Doctors did not seem to concerned with this. The doctors who took care of Jeannie fitted her toes with toe braces and sent her on her way home (TGWTB). This was her first sign of Fibrodysplasia Ossificans Progressiva. Two months later, a bulbous swelling appeared on the back of her small, baby head (TGWTB) Her parents hadn’t a clue where if had come from for she had not hit her head on the side of her crib and she did not have an infected scratch (TGWTB). After a few days however, the swelling suddenly vanished (TGWTB).
She started joint pain on the right side of her knee and then the pain migrated to the left side of her body and affecting all the major joints. Her other symptom is vomiting and the mother also stated that her daughter’s body felt warm to touch. From her past medical history, we learned that this patient has had generalized hives 4-5 times per year, and the etiology has not been identified. She also had a bundle branch block 10 years ago. Her ER report
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions.
She has never worked in one job for more than a few years and has spent much of her adult life as a student”. 6. Feelings of hopelessness: It is described that Ellen began Psychotherapy after it became clear to her that her boyfriend of 4 years had no plans on marrying her and her depression significantly increased. The specifiers of Atypical Features, Severe and Early onset were all included as Ellen describes the atypical features of mood reactivity, hypersomnia, leaden paralysis and a long standing pattern of interpersonal rejection sensitivity. The ever specifier has been determined based on the fact that she meets all of the criteria in category B.
Month after month she would suffer abdominal pains that were so severe, at times she would have to leave her college classes and go home. Tia suffered with symptoms for many years before she consulted a physician who diagnosed her with something called endometriosis. This was heart wrenching to her as she was told it could affect her ability to have children. She then underwent two laparoscopic surgeries to help manage her condition. After this she decided to take a more wholistic approach and try and modify her diet.
Abstract Background: Spontaneous diaphragmatic hernia without any apparent history of trauma is a very rare condition. Case: A 38year old female who was admitted to emergency department with abdominal pain, nausea and constipation for 5 days and was diagnosed with spontaneous diaphragmatic hernia. There was no significant past history of trauma. The patient was treated with laparotomy and the diaphragmatic defect was repaired primarily. Conclusion: Spontaneous acquired diaphragmatic hernia due to lax and thinned out diaphragm is very rare condition and very difficult to diagnose unless a very high index of suspicion is kept in mind.
On the fourth day of admission child became very sick, he was looking miserable, conjunctivae became red, developed measles like rash all over the body, lips cracked, tongue and buccal mucosa became intensively red and there was subcutaneous edema over palms and sole. Based on the foregoing clinical findings, he was diagnosed as Kawasaki disease; intravenous immunoglobulin was given along with oral aspirin- anti-inflammatory dose and supportive management maintaining the fluid and electrolyte balance. There was dramatic improvement clinically. Fever subsided within 24 hours of immunoglobulin infusion and urine output gradually improved and before discharge the renal parameters were returned to normal. He developed peeling of skin around the perianal area.
It was 7 in the evening, the EMS rolled in a 12-month-old to our Emergency department. The infant was in respiratory distress, had cold, clammy skin. While awaiting the vitals, his mother admitted that he was having fever and diarrhea for 2 days and had a history of underdeveloped brain. Temperature was 105F, tachycardia and tachypnea seen and BP was not recordable. We immediately started resuscitating the baby.
She developed blurry vision the next day, nausea disruptions to balance and hearing changes on the right side. She had a computed axial tomography scan done which was negative, was referred to neurology and was taken out of work for 2 months. She is currently getting Botox injections every 4 months which is helping her headaches and associated neck problems as well. Her neck problems seem to be worsening over time. They are more obviously dysfunctional when her Botox relieves some
There is a spectrum of severity ranging from no clinical symptoms, to simple febrile seizures, and extending to Dravet syndrome, which is the most severe. Mutations of the SCN1A gene cause 79% of diagnosed cases of Dravet syndrome. Frequently referred to as a sodium channelopathy, this intractable (uncontrollable) epilepsy is characterized by unilateral (one-sided) clonic or tonic clonic (grand mal) seizures that may be prolonged progress to status epilepticus. After years of trying to find the cause they were running out of solutions and finally running out of doctors.
Patient is a 67-year-old right hand dominant female maintenance who sustained injury to her left shoulder due to continuous trauma from 04/04/00 to 04/04/01. Per OMNI, she was diagnosed with rotator cuff tear of the left shoulder. She is status post left shoulder arthroscopy and one manipulation. She was declared P & S by Ortho AME Dr. Fernandez on 06/11/04 with 28% permanent disability rating. Future medical care includes doctor visits, medications, PT, injections and no additional surgery anticipated.
CC Mrs. Newcomb is a 51-year-old female here today complaining of abdominal pain. HPI The patient tells me that she has trouble with abdominal pain on and off for several years. She, a little more than a year ago, went through an extensive evaluation with William E. Maher, MD in gastroenterology for abdominal pain and ultimately was told that this was likely IBS. She says at that time, she underwent evaluation with an ultrasound, HIDA scan, laboratory studies. She previously had a colonoscopy prior to that in 2009.
Many of this she notes may be influenced by her insomnia and depressed mood. During her service in the army she vividly describes several specific instance that caused her psychological and physical trauma, namely a head injury. As noted above since then she has experienced nightmares, flashbacks and hypersensitive state. She notes that her worries and anxiety is temporally alleviated when she is engaged with her daughter. She denies alcohol abuse but admits to two to three drinks a week.