HPI: 21 year old female with past medical history of glaucoma presents to the ED today for an allergic reaction. Patient has a rash all over her body and states the rash started 3 hours ago. She states she started Amoxicillin a week ago due to acute otitis media infection. She was given a course of Amoxicillin for 7 days, with today being her last day. She was at her PCP’s office later today and received a cortisone injection with Benadryl 30 mins prior to arrival and states she has a burning…
I. PURPOSE This procedure outlines the administration of aerosolized Pentamidine. II. INDICATION Aerosolized Pentamidine is used prophylactically to reduce the incidence of infection Pneumocystis Carinii Pneumonia (PCP) among patients that are immunocompromised. III. CONTRAINDICATION Patients with known allergies to Pentamidine and other ingredients found in the solution. IV. PRECAUTIONS A. Premedication: A bronchodilator, such as Albuterol, must be given 15 minutes prior to…
any medication for her symptoms thus far. Medications Biotin supplement, vitamin D, Differin cream and doxycycline. O Vital Signs Temperature: 98.1. BP: 122/70. HR: 80. R: 14. W: 265. General A well-developed, well-nourished female in no acute distress seated comfortably in the exam room.…
The organism that is commonly referred to as “Strep” is Streptococcus pyogenes. S. pyogenes is a facultative anaerobe: an aerobe that does not require oxygen for its metabolism and is capable of growth in the absence of it (Cowan & Talaro, 2009, p. 185). S. pyogenes is a prokaryote because it is an organism that has no nuclear membrane, no organelles in the cytoplasm except ribosomes, and has its genetic material in the form of single continuous strands forming coils or loops (“Classification,”…
Discuss the physical assessment of a patient who presences with the complaint of cervical lymphadenopathy. “Lymphadenopathy is characterized by enlarged lymph nodes. Lymph node enlargement is caused by an increase in size and number of its germinal centers caused by proliferation of lymphocytes and monocytes or invasion by malignant cells. Normally, lymph nodes are not palpable or are barely palpable. Enlarged lymph nodes are characterized by being palpable and often may be tender or painful to…
What is one of the leading causes of death in children under the age of five? Drowning? SIDS? Although these are both great answers I’m actually referring to Pneumonia which accounts for 15% of all deaths in children under 5 years old. Pneumonia actually claimed the lives of an estimated 922,000 children in 2015. Pneumonia is an inflammatory condition of the lungs which primarily affects the microscopic air sacs known as the alveoli. The condition will inflame the air sacs in the lungs and…
dry to form crusts and ulcers (Ensor, 2005). Primary lesions are more severe than recurrent or secondary lesions, which are less painful and appear usually at the same site as the primary (Drugge & Jackson Allen, 2008). Other symptoms are fever, pharyngitis, headache and swollen gums and lymph nodes (Ensor,…
thrombocytopenia, palpitations, bleeding, memory impairment, confusion, depression, hostility, hallucinations, urinary incontinence o Mild • Dizziness, fatigue, asthenia, nasal congestion, nausea, dyspepsia, rash, vomiting, sinusitis, fever, laryngitis, pharyngitis, abdominal pain, headache, cough, urticaria, infection, diarrhea, rhinitis, rhinorrhea, epistaxis, influenza, myalgi, weight loss, pruritus, arthralgia, hypoesthesia,muscle cramps, drowsiness, paresthesias, ecchymosis,…
for infants, children, and adolescents and Chlamydia screening) and acute care (pharyngitis testing and upper respiratory infection treatment). Quality measures not tied to P4P were also measured including persistent asthma and ADHD. The results indicate a small but positively significant effect on pediatric preventive care quality measures tied to P4P. The authors note that there may be a ceiling with respect to pediatric acute care measures as the pediatric baseline performance was 94…
Chlamydia: The Silent Killer Javier Martin Waukesha County Technical College Section 11274 Instructor: Dr. Tracy Neher April 30, 2017 Chlamydia: The Silent Killer A sexually transmitted infection that affects approximately 3 million Americans per year with a yearly cost of 2.1 billion dollars for treatment and prevention is caused by the bacterial pathogen Chlamydia trachomatis. Known as the silent disease for its ability to conceal itself in the body, chlamydia…