Vine Clinic Case Summary

It was a warm summer afternoon of August, 1999, at a friend’s house when I was introduced to rheumatoid arthritis. It was a casual and startling encounter. His aunt greeted me at the door to take me to the guest room. She seemed to be in her mid-40’s, had a round face with thin reddish skin, painful looking hand deformities and a slow, limping gait; most strikingly, an aura of pain was visible all around her. I asked my friend, concernedly, why she looked so different.

Issues She has Type II diabetes. Due to her compromised immune system, it is more likely that her injuries will take her longer to heal. Daily stressors and financial responsibilities may cause health concerns to take second priority. As a result, health issues

1.5 million American have lupus and nine out of ten are women. SLE death rates has increased 70 percent since 1979 amongst African American women aged 45-64 years. (http://www.cdc.gov/lupus/index.htm) An appreciation of facts of SLE is essential including the current limit of knowledge about the disease and management. A better understanding of the disease can help people all over the world learn to be more aware of its prominent position in the society

41-year-old male alleged sarcoidosis of skin and lungs, severe depression, lumbar facet syndrome, degenerative joint/disc disease (neck, lower back, bilateral knees). Limited range of motion left shoulder, morbid obesity (6’2” and 291 pounds), chronic lower back pain, lumbar spondylosis, osteoporosis (knee). Insomnia, sleep apnea, asthma, allergic rhinitis. Elevated cholesterol, vitamin B deficiency, gastritis, recurrent folliculitis/prurigo nodularis. Reporting health issues: Had difficulty with all personal care and all activities of

I had a condition called Ehlers-Danlos Syndrome that caused hip capsulitis and an unrelated issue of iliopsoas bursitis. I had finally received closure about what was torturing me for the past two years. I was left with a sudden feeling of relief; I could finally return to the runner I once was, and the runner I wanted to be. However, because of the Ehlers-Danlos Syndrome, I had to begin to go to several different appointments about my heart, for I even found out that I have a heart disease. The appointment with Dr. Lavallee has left a permanent memory of the WellSpan Orthopedic’s doctors office because it was the first glimmer of hope I had through the process of developing a diagnosis for my incomprehensible hip pain, for I will always have an intimate bond with the simultaneously cluttered yet simple doctor’s

This scenario is of a 64 year old female who has retired from working in a factory. At one time she smoked and as an adult reports being overweight most of the time. She is experiencing hand stiffness and pain. She reports using tobacco as part of her history. There are five differential diagnosis that can be operating with these circumstances.

Mr. S is a 60 year old male who presented to the Medical Day Center at the JGH on October 19th 2015. He had an appointment with his doctor so that the burn on his right foot could be verified. The previous week on Monday, he had burned his foot by dropping oil on it, and presented himself to the ER. On Tuesday he went to the Plastic Surgery department to get his foot examined. On Thursday, an infection occurred.

I looked at the bones and decided that this person was probably in their late 20s to early 30s as the bones were not arthritic at all, I also determined the person was very fit as the bones were very strong and limber. While figuring out the age I noticed a healed break on the ankle of this female, I also noticed that while this female might have been fit, she didn’t take very good care of her teeth which led her to have false

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

Her other symptom is that of a reduced exercise tolerance. She finds that when she walks up the stairs at work, she has some muscle pain in her quad and significant fatigue that she does to attribute to shortness of breath on exertion. It is not associated with any chest pain, palpitations or dizziness. On examination, she is well looking, she was saturating at 98% on room air and her lung fields were clear. Her cardiovascular was unremarkable.

The patient is a 52-year-old gentleman who is admitted inpatient because of redness of the left leg with pain and itching. The patient in fact was scheduled for an outpatient cardiac. He had a positive stress test. He was actually brought for catheterization and coronary angiogram the day of admission, however when seen in the cath lab the procedure had to be canceled because of a roaring cellulitis of his left leg. It started 1 week prior to admission.

The doctor will begin by taking a medical history and asking about any stomach and intestinal problems or sexually transmitted diseases the patient may have encountered recently instead. These interview questions will often lead to being tested for Chlamydia, a sexually transmitted disease that is often a precursor to Reiter syndrome. Also, the doctor may take test samples of cells from the throat, urethra in men or the cervix in women, urine, and stool. The doctor will also perform a physical examination beginning with the joints to see if there are any signs of inflammation and swelling, warmth, and tenderness. The spine and other affected joints will also be evaluated to determine the severity and available range of motions.

Soon a heaviness in her lower abdomen progressed to severe pain. An immediate visit to the doctor showed that the abnormality had grown. He advised her to see a specialist for further treatment.

Based on this discussion, Shannon also did not show any specific health conditions or risks. I chose to use a more general medical history form and health risk assessment. She is a healthy young adult and doesn’t show any specific risks. Although she does have symptoms checked off on her medical history form, they happen to be side effects of the hormonal birth control she has started

Parents claimed other than that the patient is rarely ill after birth and has no other medical illness. Medical History The patient have no medical