Reason for Visit: Puncture Wound Follow Up S: TM started on Cipro 500 mg BID yesterday for his left arm puncture wound yesterday. TM reports the redness and edema has improved and minimal pain with palpation to his left FA; 2/10. TM denies any issues at this time to his left FA. TM reports tenderness to his tetanus IM injection site; right shoulder. O: minimal redness to left FA puncture wound; harden area, radius of 2 cm; no warmth palpated; no s/s of infection noted, Left arm NVS intact, no impairment of movement in Left arm.…
Before Mrs Danty’s admission to the ward she was advised to attend the pre- operative assessment clinic where she was given all the information regarding the surgery and was asked if she had any concerns regarding the…
The Effect of Insulin and Glucagon Before and After Meals Lucy Foley Course number and section Experiment Date Lab Partners Introduction Blood glucose is the preferred energy source for our bodies. Blood glucose is the preferred fuel source for ATP production and neurons absolutely have to have glucose. Other cells can use alternative nutrients, such as fatty acids, glycerol, and amino acids.…
Notified by the patient. Two patient verifier used to confirm name and DOB. Patient was recently discharge from the hospital due to partial hysterectomy; therefore a f/u call was perform. Patient states that she is doing okay and her pain is control with prescribed. She denies any vaginal bleeding and the patient states her incision site is healing well and no signs of infection is noted.…
The patient is of the Hispanic background. 1. This patient is at risk for infection or developing sepsis due to being 10 days postop for an amputation. Complete blood count measure how many white blood cells are circulating in the bloodstream.…
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.…
Reason for Visit: s/p ESI follow up Vital Signs - B/P: 124/76; Temp: 98.4; Pulse: 70; Resp: 16 O2 Sat 99% S: TM here for left upper back, left retro upper shoulder pain, recheck after completing ESI. TM rates her pain at 0/10 at rest and 4/10 with repetitive movement. TM completed total of 13 ESI visits. TM reports ESI is very helpful in managing her pain and would like to continue with the ESI. TM reports she is not taking naproxen as ordered and taking ibuprofen and Tylenol, since ibuprofen works better for her than naproxen.…
Introduction severe upper gastrointestinal hemorrhage is not unusual, expensive, and potentially lifestyles-threatening and need spark off evaluation and aggressive scientific control.(van leerdam.2008) in spite of changes in control, mortality has not appreciably progressed over the last 50 years. aged sufferers and people with continual scientific diseases survive acute upper gastrointestinal bleeding much fewer well than more youthful, healthier sufferers, and have a higher risk of loss of life. ( charatcharoenwitthaya et al.2011; hearnshaw et al.2011) sever upper gastrointestinal hemorrhage is distinct as hemorrhage that emanates proximal to the ligament of treitz, which differentiates it from lower gastrointestinal bleeding regarding the colon, and middle gastrointestinal bleeding involving the small gut distal to the ligament of treitz.(vreeburg et al.1997) clinically, sever high gastrointestinal bleeing regularly reasons hypodynamia, hematemesis…
REASON PROCEDURE: Colonoscopy. INDICATION Screening colonoscopy. No previous colonoscopy performed. DESCRIPTION OF PROCEDURE…
They call them “Tap-taps,” the brightly painted open back trucks that transport passengers through the dusty streets of Haiti. A traveler taps the side of the vehicle to board, pays, rides and then taps to jump off at a desired destination. For one particular man who sat with his face covered by a towel, that destination was the Diegue clinic in Port-au-Prince. All I knew from intake was that this patient was here for a foot issue. I noticed the adult sitting uncomfortably, a towel wrapping his foot, as his eyes scanned around the room.…
All patients with acute abdominal pain should have the following vital signs recorded. Témperafí/re This should be taken for every patient with abdominal pain. A raised temperature may suggest the presence of a bacterial infection or an inflammatory process such as appendicitis. The degree of temperature together with other observations such as heart rate and respiratory rate will indicate if the patient is septic and in need of urgent medical management (Kinnear 2004). Note that older patients with abdominal pain caused by an infectious process may not present with a raised temperature.…
A tummy tuck (abdominoplasty) is a surgical procedure that is designed to improve the appearance of the abdomen. Dr. John Michael Thomassen frequently performs tummy tucks for residents in and around Fort Lauderdale, Fla. During an abdominoplasty, Dr. Thomassen tightens the muscles of the abdominal wall, he also removes excess fat and unnecessary skin from the abdomen. Sometimes, during a tummy tuck, Dr. Thomassen also performs liposuction. Reasons the Abdomen Becomes Less Tone…
On 10/16/17 I met Ms. Perez at the office of Dr. Malik wound specialist. This was an extremely long appointment and after 2 hours I had to leave to attend another appointment. Ms. Perez arrived with her husband transported by MMR on a stretcher. She reported she was having a lot of pain today. She reports that her right knee and the right arm are very tender and painful.…
In this report I will be reflecting and analysing my first two weeks of placement at a orthopedics ward. Within this two weeks I was able to learn, observe, and carry out different tasks. I will be using Driscoll (2007) reflection model as I believe it will enable me to expand my knowledge whilst gaining experience and maximis my learning opportunities. This model consists of 3 main stages which are; what: discribing the details of the situation, so what: evaluating and analysing what happened and why it was important and now what: identifying what I have learnt and what action will be taken in the future, as well as identifying areas of new skill development and learning. I will be on a reflecting mainly on the morning l assised a patient…
WHY IS THE PROCEDURE DONE? A total hip replacement is a surgical procedure where the diseased/damaged cartilage and bone of the hip joint is replaced with artificial materials called implants. This surgery may be considered following a hip fracture or for someone who has severe pain due to arthritis. INDICATIONS FOR SURGERY: When osteoarthritis (also known as degenerative arthritis) is not curable by medical therapy and the patient continues to experience pain while walking, climbing stairs and even getting up from sitting position, the doctor may advise for a hip replacement surgery.…