On examination, there is tenderness at the right lateral epicondyle. Right elbow range of motion shows pronation and supination of 80 degrees, both with pain. There is also pain with extension. IW was diagnosed with right elbow lateral epicondylitis and right elbow arthralgia. He was given a prescription for Voltaren gel 1% 3-100 mg with 3 refills, to be applied 2 grams to the area, 4 times daily.
DOI: 9/9/2015. Patient is a 63-year-old male salesperson who sustained injury when he slipped on the showroom floor. As per OMNI entry, patient was diagnosed with left upper arm shoulder sprain. MRI of the cervical spine without contrast done on 3/4/2016 revealed disc bulges and disc osteophyte complexes along the cervical spine with shallow posterior disc herniations at C4-C5, C5-C6 and C6-C7 level; these changes cause mild spinal canal narrowing. The changes at C4-C5 and C6-C7 slightly flatten the ventral surface of the cord.
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8? ?, has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year. The patient was diagnosed for polyps and multiple diverticula at the age of 68.
Charlene says a co-worker Tanya Gould filled out an incident report on the date of the incident because Tanya also had symptoms. Charlene’s first medical treatment was on December 1 with Dr. Ofstead who took her out of work for a “respiratory infection” which was the initial diagnosis. Charlene saw Dr. Ofstead a second time on December 7 when she was continued out of work due to her “asthma condition.” Charlene returned to work on December 14 but she was assigned to another area where they were also working on the ceiling tiles and after an hour and a half Charlene was unable to work. She filed an incident report herself. She notified the Nurse Manager Michelle Gagny that she unable to work due to difficulty breathing.
U.S government Case Study 2 Antimicrobial Drugs Overview: Gerald Lake, 33 years old, endocarditis an infection he acquired from IV drug use. Vancomycin 1gm IV q6h set to infuse over 1 hour, after 15 minute, half of the antibiotic has been infused. Vancomycin is used only when the other antibiotics fail to resolve an infection. Vancomycin brand name is Vancovin. It is in a class of medication called glycopetide antibiotics.
2012). An anticholinergic nebulizer, ipratropium was given to mrs.Smith as per the order which helped to reduce dyspnea and cough slightly. Her Early warning score still remains 6. On detailed examination, Ed doctor suspected mrs.Smith may be having heart failure. ECG done on her which shows sinus tachycardia.
The claimant has a past medical history significant for diabetes mellitus, hypercholesterolemia, and benign essential hypertension. An emergency room visit on 03/02/2017 indicated that the claimant presented with a history of diabetes and hypertension with complaints of intermittent severe headaches that started 2-3 months prior the visit. He had complaints of dizziness and disorientation. He stated that he had a CT scan the previous year which did show an aneurysm that was not important. MRI 9 months ago showed no abnormalities.
DOI: 7/27/2011. Patient is a 53-year-old female jobber who sustained a work-related injury to her lower back while she was throwing away a bad batch of buns and she felt a pop in her low back, causing numbness in her leg which gave out. As per OMNI notes, the patient also fell to the floor. Urine drug screen obtained on 12/17/15 is negative for hydrocodone and is positive for nordiazepam, Diazepam, oxazepam, temazepam, cyclobenzaprine, methamphetamine, and ethyl sulfate. Based on the medical report dated 01/06/17, the patient continues with neck and low back pain.
Alcohol abuse developed after this accident. Smoked 2 packs per day since age 18. Motorcycle accident 4 years ago resulting in foot fracture and subsequent infection, alcoholism and type 2 diabetes. Cellulitis with osteomyelitis of left foot, type 2 diabetes, al Neuro-Alert and oriented to person, place, time and situation. Pt denies problems with headaches, dizziness, tremors, or numbness.
Treating a Patient with Rhabdomyolysis N.T., a 72 year old female with a past medical history of hypertension, COPD hyperlipidemia, and hip surgery was diagnosed with rhabdomyolysis after the patient made a visit to the ER several days following a severe fall. A CMP was ordered which revealed elevated glucose, creatinine, BUN, CO2, and AST values. Also noted were decreased potassium and ALB values as well as severely elevated creatinine kinase levels. Pathophysiology Rhabdomyolysis is described as the breakdown of muscle tissue as a result of major muscle trauma. This muscle injury can occur due to excessive overworking of the muscles or from direct trauma.
(Chisholm-Burns, et al., p. 103). 3. What do you recommend to treat acute episodes of stable-angina-related chest discomfort? Nitroglycerine SL: “0.3 to 0.6 mg every 5 minutes for maximum of 3 tablets in 15 minutes; may also use prophylactically 5 to 10 minutes prior to activities which may provoke an attack.” (Lexicomp, Nitroglycerine, n.d.). 4.
My patient was having regular Span K 1 tab TDS and the surgeon would add chlorvescent 2 tabs stat doses whenever required. Perform a 12-lead electrocardiogram (ECG) as prescribed. We do ECG once a day routinely and a cardiac rhythm strip as needed. Besides providing information on dysrhythmias, the ECG may document post-operative myocardial ischemia that may also affect cardiac output. Amiodarone 200mg tds were given in treating atrial fibrillation.
According to Holly Jorden a behavioral health counselor and Michelle Kosa a social worker, they see drug addicted mothers on a weekly basis at family care health centers in Putnam, Boone and Kanawha counties. All mothers are taking subutex, a prescription drug that helps reduce the symptoms of opiate dependence. Meanwhile, according to the agency for health care research and quality in 2003 nationwide about 1 in 1,000 pregnant were women addicted to drugs. In 2009, the number rose to 3 in 1,000. Women who are drug addicted mother avoids doctors well into their third semester.
DOI: 07/27/2006. Patient is a 36-year-old female apprentice engineer who sustained an injury to her neck and back due to lifting of hall demolition debris. Per OMNI entry, she is diagnosed with chronic back sprain/strain. Urine drug screen obtained on 04/05/16 revealed positive for hydrocodone and Flexeril. Per the progress report dated 09/06/16, patient complained of low back pain.
Current medications include Atenolol, Norco 10-325 mg 1 tablet every 6 hours as needed and Cyclobenzaprine 10 mg 1 tablet 3 times daily. IW was diagnosed with knee pain. He was advised to decrease Norco 7.5/325 mg from 4 times daily to twice daily as needed #60 (should last 45 days) and Cyclobenzaprine 10 mg 1 tablet twice a day as needed #90 for 6 weeks. Per Review # 197682, the IW was certified with a 30-day supply of Flexeril 10mg for weaning to discontinue. Current request is for 45 Tablets of Norco 7.5/325 mg; and 90 Tablets of Cyclobenzaprine 10 mg between 7/14/2015 and