The patient continues living alone. She is alert and oriented has multiple diagnoses of diabetes, depression, anxiety, fibromyalgia, Rheumatoid arthritis and HTN. There is a lot that has happened to this patient during this period. In the month of may 5/12/2016 she woke up with left hand 2 digit severe pain and discoloration ,she refused to go the ER instend she visits urgent care in Springfield and was ordered lab test that showed she had an increase in uric acids in the area . The following day 5/13/2016 she had an appointment with liver specialist DR , Samuel's (Hepatologist), he ordered a new set of labs. Results showed elevated Liver Function Tests, showed increases in potassium , increase protein , blood sugar were at 400 mg/dl. pt went home terrified as the doctor mentioned her liver is getting worsening and becoming more dysfunctional. On 5/16/2016 she had a following up with PCP and the doctor also mentioned that her kidney and liver functions have worsened. She has been taken off Metformin for and her Lantus was increased to 25 units at bedtime. Patient has also been instructed to start on a low sodium diet and she continues getting educated on proper diet required. On 5/27/2016 during skilled visit patient was found very lethargic and drowsy, skin pale, normal temperature to touch,s\n tried to arouse the patient, she woke up for a few minutes then fell back to
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
My patient Hannah is a 10 year old 4th grade student who loves volleyball and was just diagnosed with type 1 diabetes mellitus. I’m going to explain to you what her disorder is, the signs and symptoms, causes of this disorder, body changes, economic impact, and how she will manage this disorder especially at such a young age.
The case study chosen for this assignment is case study #2: Hannah is a 10-year-old girl who has recently been diagnosed with Type 1 Diabetes Mellitus. She is a 4th grade student at Hendricks Elementary School. Prior to her diagnosis, Hannah was very involved in sports and played on the girls’ volleyball team. Her mother is concerned about how the diagnosis will affect Hannah.
She had a two week history of feeling generally unwell, complaining of tiredness and lethargy. She had no other significant symptoms. Her past history includes well controlled asthma and anxiety. She was a smoker of 20 cigarettes per day. She was taking amitriptyline, Symbicort (budesonide and formoterol inhaler). She had no significant family history of medical illness and had no clinical findings on examination. Blood tests showed corrected calcium of 4.22mmol/L (NR 2.20 -2.60) with suppressed paired PTH of 1.45pmol/L (NR1.60- 6.9). Her renal function was initially impaired, but normalized with rehydration. Her liver function tests, full blood count, vitamin D, myeloma screen and serum ACE levels were all within normal limits. Ultra sound scan (USS) of kidneys, USS of parathyroid and computerized tomography (CT) of thorax, abdomen and pelvis were all reported as normal with no cause found for her
Jordyn Self - Morici. Diabetes Case Study 1. What is the difference between a. and a. Distinguish between Type 1 and Type 2 diabetes by comparing and contrasting their definitions, bodily effects, warning signs, target groups, and current treatments in a table. Type 1 Type 2 Definition -Also known as insulin-dependent diabetes (Morahan). Classified as a chronic condition in which the pancreas produces very little insulin.
A 61-year-old gentleman was admitted on 25/1/2016 to Letterkenny General Hospital with central chest pain after history of a fall. He also had drastic weight loss and loss of motor and sensory function. He walks with the aid of a walking stick as he has problems walking due to his lower limb weakness. The patient was a heavy smoker of 90 pack years (3 packs/day for 30 years) and stopped nine years ago. He stopped drinking seven years ago. He is married and lives at home with his wife. He works as a plasterer. He has a strong family history of ischaemic heart disease and type 2 diabetes mellitus. Two of his brothers had coronary bypasses and stents. His father died of a myocardial infarction. Two of his brothers are also type 2 diabetics. During
“Elaine” is a 34-year-old white female patient with an extensive medical history. She has a history of seizures, uncontrolled diabetes since the age of fourteen, neuropathy, fibromyalgia, COPD, Sleep Apnea, and is currently suffering from two venous ulcers on her feet. She came to the ER one week ago with nausea and vomiting and was found to be in Diabetic Ketoacidosis and her wounds had become infected. She spent three days in the ICU and for one day was ventilated. She was then sent out to the Medical/ Surgical for further management 3 days ago.
