soreness of the right palm and pain in the right thumb. Patient has loss of strength and mild cramping, bilaterally. Review of systems is positive for fatigue, weight gain/loss, blurred vision, congestion, ringing in the ears, arrhythmia, high blood pressure,…
experience failure and require dialysis support .This nomenclature explains that renal failure occur as a continuum 1. AKIN recently defined AKI as “ functional or structural abnormalities or markers of kidney damage including abnormality in blood, urine or tissue tests or imaging studies present for < 3 months.”2 A large trial by Uchino et al.3, on the epidemiology and outcome of AKI in critically ill adult patients reported an overall mortality…
Meningitis is caused by the swelling of the membranes that encircles around the spinal cord and brain. The disease is generally triggered by infection of parasites, fungi, bacteria, viruses, and particular organisms. Weak immune systems may be also connected to recurrent bacterial meningitis although most meningitis cases are caused by viruses. The disease mainly affects the central nervous system which consists of the brain, nerves and the spinal cord. Symptoms such as the fever may be the…
salmon-pink skin discoloration on the left leg of the patient (1). Swelling and spontaneous pain that began at this site eventually spread to other parts of the patient’s arms and legs. The patient was admitted with a fever of 39 °C (102.2° F). A positive blood culture confirmed the bacteremia that accompanies a H. cinaedi infection. The patient also experienced chronic diarrhea two weeks before his admission into the…
steroidal anti-inflammatory is often administered to patients with osteomyelitis to help in management of pain and inflammation.15 According to the case study Mrs DU has a high blood pressure which could further complicate complications from diabetes, which makes it important to make certain lifestyle changes such as, controlling her blood sugar levels, diet changes, etc., in order to minimise the risk of developing osteomyelitis again in the future.8, 10 It is important to determine if the…
For this interview, I chose to ask around at my church if anyone had an unpleasant dental experience and were willing to share. Christina Webb was the first person I asked, and it turned out that she had multiple stories to expound on. The encounter that I am going to choose to pass on is about the time her three year old son was prescribed to receive eight root canals and crowns. A little background information is that she was young, recently married (within the last 5 years at the time of this…
Shock is a medical emergency in which the tissues and organs of one’s body are not receiving a sufficient flow of blood. With the circulatory system, it can no longer provide sufficient circulation which prevents every body part from performing its primary function. Oxygen is deprived to the major organs and tissue throughout the body. The body’s waste products buildup. Shock can cause serious damage to a person’s body, and in severe cases, death. There are several major causes of shock in…
produce ammonia from the urea. Significant formation of ammonia also occurs following hydrolysis of glutamine by glutaminase containing cells such as gastrointestinal epithelial cells and lymphocytes [1]. Evaluation of plasmatic ammonia is a prognostic test primarily performed in the clinical…
A 71-year-old woman presented with a 1-month history of epigastric pain. An esophagogastroduodenoscopy performed at a local medical center showed findings of gastritis. Despite medication, her symptoms aggravated and she was referred to the Gastroenterology Department on March 6, 2016. Laboratory examinations showed Hb, 11.9 g/dL; leukocyte count, 7.84×109/L; and platelet count, 67×109/L. ESR level was 59. The CRP level was 5.83. The AST level was 55 and the ALT level was 71. The chest X-ray…
Amputations have been performed since Prehistoric times and are known as one of the oldest surgical procedures. Although in the Neolithic ages amputations were more brutal, some of the same principles are used in today’s amputations. The earliest writings of amputations date back to the 1700 BCE in the Babylonian code of Hammurabi. It describes the first therapeutic amputation for vascular gangrene. Before anesthesia patients had to be held down during the procedure and were usually highly…