male route sales representative who incurred a work-related injury to his left foot and ankle due to repetitive job duties. Based on the progress report dated 03/18/16, the patient presents for reevaluation of his left ankle. He underwent left ankle surgery on 10/15/13. His left ankle has been worse the past two months.
The doctors who took care of Jeannie fitted her toes with toe braces and sent her on her way home (TGWTB). This was her first sign of Fibrodysplasia Ossificans Progressiva. Two months later, a bulbous swelling appeared on the back of her small, baby head (TGWTB) Her parents hadn’t a clue where if had come from for she had not hit her head on the side of her crib and she did not have an infected scratch (TGWTB). After a few days however, the swelling suddenly vanished (TGWTB).
DOI: 6/25/2013. Patient is a 39-year old male commercial driver who sustained injury while he was parked when he got struck from behind by a tractor trailer. Per OMNI, he suffered injury to his neck, back, shoulders, elbows, and knees. He is out of work since the date of injury. He is status post cervical discectomy with fusion at C4-6 on 3/12/14 and a suboccipital craniotomy and decompression of a C1 lamina due to Chiari malformation on 12/29/14.
The patient, a defensive halfback for his college football team, was injured during a ply. He was rushed to the emergency department of a small, accredited community hospital where the only physician on emergency duty that day was Dr. Alexander, a general practitioner. Alexander had not treated a major leg fracture for 3 years. The physician examined the patient and ordered an X-ray that revealed that the tibia and the fibula of the right leg had been fractured.
Sepsis is a possibly life-threatening condition. It is the body 's response to an infection that causes a cascade of events and symptoms that lead to a diagnosis of sepsis. Early diagnosis is crucial in preventing the severe and serious complications that can ensue. Care is supportive and directed at preventing multi-organ failure by promoting aggressive volume resuscitation in order to reverse the effects of tissue hypoxia. Contrastingly, studies show that excessive fluid therapy can lead to increased complications, length of stay in the ICU, and
On March 24th, 2017, I was assigned to Medical-surgical unit of Arlington Memorial Hospital. My patient was 56-year-old woman, came to the hospital complain of abdominal pain, nausea, vomiting, fever, and bloody diarrhea. She was admitted in the hospital two days ago. I had medication check off that day so I was responsible to give her medication.
Mr.Olaf's symptoms consist of a Staphylococcal infection causing secondary cellulitis. The symptoms of cellulitis and staph infection are a red rash and continued swelling of arm, fever, and painful to the touch. Staphylococcal bacteria could have entered the body system before Mr. Olaf could flush and cleaned the wound. Staphylococcal could have entered the wound while Mr.Olaf was in the doctor's office for the initial exam, certain bacterias have been known to can be found in medical facilities. The other diagnosis could be Contact Dermatitis, Poison Ivy or Oak.
West End Villa nursing home of the Extendicare chain in Ottawa recently had one of its residents, eighty-nine-year old Luba Ignatieva, sent to the hospital following a detection of maggots in a wound. Following the unsightly discovery by staff at the nursing home, Luba was treated at a hospital, concerning her family and the police. This prompted an investigation further into the case by the elder-abuse unit; however, according to the Ottawa force 's official statement it was regarded as a non-criminal matter. Chronic “venous stasis ulcer” is what Luba has on her leg and needs to be checked on and treated twice a week by a worker at the nursing home. According to Luba, only one out of two scheduled dressing changes took place, thus resulting