Patient Reliability

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.

Complete Physical Examination Informant: Patient who reliable and good historian. Chief Complaint: Questioning why INR is elevated and wants to know for how long she should take Coumadin. Follow-up appointment after treatment of thrombolysis. History of Current Illness: A 52-year-old female with history of hypertension and asthma. Positive for Factor V Lieden.

Patricia Douglass is a 28-year-old, gravida I, para 0 at 34 weeks gestation. She is carrying a set of twins. At her most recent office visit with Dr. Sanders, Patricia had an elevated blood pressure of 158/86. She was brought to the hospital by ambulance. Upon arrival Patricia is immediately assessed and states that she has failed to comply with her prescribed blood pressure medication, Labetalol 200mg BID.

Figure 1 shows the electrocardiogram (ECG) after the angiography. A carotid endarterectomy was performed 5 months before due to an atheroembolic stroke. During the postoperative period, she presented atrial fibrillation with rapid ventricular response and amiodarone was added to her habitual treatment. Her current treatment is ASA 325 mg/day, atenolol 50 mg bid, enalapril 20 mg bid and amiodarone 200 mg bid. One month before the event she attended the outpatient clinic and an echocardiogram was performed, which showed: normal left ventricular dimensions, wall thickness mildly increased, normal left atrium and aorta, mild left ventricular dysfunction with an estimated ejection fraction of 50%, hypokinetic basal inferior and mid inferior segments and mitral inflow filling pattern of delayed relaxation (according to her age).

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.

1. She was born on July 6, 1907 in Coyocoan, Mexico City, Mexico 2. She had german dad (photographer) and half Amerindian and half Spanish mother and also two older sisters and one younger sister. 3. Had very poor health in her childhood and contracted polio at age of 6 and had to be bedridden for nine months.

We report a rare case of malrotation with LADD band presenting in an 11 year old girl accompanying intrinsic duodenal stenosis and annual stenosis. Case report : A 11-year-old-girl presented to the hospital with the chief complaints of abdominal pain, epigastric fullness, bilious vomiting,

2. Appropriate use of therapeutic options – hormonal, non-hormonal, and non-pharmacologic 3. Distinguishing hormonal-related menopausal symptoms from depression, other mood disorders, and other causes of sexual dysfunction A 55-year-old Hispanic female who presents for her annual exam.

Many families cannot thank the donor’s families enough, just like Khalieghya and her family cannot. Khalieghya was diagnosed with biliary artesia as an infant-- blockage in the tubes that carry bile from the liver to the gallbladder. She had many surgeries, but they were unsuccessful. Doctors informed her family that the only way that she would survive was if she received a liver transplant; with that being said, she was finally placed on the national transplant waiting list. Khalieghya’s family received word when she was five months old that the doctors had found a liver match because another child passed and the family members were generous enough to donate the child’s organs.

When I came back to assess the baby’s feeding, the mother proudly told me that baby fed for 30 minutes on the left breast and 30 minutes on the right. Lastly, I assessed my last patient and her baby everything was normal and I was able to do some of my health promotion teachings