Dr. Alley Case Analysis Essay

Decent Essays
Show More
What are the patients problems?
Dr. Alley is currently suffering from Hypertension (HBP) which is when the pressure of blood is stained against the arterial walls. Due to the fact that Dr. Alley has stopped taking his medication, this has caused long-term affliction to his heart. The doctor has also been experiencing dyspnea (difficulty breathing ). This can be a warning of a condition to his heart or lungs. Recently the doctor has also been affected by oppressive epistaxis known as a nosebleed. The nose bleeding could possibly be from a systemic issue such as arteriosclerosis or simply from his hypertension. The percentage rate is low when linking epistaxis with hypertension, but in the doctors case he stopped taking his medication. Arteriosclerosis is caused by HBP which can also lead to CAD (Coronary Artery Disease). The blurred vision and dizziness go hand in hand and are also signs of a cardiovascular disease. The auscultation observed rales and crackles. Crackles are caused when small air passages open during inspiration increase during expiration. A coarse crackle is due to fluid in the lungs which would suggest right-sided heart failure. The rales are an abnormal crackling or shattering sound which can be due to lung congestion.

What pathophysiology changes are happening in his eyes and heart? …show more content…
There are signs of crackling and with the dyspnea it is a sign that there is a lack of oxygen supply getting to his heart. This also causes fluid to build up throughout his heart causing it to pump unproductively. In Dr. Alleys case I would suggest that he has left-sided heart failure, but if not treated he can also obtain right-sided heart failure. What is happening with his eyes is also due to his hypertension which causes arteriosclerotic change. This is known as hypertensive retinopathy which is vascular affliction due to

Related Documents

  • Superior Essays

    Case Study Unstable Angina
    • 1827 Words
    • 8 Pages

    Case Study Unstable Angina

    Clinical findings upon initial evaluation strongly indicate that the patient needs oxygen, chewable aspirin, morphine, and nitroglycerin. My other hypothesis is that he is currently experiencing unstable angina. “Unstable angina (a medical emergency) occurs at rest, is a change in your usual pattern of angina, is unexpected, is usually more severe and lasts longer than stable angina, maybe as long as 30 minutes, may not disappear with rest or use of angina medication” and “might signal a heart attack” (“Angina,” n.d.). The differences between a heart attack and unstable angina are that a heart attack refers to blood flow that has become blocks and with unstable angina the blood flow may not be blocked completely, however, there is very limited flow (“Heart Attack,” n.d.). A patient with unstable angina should go to the nearest emergency room if they are having no relief or are experience additional symptoms different than their usual episodes. My third diagnosis is that he may have myocarditis, which often presents like a heart attack. “Myocarditis is an inflammation of the myocardium, the middle layer of the heart wall. Myocarditis can affect both the heart’s muscle cells and the heart’s electrical system, leading to reduction in the heart’s pumping function and to irregular heart rhythms” (“Myocarditis,” n.d.). Many things can cause myocarditis and it is usually the result of some type of infection. This infection can be a virus,…

    • 1827 Words
    • 8 Pages
    Superior Essays
    Read More
  • Improved Essays

    Stacey Lannert's Case Analysis
    • 1148 Words
    • 5 Pages

    Stacey Lannert's Case Analysis

    Both cases of Lizzie Borden and Stacey Lannert, were both considered during their time respectively as what was considered one of the most controversial murder cases in the United States. In contrast, the investigations of Lizzie Borden and Stacey Lannert were examples of individuals committing first degree murders against their family members. Both investigations caused widespread controversy amongst the country, amid various false accusations, and lack of sufficient evidence.…

    • 1148 Words
    • 5 Pages
    Improved Essays
    Read More
  • Improved Essays

    Glomerulonephritis Case Study
    • 439 Words
    • 2 Pages

    Glomerulonephritis Case Study

    The patient is a 26 year old male, single but living with a younger brother and works as a freelance photographer. He doesn’t get enough sleep and rest at night because he has late photo shoot or he plays video games. He is on dialysis for 2 years, had 2 failed AVF on left arm and currently using AVG on his right arm. He is prescribed to use F80 hi flux dialyzer, blood flow rate of 250ml/min with 4 hours dialysis time with 3x per week frequency of dialysis. During dialysis his diet consists of Coca-Cola and 6 slices of pizza. He passes minimal urine of 5% ideal weight making it difficult to achieve his target weight post dialysis. Due to this, he usually complains shortness of breath when going to the dialysis clinic. For his physical assessment the PMI is 3cms left apex site was noted also with 2+ pitting oedema up to mid-calf and ascites together with a JVP >3cm above sternal angle. Upon auscultation crackles and wheezes were heard over lower lung fields. Recently he complains general weakness, shortness of breath and chest…

