Immediate Assessment

Decent Essays
I have gone through your medical history carefully and understood your concerns.

Retaining water (edema) at your age 53 years old while going through pre-menopause is to get further evaluated by physician.
Immediate tests are highly recommended to understand why you are having edema:
- liver/kidney function test
- cardiac check up
- Doppler ultrasound of the blood vessels including lymphatic system
- lymphatic studies (MRI, ct-scan) to rule out lymphedema

As the swelling is progressing and noticed on your entire leg, throughout the day, I highly recommend to go to ER as immediate evaluation and specific treatment might be needed.

Wish fast recovery.

Related Documents

  • Improved Essays

    Rib Contusion A rib contusion is a deep bruise on your rib area. Contusions are the result of a blunt trauma that causes bleeding and injury to the tissues under the skin. A rib contusion may involve bruising of the ribs as well as the skin and muscles in the area. The skin overlying the contusion may turn blue, purple, or yellow. Minor injuries will give you a painless contusion, but more severe contusions may stay painful and swollen for a few weeks.…

    • 433 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    As the progress of technological innovation marches on, it brings a new layer of complications to the labor relations process. More than ever, the challenge of balancing employee privacy with employer interests presents immense difficulties, especially with regards to social media. The two cases examined in the following pages form a framework for a cursory investigation of workplace privacy and an employer’s interest and legal rights to restrict the digital activities of their employees. In the first case, First Alert Medical Response (First Alert) ambulance service exercised those rights when they fired Betty Nelson over social media postings (Holley, Jennings, & Wolters, 2012). A recent Idaho Supreme Court decision supports First Alert’s actions.…

    • 1334 Words
    • 6 Pages
    Great Essays
  • Decent Essays

    Over the last 20 years an increasing development of the understanding of how physicians combine medical knowledge and clinical skills in the clinical judgement process. This process, the creation of a problem representation referring to what the physician thinks occurring with the patient based on the synthesis and integration of two key elements. The first element includes the information collected from the patient through an accurate and the complete medical history. The second element includes a focused physical examination, and the physician’s working medical knowledge.…

    • 159 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Assessment of the Injured Ankle I. Injury Situation: A female volleyball player was in practice and was involved in a blocking drill. When she made the attempt to block the attacker on the other side of the net, they both landed on the center line causing her to come down on the attacker’s foot. This caused the ankle to roll over the outside of her foot. II. Evaluation of the Injury: pain and swelling is localized to the lateral side of the ankle, some inability to bear weight after injury can bear slight weight, tenderness and slight bruising.…

    • 987 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Throughout the entire semester, I incorporated evidence based practice into my clinical days. Whether if I was performing a skill or if I was observing my nurse do a skill, I was thinking is this evidence based. I observed nurses use water instead of alcohol to clean an area on the skin before pricking a patient’s finger for a blood glucose check; this I knew was evidenced based. Some none evidence based thing that I observed were using 5/8inch needles when the nurse should have been using a 1inch length or not using two hands when assessing a patient’s fundus. I met my midterm goal of telling the nurse nicely that this is not what we learned in school.…

    • 278 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Clinical Observation

    • 152 Words
    • 1 Pages

    It is not uncommon that patients are discharged early and return to the emergency room with symptoms of leakage after several days. The patient delay that is created has far-reaching consequences, with late leaks (>5 days) being associated with more complex treatment and adverse outcome. It is of upmost importance to treat this complication as early as possible, and thus establish an early diagnosis. Clinical observations could be of more importance in speeding up this process.…

    • 152 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Pain Assessment

    • 654 Words
    • 3 Pages

    Statement of the Problem Health care facilities are consistently looking for new ways to improve patient satisfaction in all aspects of the hospital experience (Gebremedhn, Chekol, Amberbir, & Flatie, 2015). Patient satisfaction is important for both improving patient recovery and for improving hospital ratings and overall atmosphere of the facility (Gebremedhn et al., 2015). Because of this, hospital staffs are considering different ways to ameliorate the experience of patients, especially in the aspect of pain relief in anesthesiology. Anesthesiology is the practice of medicine dedicated to pain relief. Health care professionals are currently studying further the role of anesthesiology in improving patient satisfaction.…

