The lesion in the left lower back area has some scab formation and pustules. Nodules are mostly dry without redness or drainages. IV: Peripheral IV left forearm with fluids of D5.45 NS infusing at 150ml/hr. IV site clear without signs of…
CLINICAL SUMMARY: DOI: 5/11/2012. Patient is a 48-year old male truck driver who sustained a work-related injury to his back when he was rear ended by another party. Patient is status post bilateral L3-L4 and L4-L5 left-sided and sublaminar laminotomy with neuroforaminotomy; and synovial facet cyst resection at left L4-L5 per the operative report dated 04/20/15. MRI of the lumbar spine dated 02/03/16 revealed transitional lumbosacral junction, sacralized L5 and rudimentary L5-S1 disc; left laminectomy at L3-L4; and early degenerative disc disease and slight bulging of the disc at L3-4 and L4-5.…
Doctors then revealed a thigh melanoma, a mid-back melanoma, and a right deltoid melanoma. Immediate excision biopsies were performed in order to remove the melanomas. The patient also contracted an acute lymphadenopathy. A lymph nodes biopsy was performed using two techniques: gamma probe and patent V blue dye. From these dissected lymph nodes, scientists discovered a black and blue pigment focus posing as another melanoma (Fig. 2).…
In the differential diagnosis the doctor must rule out also: Psoriasis and parapsoriasis Syphilis secondary seborrheic dermatitis Urticaria Allergic reaction. After the appearance of the rash, the diagnosis is simple. The skin biopsy is done only in case of Pityriasis rosea persistent, that is, if it passes. If you see the lymph nodes, does not depend on pityriasis.…
Discussion 4.1: Sequence During a Physical Examination Discuss why you feel sequence in physical examination is essential. Be sure to thoroughly support your answer. The physical examination is a crucial element, which extends from the physical history of the patient present illness or chief complaint.it yields more information that helps the health care provider make a problem diagnosis, and build a more accurate medical plan. During the examination process, the main focus is to assess objective anatomical findings using clinical methods such as observation, palpation, percussion and auscultation.…
The type of biopsy that is sometimes used is called a sentienal biopsy. The way this works is by injecting a dye in the area from where the cancer was removed. Then the dye is observed to see which lymph channels it has traveled through. Once the lymph nodes have been identified, they are removed and tested to see if they contain the cancer. Even if this test comes back negative it does not mean the patient is cancer free.…
Pathology is a very informative book, It has very good details and stories about cases. The book Pathology is a non-fiction informative book, A pathologist is a medical doctor who studies disease and death of the human body, Pathologists have a very important task to do on a daily basis. A Pathologist has five very important questions they have to answer, Who is the Deceased, What is the cause of death, What is the mechanism of death, What is the manner of death, When did the victim die. In the book Pathology I learned that Pathologists serve a main part in crime solving, they have to have 11-13 years of schooling before they can have the label “Pathologist”.…
At the beginning of my shift the patient’s lesions looked non-characteristic of the diagnosis, however by the end of shift they had developed into the fluid-filled blisters associated with the…
Figure 4.33. Patient with dense breasts. (on the left) standard mammograms with multi cystic attenuating zones that are difficult to interpret. (bottom right): ultrasound scan shows echogenic cysts, with fluid level and doubt about a solid portion, with thick walls, multi-loculated cysts. The exam is classified as ACR or BI-RADS 3 following the ultrasound scan.…
Exposure charts are very important in the radiology field. They provide consistency in the quality of image production (Carlton, Richard R., Arlene McKenna. Adler, and Eugene D. Frank, 2006). Each site has preprogrammed control consoles for each exposure. However, although these are preset, these are just a suggested starting point.…
Many different modalities are used in interventional imaging such as: computed tomography, fluoroscopy, magnetic resonance, and ultrasound (Farrell, p. 375, 2014). With the advances in imaging technology, interventional radiology (IR) is a quickly growing, and becoming a popular advanced specialty. IR is a form of minimally invasive imaging that is used to assist in procedures. Interventional radiology can be used to treat as well as diagnose disease. There are many types of disease that can be treated with IR, including deep vein thrombosis, varicose veins, coronary artery disease, uterine fibroids, and cancer (Farrell, p. 378, 2014).…
The tumor was removed, tested for cancer and everything was fine. A friend of mine husband had the same issue, the same surgery, but his doctor assumed the tumor was not cancerous just by looking at it and he was wrong. The tumor…
Ultrasound is used to help guide the doctors to take samples from these lymph nodes to determine whether it is cancerous or benign. In this study, ultrasound-guided axially sampling of the patient’s lymph nodes improved the starting of the axillary lymph nodes 1. These biopsy results help to determine the method of treatment a doctor will take with these patients depending on whether it has spread to the lymphatic system or…
Technology has greatly facilitated the diagnosis and management of medical conditions, and radiologists are trusted to provide guidance and suggest alternative diagnostic modalities when traditional methods prove inconclusive. Having the opportunity to participate in patient care from such a unique standpoint is…
In the end of January I was honored to observe the work of excellent surgeon Anna Gibson, who practicing in the Surgeons Clinic in Liberty Hospital. She allowed me to observe open gallbladder removal. The surgery was scheduled for early in the morning and at 5 am I was in the hospital. I hoped that my early arrival will allow me to observe the work of Surgical Technologist from the very first moment, when she sets up the back table.…