    • 439 Words
    • 2 Pages
    Improved Essays
    Read More
  • Improved Essays

    T. L. O. Case Essay
    • 750 Words
    • 3 Pages

    T. L. O. Case Essay

    What would a normal student do if their vice principal called them to the office, took their bags, and searched through them thoroughly ,without the student’s permission? This, normally, is thought of as being wrong. Americans would not normally think of this as being okay. And yet this case has been brought to the Supreme Court of America. T.L.O. may have had illegal items in her possession, but the search conducted by the school was unlawful, unreasonable, and violated two Amendments in the Constitution of the United States of America.…

    • 750 Words
    • 3 Pages
    Improved Essays
    Read More
  • Improved Essays

    Steven Murray Truscott Case Essay
    • 886 Words
    • 4 Pages

    Steven Murray Truscott Case Essay

    Steven Murray Truscott was accused of the murder of his classmate, 12 year old Lynne Harper, in 1959. This accusation came after the two had been seen riding on his bike together on the supposed day of her death. Her body was found in a wooded area near where the two were said to have parted ways the night she died. She had been sexually assaulted and strangled to death. Two days after finding her body, Steven was convicted of her murder and sentenced to the death penalty (Harland-Logan). No one had seen Steven entering or leaving the woods where Lynne's body was found. Throughout the trial, Steven maintained his innocence, but the court failed to agree with him. After spending ten years in prison, Steven was released on parole. He…

    • 886 Words
    • 4 Pages
    Improved Essays
    Read More
  • Decent Essays

    Steven Truscott Case Essay
    • 407 Words
    • 2 Pages

    Steven Truscott Case Essay

    Steven Truscott was , in 1959, the age of 14. He was convicted for murdering his 2 year younger classmate, first being sentenced to death, to life in prison, and finally exonerated nearly 50 years later. Truscott was an immediate suspect due to the fact that witnesses saw him and Lynn harper cycling together before her body was found 2 days later. Truscott claimed to be giving Harper a lift to the highway being he was the last one to see her alive. It was believed Harper was trying to hitch a ride to her grandmothers house in a near community. The abduction and murder caused so much trauma through out the community causing Truscott to stand to an adult trial without the chance of bail. Truscott claimed that Harper was picked up by a 1959 Chevrolet…

    • 407 Words
    • 2 Pages
    Decent Essays
    Read More
  • Improved Essays

    Dred Scott Case Analysis
    • 727 Words
    • 3 Pages

    Dred Scott Case Analysis

    The Dread Scott Vs. Sanford which was a revolutionary and historic case that helped draw attention to the issue of slavery and was decided on Mar 5, 1857.During the time of the case, if you were black you were viewed as an inferior and had no strong rights or future in America. The case of Dred Scott not only challenged the views of other about blacks but added to turmoil and inefficiency of government control of its citizens. The case challenged the structure of our government system and also signified the importance of our 14th Amendment which was not in place at the time.…

    • 727 Words
    • 3 Pages
    Improved Essays
    Read More
  • Improved Essays

    Devin P. Kelley's Case Analysis
    • 164 Words
    • 1 Pages

    Devin P. Kelley's Case Analysis

    In the New York Times, article one learns of the gunman prior to the church attack on Sunday, November 5th. Devin P. Kelley was a former member of the United States Air Force until 2014 when he was discharged for bad conduct. Kelley was sentenced to twelve months of confinement for assaulting his first wife, Tessa Kelley, and fracturing his stepson's skull. Due to an Air Force screw up, Kelley was able to legally purchase military-grade weaponry used on Sunday. Furthermore, longtime friends were not surprised to hear about Kelley's connection to the shooting. They saw Kelley change for years over social media and his growing obsession with weapons.…

    • 164 Words
    • 1 Pages
    Improved Essays
    Read More
  • Improved Essays

    Curley Bilwell Case Analysis Essay
    • 1023 Words
    • 5 Pages

    Curley Bilwell Case Analysis Essay

    Today October 2nd, I have a patient by the name Curley Blink (Case Number 27). Curley Blink is 30 years old man, he works with his dad on a farm and he is married. I got to talk with him and a couple of his peers and also his wife for a short amount of time. There names will not be said for protective reasons except John Steinbeck who allowed it. He wrote a book called Of Mice And Men about his life on Curley’s farm. From what I heard I believe that Mr. Blink has a insecure and anger issue problem after talking to his so called "peers". They mainly were talking about his past experiences. He was a lightweight boxer and loves to pick on tall/big guys and he yells all of the time. The client, Curley Blink, appears…

