Summary: Prior to starting my research, I had a very rudimentary understanding of IPF. As I look at my research I am able to connect some of the pathophysiology to the tests that are usually performed for diagnosis. For example, the increase scarring and deposition of fibrotic tissue in the lung is seen as reticulonodular opacities on a chest x-ray. Additionally, the spirometry test results are consistent with my understanding of restrictive diseases and their effects on FEV1 and FVC. As far as the treatments go, Pirfenidone is an anti-fibrotic agent that inhibits collagen synthesis and slows the progression of the disease by reducing the amount of connective tissue deposition in the lungs.
Counselor inquired about any drug use since her last session, which she replied no. Pt. reported that her current dosage is 80 mg and is unstable because she stays up and unavailable to sleep well at night. For the next 40 minutes, Pt. completed the S.N.A.P exercise and discussed recovery concerns and personal issues.
Sources of Information Self-report by Rosa Lee and some available medical records. Psychosocial History Rosa Lee is a 52 year old mother of eight children, three were born by the time she was 16 years old. She does not work receiving monthly welfare, food stamps and disability checks. Her life has been in multiple housing locations within the poorest sections
After 6 months, he developed left coxalgia and was unable to walk, he visited the hospital after onset of pain. • He also had a past history of hepatic cirrhosis due to hepatitis C, for which he had undergone a living liver transplantation 12 years back. • After liver transplantation, he had not consumed alcohol and there was no history of corticosteroid therapy. Laboratory tests Plain radiography and computed tomography (CT) images revealed a fused acetabular fracture and collapsed
Lydia is a 45-year-old woman, who has been paralyzed for over six months due to a car accident. Since then, she can only communicate through nodding her head, and also has been on a ventilator for respiratory assistance and receiving tube feedings at Little Falls Hospital. Moreover, she was diagnosed and treated successfully for breast cancer before the accident. The medical staffs are uncertain as to whether she can understand what is going on to make any decisions about her life. An advance directive has been located however, a copy could not be found.
Nussbaum showed no evidence of maternal instincts. She failed to notify police or medical personnel about Lisa’s severe injuries for approximately ten hours. She was alone with Lisa during this time and didn’t react until the girl stopped breathing. Medical experts testified that Lisa would have survived if she would have received prompt medical attention (Johnson, 1990). It was also reported, by ABC News, that there was evidence that Nussbaum had utilized cocaine during her time of caring for the child (Journey to Tragedy, 2005).
Clinical examination, X-rays, and CT scan revealed a posterior hip dislocation with an ipsilateral femoral head and mid-shaft fractures. The patient was treated by closed reduction of hip dislocation using a temporarily applied external fixator followed by intramedullary nailing of the femoral shaft. DISCUSSION: Achieving a closed reduction is a challenge with ipsilateral fractures, but it should be favored over open reduction due to a lower risk of complications. The type of femoral head fracture, in this case, may have aided in an easier reduction. CONCLUSION: Hip dislocation is an orthopedic emergency, its treatment is challenging if associated with ipsilateral fractures.
Do Not Let Your Experience Claim You The speaker of the Ted Talk, “Yes, I survived cancer. But that doesn 't define me” is Debra Jarvis. Debra Jarvis has been a hospice and hospital chaplain for 30 years. In 2005, she found out that her mother had breast cancer, 5 days later she received news that she also had breast cancer. She says that we tend to identify ourselves by our wounds and claim that we are a survivor of something whether it be a rape survivor, holocaust survivor, cancer survivor, or any other kind of survivor.
Apparently it’s a lifelong condition, and I will most likely have some learning disabilities. This has been really upsetting, but the doctor said that it’s probably not too severe. If my mom has me do speech therapy and takes me to the doctor often to monitor me, then it probably won’t affect me too much. Also the doctor is going to prescribe medicines to help with some of the symptoms like hyperactivity and anxiety. I’m not really sure what to think about
Support for this idea comes from clinical data which suggests that laryngeal spasm, bronchospasm and coughing occur less frequently than with the endotracheal intubation. Endotracheal intubation is known to interfere with mucociliary clearance and the laryngeal mask airway does not impede mechanically, although anaesthesia itself may interfere with ciliary function. It is thus possible that the laryngeal mask airway may be of benefit in maintaining the tracheobronchial climate and this may have implication for patients with pulmonary pathology. There is clinical evidence that it may offer benefit in patients with respiratory