Chilaiditi’s sign-which is an extremely rare radiographic sign is an incidental radiographic finding of interposition of a colon segment between the liver and the diaphragm. Chilaiditi sign can be initially misdiagnosed as a diaphragmatic hernia or pneumoperitoneum that can need unnecessary surgeries.We report a patient with type-2 diabetes mellitus, who was incidentally diagnosed with Chilaiditi’s sign in order to attract attention to this extremely rare occasion and avoid unnecessary surgery.…
more than one way. Additionally, nephrotoxins are substances that display nephrotoxicity. Nephrotoxicity is a significant adverse effect of the calcineurin inhibitors, cyclosporine, and tacrolimus. Nephrotoxicity can be divided into acute and chronic effects. Acute nephrotoxicity typically manifest as a rise in the serum creatinine, hyperkalemia and a decrease in urine output, particularly when cyclosporine or tacrolimus levels are above the normal therapeutic range. Clinical Features:…
accompanied by serve headaches, upper abdominal pain and changes in vision. While not being the definitive hallmark of preeclampsia, high blood pressure is the most dangerous of the symptoms and can lead to multiple organ damage/failure, acute respiratory distress syndrome, stroke, eclampsia (a condition described by the onset of seizures in tandem with the pathology outlined by preeclampsia) and maternal and fetal mortality. Preeclampsia typically manifests itself in the final trimester but it…
What is the pathophysiology of acute lung injury and ARDS? There are three phases to progressive ARDS, which is the exudative, fibroproliferative and resolution phase. There is an injury or insult to the body causing an inflammatory immune system reaction. Cellular mediators release humoral…
Q fever, originally known as query fever, is an infection caused by the microorganism Coxiella Burnetii. “Q fever was first reported in the medical literature in 1937 by Edward Derrick who named the infection Query Fever.” The bacterium belongs to the directive of legionellales. The bacterium typically presents with flu-like symptoms. In some people, the infection can reappear years later. The more fatal form of Q fever can cause a destruction of your heart, liver, brain, and lungs. It’s…
Patient Center Presentation Patient Background Information D.D is a 56 years old female she was admitted to the hospital with complain of flue-like symptoms. The patient symptoms started on Monday. On Friday she stated that “I felt weakness all over and I called my cousin to take me to the hospital. In the ER patient presented with productive cough, body aches, runny nose, feeling feverish, and weakness. The patient history is diabetes, gastric bypass in 4/2015, hypertension, asthma and…
feel” continuously to detect any changes. This is to provide immediate respiratory care if the patient’s airway is compromised (Higginson, Jones & Davies, 2011). This is a low priority. B. BREATHING – Respiration is altered due to left ventricular failure. The patient is tachypnoeic due to an increased pressure in the pulmonary veins that will lead to pulmonary congestion that lessens pulmonary compliance, which raises the respiratory rate. Also, increased blood flow in the…
One of the ICU patients at Rapid City Regional Hospital developed ARDs. The doctor ordered the patient to lay prone for 18 hours a day. This article by Drahnak and Custer (2015) examines prone positioning for patients who are suffering ARDs. This position helps promote lung expansion and helps the alveoli assist with oxygenation. Drahnak and Custer also explained the different ways this positioning can be performed and the indications for prone positioning. There are also other important issues…
alcohol withdrawal syndrome (AWS)…
presented to the clinic with severe confusion, increased impaired judgement, and increasing repetitiousness and inconsistencies in his usual behavior. His physical exam reveals an increased respiratory rate, slight fever and costovertebral angle tenderness on his right side. Acute pyelonephritis: Pyelonephritis is an acute urological condition that cause infection on one or both kidneys. It is a lower urinary tract infection that ascended to the pelvis of the kidney. Severe cases of…