    • 1023 Words
    • 5 Pages
    Improved Essays
    Read More
  • Decent Essays

    Jonathan L. Lowry Case Analysis
    • 123 Words
    • 1 Pages

    Jonathan L. Lowry Case Analysis

    Jonathan L. Lowry, DDS, PLLC is a dental practice that is located in Hendersonville, North Carolina. Jonathan L. Lowry, DDS, PLLC renders adult dentistry and pediatric dentistry. This dental practice specializes in cosmetic procedures, appliances, tooth movement cases, crown and bridge, children, plus more. Jonathan L. Lowry, DDS, PLLC is an expert in root canals, extractions, cleaning and exams, dentures, sedation, and implants. Jonathan L. Lowry, DDS, PLLC is also adept in soft tissue management and fillings. Their cosmetic procedures include whitening, veneers, as well as inlays and onlays. Jonathan L. Lowry, DDS, PLLC utilizes the new, state-of-the-art technology. Jonathan L. Lowry, DDS, PLLC has been voted as the Patient’s Choice in 2015…

    • 123 Words
    • 1 Pages
    Decent Essays
    Read More
  • Improved Essays

    Alex Canawati Case Essay
    • 1041 Words
    • 5 Pages

    Alex Canawati Case Essay

    On 7/22/16 at approximately 1335 hours, my partner, Officer Acosta #0044, and I, were dispatched to a radio call of a possible male with mental illness at 640 N. Los Robles Ave.…

    • 1041 Words
    • 5 Pages
    Improved Essays
    Read More
  • Decent Essays

    Joel A. Wright Case Analysis
    • 331 Words
    • 2 Pages

    Joel A. Wright Case Analysis

    The news article I found on February 2, 2016, discusses Joel A. Wright from Ohio who was arrested on January 29, 2016. He was charged with two felonies, which include "travelling with the intent to engage in illicit sexual conduct with a minor and aggravated sexual abuse of a child" (Stack). According to Immigration and Customs Enforcement, Wright had been searching for roughly two years online for a female child under four years old to adopt or purchase, to sexually abuse.…

    • 331 Words
    • 2 Pages
    Decent Essays
    Read More
  • Improved Essays

    Left Sided Heart Failure Case Study
    • 421 Words
    • 2 Pages

    Left Sided Heart Failure Case Study

    The crackles heard in his lungs confirm that there is fluid in the lungs. This congestion is the cause of his shortness of breath. His increased blood…

    • 421 Words
    • 2 Pages
    Improved Essays
    Read More
  • Improved Essays

    Ischema Case Studies
    • 1062 Words
    • 4 Pages

    Ischema Case Studies

    is a 68-year-old female who was admitted to the hospital due to chest pain. It was later determined that her primarily diagnosis was CHF. M.G. was a smoker for 35 years and has been living with her husband. She has no known drug allergies (NKDA) and is a full code. M.G. has a history of hypertension, coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), and a myocardial infarction (MI). She is alert and ordinated times three and on bed rest. She is on bed rest due to a stroke that impacted her left side. Her stroke was caused during a procedure of implanting a pacemaker. M.G. left arm is flaccid due to the stroke, is an assist times two and cannot ambulate by herself. She was reporting three out of ten on the pain scale and was on two liters of oxygen. All of her vital signs were in the normal range. Her pupils were round and reactive to light. Cap refill was than three seconds and there was no clubbing present. M.G. heart sounds were normal and S1 and S2 were heard. There was no JVD present but had crackles at the base of the lungs. Bowel sounds were active in all four quadrants and non-tender. She had plus two pedal edema in both feet and is wearing compression socks to help with the swelling. My patient is waiting for doctor to release her to a special care facility where she will have to have help getting taken care…

    • 1062 Words
    • 4 Pages
    Improved Essays
    Read More
  • Improved Essays

    Case Analysis Of Chris And Alison Weston's Case
    • 1014 Words
    • 5 Pages

    Case Analysis Of Chris And Alison Weston's Case

    Chris and Alison Weston were a successful, well-educated and ambitious couple, as the case study interprets, yet the couple ended up serving 20 and 18 months in prison for mail fraud. Additionally, part of Chris Weston’s new job position required him to start hiring qualified employees to the company. Therefore, Chris’s job was becoming stressful, so he asked his wife, Alison for help with the staffing and recruitment process. Accordingly, Chris and Alison started a new company under Alison’s maiden name to help staff the employees. However, this quickly geared out of proportion when the couple kept sending invoices, even after months of not recruiting or staffing employees. As a consequence, this led the couple for more than a year in prison.…

    • 1014 Words
    • 5 Pages
    Improved Essays
    Read More

Related Topics

Ready To Get Started?
Discover
Company
Follow
©2023 Cram.com
Privacy Policy |  About Ads |  Site Map |  Advertise  | 
  • Cookie Settings