    • 654 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    History of present illness This is a 40-year-old Hispanic female who states that she has been having a hard time walking on her left leg and has noticed that her left calf has been swelling for past couple of days. She first noticed it a couple of days ago and she thought it could be because she has been walking a lot for the past few days. The patient states that the pain starts when she is walking, and she is having hard time baring weight on it.…

    • 232 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Varicocele Research Paper

    • 539 Words
    • 3 Pages

    Varicocele A varicocele is a swelling of veins in the scrotum. The scrotum is the sac that contains the testicles. Varicoceles can occur on either side of the scrotum but are more common on the left side. They occur most often in teenage boys and young men.…

    • 539 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    One Scrimmage “Allison, you’re on deck,” he says as he’s waving at me to get my helmet on. We were scrimmaging the older team that night as a warm up before we went to Bend that weekend. Putting my helmet on, all sweaty and nasty due to the conditioning we did in the practice beforehand. Sliding my slippery, sweaty hitting gloves on and running on deck. Ema was up, she swings.…

    • 410 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Fort Myers: A Short Story

    • 923 Words
    • 4 Pages

    It’s about 82 degrees on this beautiful morning in Fort Myers it’s approximately 9:15. We have been here for about 8 days now, I just got out of bed and walked to the porch where I love sitting and eating breakfast and listening to the waves coming in and out. I sit on the chair and realize there is a sharp pain in my foot…… I look down at my foot and realize that my foot is like 2 times its size without thinking I scream and my mom and grandma come running. They open the sliding door and ask what’s wrong I go my foot is about 2 times the size it’s supposed to be. They examine it and aren’t exactly sure what was going on.…

    • 923 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    The symptoms of arthritis affect millions of people each year. Multiple small joints that work together in the hand and wrist allow for a wide range of motion. When a person has hand and wrist arthritis, daily tasks may be painful and difficult to perform. Along with pain, the symptoms of hand and wrist arthritis are inflammation and stiffness. In the Huntington Beach area, finding the best treatment option will help in reducing the symptoms of hand and wrist arthritis.…

    • 545 Words
    • 3 Pages
    Decent Essays
  • Superior Essays

    When an illness or injury appear out of nowhere, you would usually go to an emergency room, but no one is being helped fast enough at an emergency room, so instead, people have turned to one of the fastest-growing segments of American health care: urgent care, a walk-in clinic. Although urgent care is not exactly like an emergency room, it is a clinic that handles many medical problems that are not too severe but need to be treated right away, especially if your primary care physician is not available. It is important that you realize that urgent care clinics are not a substitute for your primary care physician, but they are a great resource when you need care but can not get in with your doctor. Visiting an urgent care center is a great alternative…

    • 2019 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Pain Assessment

    • 238 Words
    • 1 Pages

    Pat, you have mentioned the thought provoking statements on value of nurses knowledge, skills and attitude in relation to pain management as well the necessity to integrate routine pain assessment. On daily shift wise complete physical assessment includes the pain assessment by means of certain tools to choose appropriately in accordance with the patient physical, and cognitive status based on their perception and severity of pain. The innovative tools are most often discussed, experimented, and researched for betterment of pain management. In mid of diverse population of patients, in order to assess accurate measurement of pain; visual analog scale - face scale, Wong-Baker Faces Pain Rating Scale, numeric rating scale, and Brief Pain Inventory…

    • 238 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Playing basketball in the wrong shoes is a serious deal!! Excited as I can be ready to shoot a 3 my team came out strong our score was 15-3, before the game I was told that I didn't have on the right shoes, but I didn't listen I just did me I guess it was just the excitement of our team being the best in the state. The night at the hotel after playing Florida AAU I felt a little pain in my leg,…

    • 314 Words
    • 2 Pages
    Decent Essays