Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Mild mitral valve prolapse
Mild mitral valve prolapse
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Mild mitral valve prolapse
The patient is a 75-year-old female who is brought to the ER because of some dizziness. She has a very complicated medical history of mitral valve prolapse, uterine fibromas having hysterectomy, a question of Ménière's disease, anxiety, hypertension, asthma, CVA in 1994 with mild right-sided residual weakness, urethral stenosis, recurrent UTIs, pulmonary embolism, and idiopathic afib she did presyncopal developed Equinox, a history of diverticulosis, and diverticulitis. The patient is admitted inpatient. It is to be noted initially there is a question of a syncopal episode. Troponins are negative. She is dehydrated with urinary specific gravity of 10:30, and she has positive nitrates and leukocytes. She was initially placed in the emergency
Equuscorp Pty Ltd v Haxton; Equuscorp Pty Ltd v Bassat; Equuscorp Pty Ltd v Cunningham's Warehouse Sales Pty Ltd (2012) 246 CLR 498
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.
A 54 year old female was presented with complaints of lethargy, excessive thirst and diminished appetite. Given the fact that these symptoms are very broad and could be the underlying cause of various diseases, the physician decided to order a urinalysis by cystoscope; a comprehensive diagnostic chemistry panel; and a CBC with differential, to acquire a better understanding on his patient health status. The following abnormal results caught the physician’s attention:
The EB’s case study said the female patient is 50 years old with symptoms of fever, chills, congestion, three weeks of coughing, shortness of breath when walking. The study implies that the patient is now seeking medical advice due to vital signs recording and the noting of decreased breath sounds and wheezing. She denies smoking and not taking any chronic medication.
Ms. Hoover was seen by nephrologist David Williams, MD on 3/30/2016. She was diagnosed with a spontaneous hemorrhage in the face of anticogulation, acute kidney injury secondary to hemodynamics, chronic kidney disease, and anemia secondary to blood loss. Dr. Williams ordered the discontinuation of Bumex and monitoring of serum electrolytes. (Norman Regional Health System 2 025-026 )
Cannon knew that his compact echo machine, which he carried under his arm by a single handle, would have to perform competitively in a room filled
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.
On my third day of clinical course I had an African America patient age 72, female, a retired high school teacher who was admitted for an Acute Diverticulitis with Perforation. She is diabetic and had a medical and surgical history of diverticulitis, High Cholesterol, Non-Insulin-Dependent Diabetes Mellitus (NIDDM), Hysterectomy, and Scoliosis. She has been on clear liquid diet since she was admitted then she was Nothing by Mouth NPO for the CT scan for that day. When I got the assignment that I was going to be taking care of a patient with an acute diverticulitis, the first thing on my mind was that she will be in a severe abdominal pain, high fever due to infection because my aunty had same disease. To my surprise, she claimed a 0 /10 on a 0-10 pain scale. Her blood sugar and vital signs were normal except for respiratory that was 22. All her laboratory test results were normal including WBC. Patient concern was that she couldn’t have a bowel movement. She was medicated on Colace- a stool softener, morphine for pain, sulfran for nausea, and azactam an antibiotics.
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.
...problem that lead him to this hospitalization. A reevaluation after 21 days was ordered by the doctor to determine if the herbs were the contributing factor to the patients’ chest pain and shortness of breath due to tachycardia.
I would also assess skin color, diaphoresis, temperature, turgor, mucous membranes, and capillary refill. Rationale: Rapid, weak, irregular pulse indicates the body’s attempt to compensate for decreased cardiac output resulted from hypovolemia. Cool and clammy skin, decreased skin turgor, dry mucous membranes, increased capillary refill time are signs of hypovolemia. I would start two IV lines and would be prepared to administer IV fluids along with antidiarrheal and antiemetic medications as per doctor’s order. Rationale: Volume loss requires rapid replenishment. Medications would treat the cause of the problem. Most of antidiarrheal drugs act by suppressing the GI motility, thus increasing fluid absorption and increasing systemic volume (Gulanick & Myers, 2011). I would put the patient on cardiac monitor and perform ECG. Rationale: Caution is indicated, since the patient is tachycardic due to decreased cardiac output. Moreover, aggressive fluid replacement in older adults could lead to left ventricular dysfunction; therefore, close monitoring of the cardiac function is required (Gulanick & Myers, 2011). Hypovolemic patients are prone to electrolyte imbalance, including changes in potassium level. Potassium shifting could cause serious ECG changes, thus the cardiac activity should be closely monitored (McLafferty et al.,
This was his second episode since 10 days ago where he develop the same pain at his right flank. He suddenly experienced severe pain 8 hours before admission when the pain shifts to his right lower quadrant of his abdomen. The onset is at 6.30 am before worsening at 10 p.m to 2 p.m. He described the pain as continuous sharp pain and gradually increased in severity. There is no radiation of the pain. The pain was exaggerated on movement and touch. There were no relieving factor and he scale the severity as 7/10. He experienced fever for 1 day prior to admission. It was a mild grade continuous fever. He does not experienced chills and rigor. The patient does not experience any nausea or vomiting, no dysphagia, no pain during micturition and no alteration in bowel habit. He experienced loss of appetite but not notice any weight loss.
Mrs. P., a 48-year-old, African-American female with a diagnosis of uncontrolled hypertensive urgency. She had a history of various medical conditions, including diabetes mellitus type two with neuropathy, hypertension, hyperlipidemia, acute kidney injury, intermittent headache, and iron deficiency anemia. The patient’s blood glucose level and blood pressure were remarkable elevated (FSBS 280 mg/dl and BP 190/130 mm Hg). Unfortunately, due to the lack of health insurance, Mrs. P. did not follow prescribed health care plan. The patient could not recall the last time she took her medications to regulate elevated blood glucose level and high blood pressure. She also was complaining of having nausea without vomiting or diarrhea and substernal chest
A detailed patient history including history of any recent trauma or systemic disease such as renal or cardiovascular problems should be taken. The diagnosis is usually reached by a high clinical suspicion through the history and physical examination.
The patient has high temperature-sign of fever, a very fast pulse rate (tachycardia), and chest wheezing when listened to using a stethoscope (Harries, Maher, & Graham, 2004, p.