On March 5, 2018, at approximately 1745 hours, Investigator Mems was notified by Sgt. Schmeckenbecher of a deceased person at 10900 Panther Mountain Road in Little Rock AR, Sgt Schmeckenbecher advised Investigator Mems the deceased had been in the residence for a period of time. Investigator Mems responded to the scene and met with Investigator Geary and patrol deputies. Sgt. Schmeckenbecher also arrived on scene meeting with investigators Geary and Mems outside the residence.…
CC Sore throat and congestion. Lesion on left toe. Puncture wound. Poison ivy.…
On April 14, 2018, at approximately 1639 hours, Investigator Mems conducted a recorded interview with witness, Tammy Warrick, at 19900 Jack Road in Little Rock, AR. Mrs. Warrick agreed to make a statement in reference to a death investigation, which occurred at 19900 Jack Road in Little Rock, AR. What follows is a summary of Mrs. Warrick’s statement. Ms. Warrick stated she arrived home at 19809 Jack Road in Little Rock, AR. Mrs. Warrick advised she observed her nephew, Cole Bird, walking down Jack Road.…
The Northtmet project from Polymet should not be continued because there is to much of a risk to a national park called the Boundary Waters. Polymet has never operated a mine before and we can already get the minerals they are mining by recycling. There is too much of a risk of something breaking and polluting the area. I haven't found an instance where a sulfide mine that hasn't polluted the area and it takes somewhere from 200 to 500 years to clean the water and area. Sulfide mines are the most polluting mines there are too.…
Janice has returned six weeks since the last appointment. Overall Janice is feeling better with minimal cough present. She does report some nocturnal wheeze and chest tightness and does at time note a slight constricted feeling in the throat. As you would be aware, a recent RAST assay has demonstrated sensitisation to a number of allergens but in particular dust mite. A couple of weeks ago Janice put in place some dust mite minimisation strategies including vigorous cleaning of her carpet and changing her doona and pillow cases and has noted an improvement is symptoms since.…
B. The infection could be caused by many things but one thing for sure is that it is a nosocomial, hospital acquired infection. For example, the haphazard use of antimicrobial agents, the continual use of genitourinary instrumentation, even transmission from a nurses hand to an infant’s umbilicus. Doctors, nurses, and even paramedical workers are potential carriers due to the hospital instruments which are negative for culture testing. Barrier nursing techniques should be used.…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Deleterious bacteria had entered near her knee, and was burrowing into her joint (AP 2016, 3). That night, Ashley’s condition worsened. The green heart monitor used to track her vitals began to zigzag wildly. Her breathing became more labored and sounded like hoarse hiccups. Doctors suspected that bacteria had made its way into Ashley’s lungs, but having no X-ray machine to confirm this diagnosis, the decision was made to transport her to a private clinic.…
Patient does NOT fit criteria for treatment according to “Flu-Clinic” protocols and supervising physician was asked to evaluate the patient. The patient was seen as walk in Sore throat on April 29. The patient was treated for cough, cold and sore throat symptoms and shows no improvement. The due frequent cough and the patient was inability to effective deep breathe.…
It is important to differentiate GABHS infections in chil- dren. The antibiotic therapy should be started within 9 days after the onset of infection to prevent potential cardiac and renal complications. It is not possible to make a diagnosis of GABHS infection by clinical examination alone. Throat swabs are necessary to identify Streptococcus (Fig. 3.1.1). Gener- ally, a cherry red tongue and perioral pallor suggest GABHS infection.…
Introduction Clyde Crimeson is a 45-year-old male, admitted to the emergency room after falling in his home. He presents a wound located at his right foot with reddened edges, in addition to a hairline fracture. He is a diabetic with a history of forgetfulness and episodes of falls. Functional Patterns…
difficile when perform sterile procedures and touch areas of hospitalization patient’s skin (Larson, Aiello, & Cimiotti, 2004). Study show overall level of hand hygiene compliance low which cause incidence of infection estimated about 5-10%, direct cause of death 3% of patients, nosocomial infection result of hospitalization longer and increase significant cost (Ali, Zahra, & Khalil, 2016).According to a Canadian study carried by assess 17 NICUs on health associated infection and found 78.7% of very low birth infant develop at least one health associated infection while 16.2% experienced two health associated infection and 5.1% experienced three and more (Aziz, et al.,…
Dr. Nick: I am director of one of the largest CF programs and I spend about half of my time with clinical care, both in the hospital and the clinic. I have a large research program that is both clinical trials and I have my own lab as well. Interviewer: On average, how many cystic fibrosis patients would you say are under your direct care? Dr. Nick: Under my direct care probably about 200.…
Wilson, a 60-year-old male was admitted to the cardiac care unit (CCU) with agino and a history of hyptertensia. A coronay angogram was immediately conducted and revealed spasm in the left coronary artery that caused acute myocardy ischemia. Gillian, a 23-year-old college student came to the Emergency Room with a deep cough that produced flem, fever, and chest pain when she coughed. The doctor diagnosed Gillian with neumocal nimonia, an illness that is caused by Streptocus neumonie, a common bacterium that can spread through the air from a cough or a sneeze or from close contact with an infected person. Gillian was advised to discontinue all unnecessary activities until she…
Introduction Our world is composed of many bacteria that can either help or destroy us. Therefore, its’s imperative to learn and study them. The purpose of the lab was to put into action the methods learned in the laboratory to determine our unknown bacteria. Bacteria can have different features, shapes, and or arrangements that help microbiologist differentiate them.…