There is tenderness over left inguinal area with positive cough impulse. Diagnoses include lumbar spine strain/sprain rule out radiculitis/radiculopathy, secondary to herniated lumbar disc L3-4 and L4-5, status post prior laminectomy discectomy, 1998, with full recovery, left inguinal lymph nodes, symptoms of gastritis nonsteroidal anti-inflammatory medication (NSAIDS) related, left ankle strain/sprain rule out internal derangement and anxiety and depression. As of this report, the patient has reached MMI with 20% whole person impairment per AME report by Dr. Brourman, dated 1/18/16. Future medical care is indicated up to 20 sessions of physical therapy, medications, epidural steroid injections and possible lumbar spine
The patient has ongoing neurogenic bowel, ongoing neurogenic bladder, severe depression and pain. He is eating, but he still has signs and symptoms consistent with depression. Based on the medical report on 5/2/16, the patient presented for follow-up for his sleep-disordered breathing. Impression includes severe obstructive sleep apnea with daytime hypersomnia and significant improvement with the use of
Cefuroxime Ceftin Antibiotic (prescribed) 500mg twice daily for 10days Side effects: Diarrhea, dizziness, nausea. Safety and fall prevention measures must be considered and patient should be allowed to relax at the onset of drowsiness. Gait belt is recommended for safety. Ondansetron Zofran Antinausea, antiemetic (prescribed) 8mg 3 times daily Side effects; Confusion, Shortness of breath, dizziness. Relieves nausea and vomiting effects and hence reducing discomfort that significantly affects participation.
DOI: 6/3/2016. Patient is a 50-year-old male forklift operator who sustained injury when he was hit by a forklift. Per OMNI entry, he was initially diagnosed with neck contusion and crushing bruises. MRI of the lumbar spine obtained on 08/18/16 showed mild retrolisthesis of L5 on S1. Disc desiccation is noted with decreased disc height at L2-L3, L4-L5, and L5-S1 levels.
The man wanted in connection to a fatal shooting of an Auburn officer is dead after a standoff. WATCH LIVE: FOX25 News at 10 An Auburn police officer, Ronald Tarentino, was rushed to the hospital after getting shot early Sunday morning during a traffic stop. A neighbor who heard the gunfire said she and her husband comforted the officer as he struggled to breathe. "I held his hand and I old him everything would be okay and my husband held his head up with a towel. He said, 'help me, help me. '
SEPSIS/SEPTIC SHOCK - 2013 Brittney Bonsall Xavier University July 27, 2015 Pathophysiology questions (50 points) Adv Nursing questions (85 points) Pharmacology (30 points) CASE PRESENTATION Emergency Department Mr. Roberts, a 72-year-old man, arrived in the emergency department unconscious, with stab wounds to the upper-right abdomen and lower-right chest that were sustained in his home while fighting off a burglar. The paramedics secured two large-bore intravenous (IV) catheters in his right and left antecubital spaces and infused Lactated Ringer’s (LR) solution wide open in both sites. An endotracheal tube was inserted, and ventilation with a resuscitation bag with 100% oxygen was begun. Pressure dressings to both wounds were secured. A 5-cm stab wound to his right lower chest and a 7.5-cm stab wound to his
Mr. Devi was complaining of severe headache with pain score of 10/10, strong pain relief medication prescribed for the pain management. Upon diagnosis of CVA on his CT scan, he was administered stat medication of intravenous anti-hypertensive agent Labetalol as prescribed. Labetalol is an anti- hypertensive medication used to lower severe hypertension both in acute ischaemic and haemorrhagic stroke. It is a selective alpha1 and non- selective beta1 and beta 2 blocking agent, with minimal intrinsic sympathomimetic activity. Because of its unique combination of actions, it contributes to lowering blood pressure via vasodilatation and a slowing of heart rate without affecting cardiac output, renal hemodynamic and cerebral blood flow (Harrington
DOI: 4/30/2013. The patient is a 41-year old male maintenance technician who sustained a work-related injury to his right shoulder/arm from lifting ladders all day. As per OMNI, the patient is permanent and Stationary as of 8/23/2013 with future medical care to include medications, creams, and possible need for injections. As per office notes dated 7/13/16, the patient co complained of bilateral leg and feet pain, back pain, neck pain and low back pain. The patient’s pain is rated as 7 to 10; average of 8.
These symptoms include the acid-induced erosion of the esophagus and enamel, halitosis, malnutrition, severe weightiness loss and an unquenchable appetite. Individuals may Meacham Begin regurgitating within a minute following consumption, and the full-of-the-moon cycle of uptake and regurgitation can mimicker the binging and purging of bulimia. Diagnosis of rumination syndrome is non-invasive and based on a history of the individual. Treatment is promising, with upwards of 85% of individuals responding positively to treatment, including infants and the mentally
Shortly after 7:00 P.M. on Sunday, February 26, 2012, seventeen-year-old Trayvon Martin talked on his cellphone with his friend, Rachel Jeantel. He carried a bag of Skittles and an Arizona watermelon juice cooler as he headed along a sidewalk in the Retreat at Twin Lakes townhouse community in Sanford. When George Zimmerman, driving his SUV to Target for an errand, looked out his window he spotted Martin and concluded, as he told police in a phone call, he was "a real suspicious guy." What about Martin made him suspicious is not completely clear. What is known is that Martin is that he was unknown to Zimmerman, young, wore a hooded sweatshirt, walked slowly in the rain--and, most central to the debates that would later ensue, was black.