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Quizlet/cardiovascular assessment of diseases
Patho flashcards congenital heart disease
Patho flashcards congenital heart disease
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[Name] returns. The last time we saw her she was admitted for chest pain, and T-wave inversions. The T-wave inversions were old, but they did evaluate her for pulmonary embolism, and also cardiac causes. She did have a CTPA protocol, and a nuclear stress test; which were satisfactory. She did have a slight heart murmur, and I asked her to follow up with me again.
She is also interested in taking Concerta, which she says is very helpful in having her complete tasks at home. She is currently on Cymbalta, she is seeing Dr. [Name], psychiatry.
Meds are now Cymbalta, as well as multivitamins, and fish oil.
On exam today [Name] appears well. Her blood pressure is 100/64, temp 36.7, respiratory 16. Weight is 72 kg, which is increased.
Skin:
Dr.Bain ordered a CT scan of Cynthia’s chest to rule out a possibility of an aneurism. Dr. Bain also did another CT scan of Cynthia’s abdomen to evaluate her liver. Additional lab work and thyroid testing was done. Around 5:00pm she was discharged with instructions to follow up with her primary care physician Leah Avera, M.D within one week. In Cynthia’s discharge summary that was signed by Dr. Pesante, states, in part, "it just seems like Cynthia’s problem may have more so been either some kind of infectious process or possibly a thyroid
What risk factors and symptoms did Jessica present with prior to the physical examination that suggested a pulmonary disorder?
The patient has a history of anxiety disorder, depression, diabetes, and hypertension, controlled with medications.
family of difficult task journey. On that event, her health is getting weaker every day on
Heather Kelly is a 42-year-old female here today with pain and a lump in the left axillary area. I am also concerned for some fullness that I feel that. I talked with her about the options. I am going to have her do an ultrasound of that area and I will review results with her when available. Should her symptoms change over the weekend, she can certainly seek care if necessary, though I suspect that will be necessary. I have asked her to avoid over manipulating the area, as she may inadvertently make that worse. She was comfortable this plan. She will contact me with questions or concerns. All questions were answered in the office
The senior counselor met with Yommala to address a concern about patient #3944 medical order dated 10/2/2017: “Patient having surgery today to place stents near the heart. HCRC was not aware and was not given any prior paperwork. Pt informed needs to return with discharge paperwork prior to dosing.”
...health of a patient and a follow up check at the GP’s may be required.
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.
She has been informed this is likely genetically inherited from her father and cannot be controlled with just diet and/or exercise. She goes to her primary physician yearly to manage this condition. She has one sibling with bipolar disorder and the other two do not have any medical problems. Her oldest brother and his family provided most of the hands-on care for their father a few years before he died and this has helped LG, her siblings, and all of the family members be more vigilant about staying healthy, eating well, exercising, and getting regular medical checkups.
It is evident that Lisa is subjected to medication and hospitalization for her treatment. However, this method of treatment was not effective for her, because despite her being hospitalized for the last eight years; she still does not take her medicine. Since for those eight years no significant changes have been made following her diagnosis, another mode of treatment would be advisable. I would recommend the self-help strategies. Although many healthcare providers overlook this treatment method, it seems to be very
form of treatment. There is nothing in her history that hinted at any biological problems.
At the beginning of the summer of 2014, my mother became tragically ill after a hectic emergency room visit. Afterwards, extensive testing revealed that she had several serious medical conditions including atrial fibrillation, mitral valve disease ,and congestive heart failure. After her stay in the hospital, she was sent home with new medications and assured that her conditions could be easily managed. A short amount
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
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, and extreme sweating as well as visible chills on body.