• Patient Information: -Name/Gender/Race: Valentina Palmero/Female/Caucasian -DOB: 12/4/1992 -Age: 24 years -Date of exam: 4/12/17 • Chief Complaint: Night sweats and unexplained weight loss. Patient says she has recurring episodes of extreme perspiration, soaking her clothes and bedding during sleep. Patient also notes that she has been losing weight for no apparent reason, dropping 10 pounds in a month. • History of Present Illness: The patient is a 24 year old female complaining of night sweats, unexplained weight loss as well as chronic fatigue and pruritus. Patient has noticed that her lymph nodes in her neck are swollen, but they are painless. Patient also complains of occasional abdominal pain. The frequency of night sweats is about twice every night, waking her up and disrupting her sleep. Frequency of pruritus is about 3-4 times a day, with itching that occurs all over her body. Fatigue is constant, with waves of extreme tiredness occurring during the afternoon and early evening. • Review of Systems: Respiratory System: -Shortness of breath- After small amounts of exercise -Coughing- Frequent productive coughing accompanied by phlegm and sputum -Chest discomfort- Chest feels tight and full, usually when walking Musculoskeletal System: …show more content…
CBC was administered to determine the WBC and platelet count and to confirm/rule out leukemia and anemia. Lymph node biopsy was completed to observe whether or not Reed-Sternberg cells are present, confirming/denying the presence of lymphoma. X-ray: Medium-sized mass present in the mediastinum. PET-CT scan: Shows enlarged lymph nodes in the chest and spleen. CBC: Normal WBC and platelet levels, ruling out leukemia and anemia. Excisional Biopsy: Reed-Sternberg cells are present in the lymph nodes, confirming
Jimmie Bowman was seen in followup for CIDP, causing previous weakness and numbness of his distal lower extremities. He states that the strength of his distal lower extremities [____] continues improved and is staying normal. He has occasional mild feeling of numbness of his feet, but states this is staying down to what he can tolerate. He is not having pain of his feet. He is no longer on Imuran.
After a few years, there was a tumor in her pituitary region. The tumor was secreting excessive amounts of growth hormone, casing symptoms to appear. She had enlarged hands and feet, coarsened, enlarged facial features, coarse, oily, thickened skin, and
Gait Markedly antalgic. Equivocal Romberg. DTRs 2+ in the upper extremities and knees, trace at the ankles. Labs/Studies CAT scan and C-spine are as noted
This is a 25 year old African American male who is here because he is experiencing burning secsation with urination, and irritation at the penus. Patient is also requesting stuture removed form his right hand. difficulty with Patient denies chest pain, SOB, N/V/D, or fever. Patient denies depressive moods, thoughts of suicide or homicide. current pain
The play sweat by Lynn Nott age takes place in the first decade of the 2000s. During the duration of the play we follow characters through a period of time where the factory they work at starts downsizing and then the union strikes. In response to this the workers are locked out and eventually their jobs get sourced out to Mexico. This all takes place in the small town of Reading, Pennsylvania and more specifically in a bar in this town for the majority of the play. The play speaks to the fragile human condition and many other topics, however, I will be focusing on what Nott age is saying about addiction in the play.
CASE STUDY INTERNAL MEDICINE: SYNCOPE MICHAEL RAMARA 27419399 22 SEPTEMBER 2014 Table of Contents 1. Patient’s Case Information. 2.
Assessment and Diagnosis Ms. F is a 66-year-old African American female. She was most recently hospitalized complaining of nausea, vomiting, abdominal pain and decreased appetite; it was found that
Your Name Diane Burns Your Discipline Family Trainee (Spina Bifida Coalition of Cincinnati Program Manager) Name of Clinic/Type of Clinic Fetal Care Center Provider(s) Observed Beatrix Wong, MS, LGC, Erin E. Hillman, MSW, LSW, Jody Petru, BSN, RN, Sammy M. Tabbah, MD, Jamie K. Capal, MD, Howard M. Saal, MD, FACMG, DonnaMaria E. Cortezzo, MD Observed Provider(s) Discipline Genetic Counselor, Social Work, Nursing, Maternal Fetal Medicine, Neurosurgery, Geneticist, Neonatology/Palliative Care Date/Time Observation 2/6/2018 9:45 AM – 12:30 PM, 3:30 PM – 5:00 PM team meeting My observation in the Fetal Care Center was intended to follow one family (Family A) through their day of appointments, starting with the Genetic Counselor, Social Worker,
Because they also encourage mucous secretions, macrophage activity on pneumococci is decreased while bacterial adhesion to the epithelium is increased. Pneumonia is a condition that aggravates the air sacs in one or both lungs. The air sacs may fill with fluid or pus causing cough with phlegm or pus, fever, chills, and difficulty breathing. Cyanosis occurs as a result of the decrease in gas exchange through the inflamed alveolar membrane and subsequent decline in hemoglobin saturation. One of the most common complications of the flu is a bacterial infection.
CASE: John Smith is an 11 year old Asian boy with PMHx of hypothyroidism x 2 years, on levothyroxine 25 mcg daily presented with painful progressively enlarging goiter that started 2 months ago. The pain is described as constant shooting and radiating to the neck, rated 6/10, nothing made it better, moving his neck made it worse. Pt states that the pain is mostly localized to the right, and it is associated with compressive symptoms like difficulty breathing and swallowing, but no change in voice. The swelling was painful and progressive and at the time of examination was 2 × 2 cm on the right side of the neck and was moving with deglutition. She had no other complaints and her family history was noncontributory.
Sweat by Zora Neale Hurston displays countless acts of symbolism through imagery, it partially requires deeper knowledge and understanding. Religion has clearly played a predominant role in Hurston 's life, this is exemplified by the references to a snake and Gethsemane. The symbolism presented throughout the story has a significant impact and in the wake of evaluating it; they give the story more clout while justifying the true meaning behind the title, Sweat. The most obvious symbol in the story is the title. In the narrative it states, “Looka heah, Sykes, you done gone too fur.
The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack. The patient noted with bilateral lower extremities edema, and claimed that she uses 2 pillows as a comfortable position to sleep,
Complete hemogram was done which was normal except for the reactive forms of lymphocytes were seen. Systemic evaluation was done to examine for any primaries or metastasis USG of neck, abdomen and pelvis was normal. Serum LDH was mildly elevated. MRI head was done which was suggestive of either an inflammatory pseudotumor or a neoplasia of lacrimal gland. Excision biopsy of the lesion done under GA was sent for Histopathological evaluation.
In the 1980s, Acquired Immunodeficiency Syndrome(AIDS) struck the United States and initially impacted the gay community the hardest. A homosexual man himself, Thom Gunn saw, firsthand, the effect AIDS had on the gay community when he lost many friends. An elegy to those taken too soon and an ode to those still fighting, Gunn wrote “The Man with Night Sweats.” In “The Man with Night Sweats,” Gunn utilizes tactile, visual, and kinesthetic imagery to convey the threefold progression of confusion, reflection, and helplessness those face when battling AIDS.
According to American Cancer Society, doctors will run numerous tests to conclude an accurate diagnosis of leukemia. The doctor will first look for any physical signs, such as pale skin from anemia, swollen lymph nodes, and enlargement of the spleen or liver. After receiving all the information, the doctor will start blood tests to confirm. The blood tests will show if there are an abnormal amount of white blood cells or if platelet counts are abnormal. The last option the doctors may choose would be a bone marrow test.