It would be appreciated if you could review Pauline Montalto, a lady who you operated on last year. Pauline has a history of non-atopic asthma, although the one doubt concerning this is that she is currently living in a house with mould exposure and a previous RAST assay has demonstrated slight sensitisation to mould. Unforntunately, over the last couple of months, Pauline has suffered with significant rhinosinusitis and a recent CT sinus scan has demonstrated severe pan sinusitis. A ten-day course of predisolone and Augmentin Duo Forte led to transient improvement but her symptoms have now returned. She is frequently using intranasal steroid and saline sprays and Alvesco for her asthma. Pauline is currently trying to rectify her
Anna Garcia is a thirty eight year old Hispanic women. She weighed 165 pounds and was 64 inches tall. She was married to Alex Garcia, but went through a nasty divorce. Anna has no children and one dog. A phone call came in at 9:45 AM on the hot morning of August 14th. Anna’s neighbor, Doug Greene let the police know he saw her walking her dog around 6:30AM yesterday morning, but heard her dog barking for the last two hours. Both the police and the EMT arrived at 9:56AM, and had to break the front door down. Upon entering the house, they found Anna lying face down in the entry hallway, a small pool of blood was by her head. The house was a comfortable 73 degrees fahrenheit. Around her there was evidence. There was vomit, blood spatters, blood on the table, and a pool of blood. As well as, a syringe, white pills, a cup with an unknown fingerprint on it, a muddy shoe print, and a
Anne Morell is a seventy-four year old female with a past medical history of hyperlidemia, hypertension, osteoarthritis, osteoporosis, diabetes mellitus type 2, renal insufficiency, Charcot foot, and osteomosteomyeltits. Anne has a history of osteosarcoma treated in 1996 with surgery, chemotherapy and radiation. Anne also has a history of breast cancer, diagnosis in 2003 treated with radiation therapy. Anne past surgical history includes tonsillectomy in 1962, removal if osteosarcoma of left thigh in 1996 and lumpectomy of left breast in 2003.
Facts: On December 4, 2012 the case involved Sandra Primrose as plaintiff versus Wal-Mart Stores, INC., as defendant presented in the hearing trial court. Ms. Primrose who was 73 years old at the time claimed that because of the Wal-Mart’s watermelon signs was display in the wrong area, where she was tripped and fell over the corner of the sign on September 09, 2009, and had caused her injuries while trying to transporting the watermelon to her shopping cart. She didn’t filled out the damage reported until September 09 of 2010. On October 15, 2012, Wal’Mart filed a motion for summary judgment request. According to Scott Harden who’s the store manager in this location during the incident was occur claimed that the signs have been in-used for
Asthma is a chronic inflammatory disease of the airways. It is a reversible airway obstruction, occurring 8 to 10% of the population worldwide. According to a study in 2005, asthma affects over 15 million Americans, with more than 2 million annual emergency room visits. Asthma patients have a hyper-responsiveness in their airways and generally and increase in their airway smooth muscle cell mass. This hyperplasia is due to the normal response to the injury and repair to the airway caused by exacerbations. The main choice of therapy for asthma patients is β2- adrenergic agonists. Racemic albuterol has been the drug of choice for a short acting bronchodilator for a long time, but since the development of levalbuterol, there is the question of which drug is a better choice for therapy. Efficacy and cost of treatment must both be taken into consideration in each study of these therapies to determine which is best for the treatment of asthma.
There are many women who are currently in an abusive relationship, or have been in an abusive relationship. The most common reason these women do not leave their abuser is because they are scared, financial, or family reasons. Amy McGee would be alive today to tell her own story if her situation was handled differently.
Read the posted case study about Benita Vasquez and discuss the following questions: 1. What are the clinical causes of death in the story? a. Senora Vasquez died because of uncontrolled diabetes, Infected wound and diffusing kidneys. With not well-controlled diabetes and acquiring an infected burn wound makes it harder for the patient to get treatment. Thus with the condition of the patient and her current social status, she is unable to afford the treatment and medications needed to alleviate her suffering.
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
On October 13th I was fortunate enough to be able to interview Sandi Lopez. Lopez is from Grand Island, Nebraska and has also lived in Kansas for a few years. At first she was not quite sure on what to do with her career pathway. She wanted a job where she could be able to help others and her community. Lopez says that having many of her friends being police officers is what got her more into law enforcement. She says hanging out around her friends telling her stories about being officers made her really want to be a part of the law enforcement department. However, she says it was a very hard decision to make knowing the fact that she would have to work long hours and being with her family was very important to her. In the end, she decided
I carried out this case study on Mrs. Casey (Pseudonym), any 86 year old woman who underwent an elective left total hip replacement (THR). After the OT student studied Mrs. Casey's past medical history in her medical chart, it was noted that she had previously undergone a right THR in 2011, which had been successful and free from complications. Ms. Casey had no other significant past medical history and had been an independent and active woman before the progression of her arthritis. Ms. Casey was required to have total hip replacements carried out on both hip joints as a result of severe Osteoarthritis (OA), which lead to stiffness, pain, and an eventual decrease in mobility, affecting her quality of life and involvement in meaningful occupations.
Sandra Lombardino is a recently retired school teacher facing a multitude of crisis’ regarding her personal life and growth. Sandra has a strong desire to vacation and enjoy her retirement via travel and volunteering, however there are barriers that will not allow those things to occur. Sandra is unhappily married to Benedito, an offensive and abusive long-time alcoholic. The couple shares four children, all of which are estranged because of Benedito’s abusive behavior. Though Sandra is overweight and has arthritis, Benedito is the only thing holding her back from achieving her retirement dreams. Sandra has thought about leaving Benedito on many occasions but realizes that he will be entitled to half of her money
In the poem “Unveiling” by Linda Pastan, the speaker's point of view is from an older woman who is walking through a cemetery and admiring her deceased family members. Pastan uses allusion, enjambment and imagery to display to the reader what the speaker is feeling and thinking, as she explores her family members’ graves.
Most patients may begin with symptoms of a runny nose, cold or sinusitis that continue to persist longer than normal upper respiratory infections and fail to respond to therapeutic measures. Even though, not all patients experience all of the symptoms, the severity of the disease is different for each patient. Other symptoms can include: arthritic joint pain, blood in urine, cough (with or without presence of blood), fever, inflammation of the ear with hearing problems, inflammation of the eye with vision problems, lack of energy, loss of appetite, nasal membrane ulcerations and crusting, night sweats, numbness of limbs, pleuritis (inflammation of the lining of the lung), rash and/or skin sores, saddle-nose deformity, weakness, fatigue, and weight
At this time, no prescriptive drug therapies are indicated; however, over-the-counter medications (OTC) may be used to relieve symptoms, which include a decongestant either oral or topical in
At this stage, I have suggested that Lauris continue with Ultibro but I may look and adding on an inhaled corticosteroid if there is any evidence of bronchodilator reversibility. Her oxygen levels are borderline, and although he is limited by back pain, I have suggested that it would be worthwhile to have an oxygen assessment and I have referred her on The Northern Hospital accordingly. I have also referred her to enrolling her in their pulmonary rehabilitation
Neck: AROM, no carotid bruit bilaterally,the trachea is midline, no nodules, lymph or thyroid enlargement or JVD.