fluid in the small air sacs, audible on inspiration or expiration resembling the sound made by rubbing strands of hair together by the ear. Crackles if widespread may be related to a serious problem may be indicative of pulmonary edema or acute respiratory distress. Wheezes are continuous sounds caused by movement of air through narrow airways due to constriction of muscles such as in asthma, swelling in bronchitis, an obstruction, or spasm. Wheezing leading to hypoxia and cyanosis require…
TERMINOLOGY CLINICAL CLARIFICATION • Systemic illness due to microbial infection that can lead to acute organ dysfunction or failure and associated with host immune response to infection CLASSIFICATION • There is a disease continuum with increasing severity if not treated or not responsive to treatment o Systemic inflammatory response syndrome (SIRS) - Documented or suspected infection with systemic manifestations of infection - Clinical response to a nonspecific insult of either infectious or…
suggested that subpar housing environments increases the risk of developing chronic diseases. Specifically, these studies suggested that cold, damp and mould within houses is very strongly associated with asthma, cancer as well as other severe respiratory diseases (Krieger & Higgins, 2002). One of the key factors contributing to the cold, damp and mouldy conditions within houses is water intrusion. More than over 11 million occupied homes in America were reported to have interior and exterior…
Background: Francisella tularensis (F.tularensis) is the etiological microorganism for tularemia. There are different forms of tularemia such as respiratory tularemia. Respiratory tularemia is the most severe form of tularemia with a high rate of mortality; if not treated. Therefore, traditional microbiological tools and Polymerase Chain Reaction (PCR) are not useful for a rapid, reliable, accurate, sensitive and specific diagnosis. But, DNA microarray technology does. DNA microarray technology…
Tenney Problem Set #1 PHP 405- Dr. Caffrey October 14, 2015 Chapter 15- All in Good Haste In 1993, news spread among the entire Navajo Nation of three strong young members of the community who unexpectedly died after suffering from acute respiratory distress syndrome, or ARDS. Upon discovery that these deaths were interrelated through family, the state’s medical examiner alerted the forensic pathologist of the possibility of a communicable disease problem. The New Mexico Department of Health…
Breathing is not just a matter of breathing through inspiration and expiration. Abnormal breathing patterns deals with the absent of breath sounds at certain times and the presence of normal breath sounds in certain areas where they are normally not heard. There are different types of abnormal breathing patterns that are caused with certain illnesses such as Cheyne-Stokes respiration, Kussmaul breathing, Biot’s respiration, apnea, paradoxical breathing and apneustic breathing. There are…
process and, importantly, spend time observing the patient. 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…
According to Lewis, Dirksen, Heitkemper, Bucher, and Camera (2014), pyelonephritis is defined as inflammation of the renal parenchyma, collecting system, and renal pelvis. Pyelonephritis can be categorized as acute or chronic. Acute pyelonephritis, the more common type, usually results from colonization and infection of the lower urinary tract that if left untreated can ascend through the urethral route and infect the kidneys (Lewis et al., 2014). Chronic pyelonephritis occurs when the kidneys…
related to age and co morbidities than the presence of the multiresistant organism per se. So the panel unanimously decided not include HCAP in the HAP/VAP guideline update this year. Use of antibiogram: The guideline also urges that every hospital and ICU has their own antibiogram tailored to their HAP/VAP population if possible. This was based on their evaluation of some observational studies one of them was done with 229 patients at 4 different institutions which showed the variation in…
cancers, as well as autoimmune diseases like rheumatoid arthritis and multiple sclerosis. In addition, stress, can have direct effects on the skin (rashes, hives, atopic dermatitis, the gastrointestinal system (GERD, peptic ulcer, irritable bowel syndrome, ulcerative colitis) and can contribute to insomnia and degenerative neurological disorders like Parkinson’s disease. In fact, it’s hard to think of any disease in which stress cannot play an aggravating role or any part of the body that is not…