Patient Four L. H. a 22-year-old female who came into the clinic as a new patient complaining of lower back pain. Vital signs include: height 62 inches, weight 108 lbs., and 16 respirations. The patient stated that her back pain has gone on for quite sometime now (about 2 years total). She works as a nursing assistant in a nursing home in Wahoo. The physician stated that he wanted to taper her off tramadol (she takes 150 mg a day). He also wants to taper her off Effexor as well. The doctor noticed that the painful region was in the patient’s upper left side of her back. He recommended to the patient that L1 to L2 and L2 to L3 facets would benefit from steroid injections. The patient and her mother wanted to make sure they met their …show more content…
He also stated that there were a few options that the patient could do, but money would probably be an issue because insurance won’t cover plasma injections or stem cell injections. This was out of the question for the patient, but Saunders Medical Center will call them with pricing details later. The physician showed me how to properly check clonus and Hoffman; this was neat to see on an actual person (patient was normal). This concluded my visit with this …show more content…
This procedure didn’t last long, I would say about 5 to 10 minutes
Lee Lor was a fifteen year old Hmong girl. She was diagnosed with an acute appendicitis. During the operation to remove her appendix, doctors discovered an eight inch cancerous tumor in abdomen. Without consent they removed the tumor which cost Lee an ovary and part of fallopian tube. The doctors told her parents after the procedure what had happened and promised that she was still fertile and able to still have children. The Hmong people do not accept the western world tradition and science. They hold on strongly to their ancient traditions, are animist, and very spiritual. When the parents were made aware of the extra procedure taken place they did not trust the doctors and refused Lee further treatment including chemotherapy.
T. Paulette Sutton is one of the world’s leading experts in bloodstains and is the former Assistant Director of Forensic Services and Director of Investigations at the University of Tennessee, Memphis. She has been involved in nationally known murder cases and has worked hard during her long career to make a position contribution to the legal system. Sutton says, “Its best for my fellow man that we get the killers off the street.” Since 2006 Sutton has been officially retired but continues to teach, consult, and testify about her area of expertise.
...lood pressure medication in order to keep his blood pressure in the normal state of 120/80. Other than taking medications, there is another alternative such as surgery, such as “ventriculosmy, craniotomy, and carotid endarterectomy” (Kluwer, 2012). The patient also has the option of going to a rehabilitation center where the patient may be able to receive speech therapy, occupational therapy, and physical therapy. In addition, the rehabilitation center may also include “functional electrical stimulation” (Kluwer, 2012).
middle of paper ... ... Having a splenectomy conducted will not cure the disease, it will only make it go into remission. Works Cited Gonzales Gus. “Hereditary Spherocytosis.” http://emedicine.medscape.com/article/206107- overview.
The claimant is a 25-year-old female who was injured in an industrial-related incident on 01/23/16. She presented with a work-related low back pain associated with a right lower extremity radiculopathy. The request is for Methyprednisolone. However, .there was no mention that the claimant had inflammation. Further, this medication was not part of her medication regimen nor part of the treatment plan. Also, as per cited guidelines, oral corticosteroids are “not recommended for chronic pain.
The ethical discernment model described by Slosar (2004) and developed for use at Ascension Health will assist us as we analyze this case. It reminds us that discernment engages our spirituality, intellect, imagination, intuition, and beliefs. It is decision-making that reaches into the heart of our beliefs about God, creation, others, and ourselves. It therefore requires structured time for reflection and prayer from the beginning and throughout the process.
HelloFresh is a food delivery service. Like others in the food delivery industry, they deliver meal kits and recipes. They deliver a recipe sheet for you to follow, and they deliver the exact amount of ingredients you need to cook and complete the meal. HelloFresh do not advertise themselves as a food delivery company (which is fair enough), they say they are a meal kit service, but some people think this means they deliver the tools and equipment to make meals, which is not so, they only deliver the ingredients and the recipe.
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
The patient is a 40-year-old male with chronic lower back pain and radicular symptomatology in the left lower extremity and then the right. The patient underwent epidural steroid injection therapy on 08/18/2016. The patient underwent a right L5-S1 and an S1 transforaminal ESI under fluoroscopic guidance. The patient states that he did fairly well after injection therapy up until 12/2016 when his symptoms began to come back though not nearly as intense as they were before. Previously, he was having the radicular complaints on a continuous basis. Currently, he states that he has the same type of symptoms but they are not present all the time. He also notes that his symptoms may have also gotten worse as a result of a recent urologic surgery that he underwent which required him to be lying on his back with his legs elevated for several hours until the procedure was completed. He currently denies any new changes with regards to his bowel or bladder function or increased pain with Valsalva-type maneuver. No recent fever or infection. No weight loss. No new constitutional symptoms.
An emergency department note dated 11/02/2017 indicated that the claimant presented with a low back pain and right hip pain. His back pain started a month ago and had been worse the past 2 weeks. He stated that pain is aggravated by sitting and slightly relieved by standing. His BMI was 31.92. A lumbar spine x-ray was ordered and medications were provided.
Heather is a 26yo, G3 P1011, who is currently 24 weeks 2 days as dated by ultrasound. She is relatively healthy. She has one prior full-term delivery without complications. She was referred today to evaluate her lower extremities. Her issue started on Black Friday, when she came home from shopping, she noticed red areas all over her legs. It started as 4-5 but quickly developed into several on her bilateral shins. After a day or two they became nodules and then turned to discolorations such as bruises. During this time, she was evaluated in your office and there was concern for varicosities and possible phlebitis. She was started on Lovenox and an aspirin. She was seen by vascular surgery and there was no evidence of DVT’s. She was
inform clinical practice based on best available published evidence. CPGs are systematically developed statements based on systematic reviews that assist practitioners to make clinical decisions40.
Disputes are almost unavoidable between people when there are disagreements or misunderstandings. In the construction industry, contractual relationships could lead to dispute. To resolve disputes, construction disputes are most likely encouraged to use Alternative Dispute Resolutions such as arbitration, mediation, and mini-trials to resolve their disputes faster and keep the dispute confidential and at lower cost (Ray, 2000). The construction case presented in this paper first resorted to negotiation; however, it could not give the parties a resolution which led to a mini-trial.
The purpose of this paper is to analyze, diagnose, and to determine a proper treatment plan to work toward the beneficial prognosis for the individual indicated within the case study.
Transfusions of red blood cells, platelets, and plasma are critical to a patient's return to good health,