The patient is a 75-year-old gentleman who presents to the ED with complaints of weakness in the left upper extremity. The symptoms began the day of presentation about 5 hours before he presented. It is continuous. He was brought in by his friend. The patient was playing cards and then felt that he was losing the cards out of his hand and he could not hold onto them. His initial examination in the ED showed that he has dysmetria as noted on the left side the mild pronator drift of the left upper extremity. His motor strength is 4/5 in the left arm. There were no other neurologic deficits. He underwent a noncontrast CT of the head the telemedicine neuroradiologist reviewed it and the determination was made to not to administer TPA.
Cynthia Adae was taken to Clinton Memorial Hospital on June 28, 2006. She was taken to the hospital with back and chest pain. A doctor concluded that she was at high risk for acute coronary syndrome. She was transferred to the Clinton Memorial hospital emergency room. She reported to have pain for two or three weeks and that the pain started in her back or her chest. The pain sometimes increased with heavy breathing and sometimes radiated down her left arm. Cynthia said she had a high fever of 103 to 104 degrees. When she was in the emergency room her temperature was 99.3, she had a heart rate of 140, but her blood
The court will likely hold that Andrew Keegan’s (“Mr. Keegan”) actions were a product of a law enforcement officer in influencing his conduct therefore establishing an entrapment defense.
Hazelwood v. Kuhlmeier of 1987-1988 Background: At Hazel East High School, the school has a sponsored newspaper called “The Spectrum” that is written and edited by the students. In May of 1983, the high school principal, Robert E. Reynolds, received the edited version of the May 13th edition. Upon inspecting the paper, he found two articles that he found “inappropriate.” The two articles contained stories about divorce and teen pregnancy. An article on divorce featured a student who blamed her father’s actions for her parents’ divorce.
Kenneth Edelin was a 35 year old third year medical resident at the Boston City Hospital. This hospital was known for many poor coming into it. This was also a place for research. By this time research was still being conducted on fetuses and embryos. When a patient came to the hospital for an abortion she also signed a waiver for them to test on her. They called her “Alice Roe” and she was only 17 years old but had the consent of her mother to proceed with the abortion.This patient was estimated by the supervisor over the residents, Hugh Holtrop, to be about twenty-two weeks pregnant but the other residents Enrique Giminez and Steve Teich disagreed. They estimated that she was about twenty-four weeks pregnant. Edlein was put in charge of doing the
Ellen Farber is a 35-year-old single female who lives alone. She has come to treatment to get help with her complaints of depression and thoughts of suicide. The client reported six months of dyphoria and lack of energy and pleasure. Additionally, the client has long-standing problems with eating and spending. The client declared bankruptcy at age 27. The client was fired from her job two weeks before coming to treatment. She owes $100,000.00 to various local banks and $150,000.00 to her former employer. When the banks discovered her fraudulent practices two weeks ago, they contacted Ms. Farber's employers, who promptly fired her, which led to her current desperate state. Furthermore, the client’s financial problems are the result attempting
is characterized by “deterioration in the level of consciousness, with lethargy, decrease in arousal and headache. The timing of the development of cerebral edema is variable, within most cases occurring 4 to 12 hours after starting treatment. Several case reports showed the presence of cerebral edema before the initiation of therapy. A method of clinical diagnosis based on bedside evaluation of a neurological state in DKA have been developed” (Pandey).
Mr. Holt is a 35 year-old, never married BM from Davidson County. Mr. Holt was originally admitted to the main building at MTMHI pursuant to T.C.A. §33-7-301(a) from September 22nd, 2016 to October 7th, 2016 for a forensic evaluation to determine competency and mental condition for the alleged crime of aggravated burglary. Mr. Holt was accused of entering a residence without consent and claiming that he owned the property. He was given a diagnosis of Schizoaffective Disorder – Bipolar Type, and Anti-Personality Disorder and thought to meet the criteria for judicial commitment. At discharge, Mr. Holt was found committable to FSP pursuant to T.C.A. §33-7-301(b) due to making verbal threats against staff and other personnel. He was then committed
Over the course of this reporting year Janine’s performance has been outstanding. Janine continues to handle three of the Unit’s largest active federal criminal cases. The USAO continues to allow Janine wide discretion to set the investigative direction of her cases with little oversight. This minimal oversight is a testament to the USAO’s confidence in Janine’s professionalism and ability to deliver outstanding results.
