Grace is a 78-year-old female who is diagnosed with malignant neoplasm of pancreatic duct (C25.3). Grace was previously treated with surgical resection of the distal pancreatectomy, cholecystectomy, splenectomy, and low anterior resection with colorectal ostomy, gemzar, abraxane, cisplatin, opdivo, abemaciclib, galunisertib, but still experienced disease progression. Pathology demonstrates T2, N1, M1 disease with 9 out of 27 lymph nodes remarkable with metastasis to the colon. Your denial indicates that Zejula is not approved for her diagnosis. Zejula therapy is a poly (ADP-ribose) polymerase (PARP) inhibitor indicated for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal
A rare cause of Acute Respiratory Distress Syndrome (ARDS) - Mycoplasma pneumonia in a middle aged women Case History A 66-year-old female presented to the Emergency Department of Sri Jayewardenepura General hospital with generalized weakness, faintness, and progressive worsening of difficulty in breathing over a week prior to admission. She also had dry non-productive cough, general malaise with myalgia and a low grade fever. She had consulted a GP and treated with salbutamol and steroid inhalers on outpatient basis. However, since her symptoms became more and more troublesome, she was admitted to the hospital. She is a diagnosed patient with type 2 diabetes mellitus for last 10 years and was taking oral metformin for the control.
Assessment 1: Young adult gynecology Subjective Data is K.S., a 22-year-old Latin female who came to the clinic for her annual gynecological exam after having an abnormal pap smear October 1, 2015. The patient is a single mother of one who works as a homemaker, has a high school level of education, and lives extended family members such as cousins, aunts, and uncles. She denies a history of alcohol or drug abuse. Her current method of birth control is male condoms on occasion. History of present illness is the following: K.S.
I asked my Grandmother, when you finally went for your scan and the results came out positive what was your first reaction? She answered in tears and said i immediately fell to the ground in shock, “I suffered through the treatment and ended up in breast conserving surgery were i got my left side breast removed, over a 2 months of healing after being in hospital for 1 week after my surgery, after a couple of months after my surgery i went for my weekly check up and the Doctor then informed me that i had to get a mastectomy done on my right breast because the cancer cells had spread too and also a bit just by armpit , i am now 77 and finally recovered from the removal of both my breast and now i am proud to say i am Cancer free but in saying that i will never again hesitate getting a check up to insure I’m well. Because my grandmother was a victim to this disease me and my 5 sisters have a great chance of also getting breast cancer. My grandmother asked me to research some of the symptoms that could possible indicate that i may have breast
This is Mrs. Houssaini, 60 years old, a Muslim female, who came to the clinic two months ago, complaining of frequency of urination and excessive thirst. After running lab tests and investigations she was diagnosed with diabetes type 2, and the doctor assigned her 2 insulin injections, one in the morning 30 minutes before breakfast, and the other is 30 minutes before lunch. Mrs. Houssaini comes now for regular check up during Ramadan complaining that she cannot take the medications on time because she is fasting. And the following happens:
DOI: 1/23/2016. Patient is a 21-year-old female housekeeper who sustained injuries to her head, neck and back when the elevator from the third floor dropped to the first floor. Per OMNI, she was initially diagnosed with neck and back sprain and headache. Based on the progress report dated 03/29/16, the patient presents for follow-up of her cervical and lumbar strain. She feels slightly better.
Subjective CC/HPI: Patient is a 26 year-old female who presents with frequent shortness of breath and wheezing. She reports experiencing shortness of breath 4 times a week and experiences nighttime awakenings twice a month due to her symptoms. Patient claims to use her Flovent inhaler one puff twice a day, less than her prescribed dose due to cost issues, and her rescue inhaler 3 times a week for when her wheezing is severe. Patient also presented with a persistent runny nose and itchy eyes starting 5 weeks prior. Her inhaler technique was assessed and deemed correct.
(5) The outstanding feature of this study is the significant response to oral retinoid in all cases. Material and methods: CASE 1: A 30-year-old woman presented with papular eruption on her face that had been started 1.5 years before her visit to our center. She stated that the asymptomatic papules arose suddenly over several weeks leading to roughness of her face. She also had experienced a bilateral eyebrow loss since 2 years which made her to undergo a cosmetic tattoo after getting disappointed of several topical treatments all of which failed to an eyebrow growth. Her medical history revealed no specific disease.
Introduction: Client My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies. They surgery she had undergone was a right hip cannulated screw.