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.…
SUBJECTIVE Mr. Keith is a 45-year-old inmate from Stillwater who was referred by Dr. Quiram for evaluation of fibromyalgia. Mr. Keith has a long history of multiple medical problems, including hypertension, diabetes, hyperlipidemia, gastroesophageal reflux disease, and degenerative disk disease. His history dates back he says to age 12, when he first received the diagnosis of fibromyalgia. This was apparently in the early 90s, by 1998 he had developed diabetes mellitus and by the year 2000 he had a diagnosis of diabetic neuropathy.…
Jessica is a 21yo, G1 P0, who was seen for an ultrasound evaluation and consultation for FTS. The patient has a history of opiate use disorder involving heroin addiction. She has used this off/on with the father of the baby and has actually used it recently. She states that she recently entered your Subutex program and is now on 8 mg Subutex b.i.d. and believes that she is doing better.…
REASON CHIEF COMPLAINT: Retinal detachment repair. BLANKLINE Inmate Magill presents with a history of a retinal detachment repair. A review of his records shows that he had detachment in and around 2007 with AC IOL placement. He has also had some difficulties with chronic inflammation in the left eye and has been on topical steroid in the same left eye. The inmate states the right eye is like looking through a "dirty windshield.…
7a. What risk factors does M.P. have to develop Reye’s syndrome? (1 pt) M.P. risk factors of developing Reye's syndrome include giving OTC Alka-Seltzer that contains aspirin. In most cases of chicken pox happen in children between the ages of 5 to 9 years of age.…
Client History A.O. is an 89 year old Catholic female of Japanese background. Past marital status is unknown, currently unmarried. Currently on medication for hypertension which initially caused bradycardia until the dosage was lowered. A.O. was immunized as a child, did protract chicken pox. Measles, and mumps.…
The claimant was a 58-year-old man. Alleged disability: Chronic fatigue, Epstein Barr syndrome, fibromyalgia, degenerative disc disease, irritable bowel disease. He reported that he currently was a pastor and was able to work depending upon his energy and pain levels. Education: Four or more years of college (1990). Work experience: Financial representative (financial institution (1997-2004), communication coordinator (religious organization 2004-present), and customer service (retail store 2014-2016).…
Identifying if the patient has diabetes, elderly, smokers or immunocompromised. These patients need further education on delayed healing and increasing nutritional habits (Schub & Smith, 2016). Consults by professional nutritionist to educate the patient on having adequate fluid, calorie and protein intake for…
Cushing’s Syndrome Case Study, Manifestations, and Nursing Implications Introduction A 44-year-old male presents with complaints of body malaise and anorexia. He has noticed his attitude going from happy to depressed. He complains of weight gain, bruising easily, and frequent backaches. His arms and legs are thin.…
All available documentation submitted for this claim has been reviewed from the perspective of Internal Medicine. The claimant is a male (DOB 11/23/1953) who was diagnosed with frequent dizziness, leg weakness, frequent falls, severe alcohol use disorder, liver disease, tobacco abuse, and possible ongoing depression. A recommendation for short-term disability benefits from 01/02/2018 - 02/11/2018 is being evaluated based on documentation submitted by the treating physician.…
on 2-12-14. Information was obtained largely from the patient, patient's wife and supplemented with assessment findings from the patient’s chart. The student nurse found the patient to be within the normal range for his age in the body systems of skin, hair, and nails, head, eyes, ears, sinuses, and nose, breast, genital. The patient also was found to be in the normal range for his age in his sleeping and rest patterns (Jarvis,…
Metabolic syndrome Metabolic syndrome is not a specific disease; rather, it is a constellation of metabolic derangements such as insulin resistance, hyperinsulinemia, abdominal obesity, impaired glucose tolerance, dyslipidaemia, hypertension, and a proinflammatory and prothrombotic state. Metabolic syndrome is also known as metabolic syndrome X, cardiometabolic syndrome, syndrome X, insulin resistance syndrome, Reaven's syndrome (named for Gerald Reaven), and CHAOS (coronary artery disease, hypertension, atherosclerosis, obesity and stroke ) in…
1. What is the most likely diagnosis of the underlying disease in this patient (5 marks)? Follicular Lymphoma. 2. Describe the process of autologous transplantation for the treatment of this patient’s disease.…
The patient needs to been seen by an ophthalmologist to test for cataracts because she has funduscopic bilateral lens opacification upon examination. She also reports seeing halos around lights at night. Additionally, she has a family history of cataracts. Though the patient wears bifocals, she reports her last eye exam was four years ago. It is possible she needs a new prescription for her glasses.…
The purpose of my paper is to demonstrate the nursing care for a patient at my clinical rotation whom I chose for my required uniformed assignment. The registered nurse whom I was following on that day allowed me to asses for the lung sounds and I was able to observe when the nursing care was delivered. To protect the privacy of the patient, I am using only one letter initial which is the letter randomly I chose. To accomplish the goal of this assignment, I start with the background information of the patient. Background information summary…