Sexual harassment and rape cases are often difficult for victims and their lawyers. The difficulty lies in the trauma the victim has to face every single day and the lack of time the lawyer has to gather information. In the Ewanchuk case, there are many ideologies about women that are reinforced by the court system by having many preconceived notions of women. The case was seen as a sexual act when it should of have been treated like a criminal act. Cases involving sexual assault/harassment play a big role in demonstrating how the court system dehumanizes women, the Ewanchuk being one of them.
The purpose of this case study is to investigate and bring new insight to situations and behaviors within an organization. Case studies are learning tools which utilize social science research to identify and resolve individual and organizational challenges (K. Mariama-Arthur Esq., 2015).
Even though Angelo’s case is a difficult one doesn’t mean there isn’t a simple solution that can resolve it. In general, faculty at schools needs to look at every individual’s case differently, and not generalize everyone’s situation. In this case, Dr. Sterling has a hard decision to make on whether to punish Angelo by suspension, or to let him go with a warning. Honestly, I don’t agree with either of those decisions because they are on two complete opposite sides of the spectrum in Angelo’s case. In determining Angelo’s punishment instead I feel that the punishment should fit the crime, the situation should be thoroughly investigated, and that the student’s guardians should be contacted before any punishment is given to Angelo.
Repetitive neck movements or keeping the neck in a fixed position aggravates the pain. The patient also complains of constant 5-6/10-scale level pain in the thoracic spine and lumbar spine. Heavy lifting, repetitive bending, twisting, and stooping aggravate the pain. The pain is improved by shifting positions. There is also frequent 5/10-scale level left shoulder pain. Current medications: Prevacid and Vitamins. The patient reports difficulty with some activities of daily living. There were reported sleep problems and difficulty with sexual function. The exam revealed limited ROM in the lumbar spine. He can extend his knees fully. SLR was positive bilaterally. There is paraspinal spasm and tenderness. There is facet joint tenderness. There was positive Tinel’s, positive Phalen’s and positive Finkelstein’s test on the left. Cervical: The ROM was reduced. There was paraspinal tenderness, tightness, spasm, muscle guarding at trapezius, rhomboid muscle groups at the base of the neck on the left side. Left Shoulder: ROM was reduced. There was positive impingement sign. There was tenderness to rotator cuff and tenderness over bicipital groove, on the left. Treatment plan: X-rays of the cervical spine, lumbar spine and left shoulder; MRI of the cervical spine, lumbar spine, and left shoulder; EMG/NCV of the upper extremities; Fiorcet,
PARTIES: U.S. West, Inc., a Colorado corporation was the sole shareholder in numerous subsidiaries, including Northwestern Bell Telephone Company ("Northwestern Bell"), Mountain States Telephone and Telegraph Company ("Mountain Bell"), and Pacific Northwest Bell ("PNB"). All these 3 companies provided the regional telecommunication services throughout the western United States. Jerry D. Mooberry worked as Director of New Products Stimulation for Northwestern Bell and had 2 employees Robert H.E. Frank and Tyrone G. Moreno working for him. U.S. West, Inc. was the defendant whereas Jerry D. Mooberry, Robert H.E. Frank and Tyrone G. Moreno were the plaintiffs in this case.
Firstly, on behalf of your new CEO, Sidney Jones, and myself, we want to thank you for your commitment and dedication to Cousin Eddie’s throughout the years. As the company grows, it is important that our company values and culture move forward as well. As the Vice President of Internal Strategy, it is my role to inform you of any changes to the company in this regard. Over the next few weeks, we will be introducing new strategies to ensure all employees understand and practice our values and culture, and we apologize in advance for any complications that these will create for you.
– Radiographic or CT evidence of instability with or without associated or potential localized or central neurologic