Mr A is a 56 year old male who is currently suffering from deep vein thrombosis and type 2 diabetes. A case study describing Mr. A identifies that his current lifestyle is not conducive to being active, healthy or successfully managing his diagnosed diseases. This essay discusses Mr A’s diabetes, deep vein thrombosis and current lifestyle behaviours. It will be argued in this essay that health education campaigns inform Mr A about the conditions he suffers from, creates awareness of the risks associated with his current lifestyle and encourages Mr. A change his behaviour. Firstly, this essay includes a summary of deep Vein thrombosis and diabetes. Secondly, the transtherotecial model of will be discussed. Thirdly, health education
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.
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
Diabetes is a significant and fast growing health concern in the United States. About 16 million Americans have diabetes – and that number increases every day. Every day there is someone who suffers from a diabetic emergency. What is a diabetic emergency? Well, first we must understand what diabetes is. Diabetes is a disease that affects how your body uses blood glucose (or commonly known as blood sugar) your body isn’t able to take the sugar from your bloodstream and carry it to your body cells where it can be used for energy. There are two types of diabetes; Type I (insulin dependent) and Type II (non-insulin dependent). Both types can cause a diabetic emergency. Both types require medical intervention/treatment.
After spending time during an internship in an adult day care facility, it was noticeable that most of the patients who had various forms of dementia such as vascular dementia and late onset Alzheimer’s disease, also had type 2 diabetes. The remaining patients who did not have type 2 diabetes, had only mild cognitive decline, all being between 70 and 80 years old. While observing older individuals with type 2 diabetes and cognitive decline, this begged the question; due to cognitive impairment and having type 2 diabetes, which may or may not be creating a greater cognitive decline, does this create another barrier concerning activities of daily living and self-care? The curiosity to learn if there is a correlation between type 2 diabetes
Diabetes is associated with an increased risk of developing primarily vascular complications that contribute to morbidity and mortality of diabetic patients. Poor glycaemic control leads to vascular complications that affect large (macrovascular), small (microvascular) vessels or both. Macrovascular complications include coronary heart disease, peripheral vascular disease and stroke. Microvascular complications contribute to diabetic neuropathy (nerve damage), nephropathy (kidney disease) and retinopathy (eye disease).
Maddie’s first patient, W.W., was a 68-year-old male admitted on 11/2/16 for hospital acquire pneumonia. The patient did not have a code status. The patient received a chest x-ray and a sputum culture that resulted as gram positive, confirming his pneumonia. Maddie experienced a rapid response initiated for this patient when he become dsypneic and tachycardic during a transfer. Upon her report of his integumentary system assessment to me, Maddie noted that the patient had a small knick on his chin from when his son had shaved his face the day before that was still bleeding due to the patient receiving aspirin daily. The possibility of discharge was being discussed but was most likely hindered by the need for a rapid response. Her second patient, B.S., was a 41-year-old male that was admitted on 10/30/16 for an upper gastrointestinal bleed. Upon report Maddie found out that the patient had vomited blood the day prior. An esophagogastroduodenoscopy was ordered for the patient, it showed that he had an esophageal ulcer and a CT scan of his abdomen showed chronic liver insufficiency. Maddie noted that the patient’s hemoglobin and hematocrit were low as a result of this
This patient has a known history of alcohol/drug abuse with pancreatitis. This patient history also includes and admission to the ICU for his acute pancreatitis. When the patient present to the ER he complains of abdominal pain, a 10 out 10. The patient denies alcohol and drug use for this day. The patient insists that the only thing that helps is IV Dilaudid.