Auscultation

dentist appointment next week to get her teeth fixed. No enlarged lymph nodes or JVD assessed to neck. Patient has no difficulty breathing or shortness of breath and states she has no history of respiratory issues. Lung sounds are clear and loud to auscultation on inspiratory and expiratory times fives lobes. Breasts are even with no complaints of tenderness. Auscultated apical…

Case Report: Incidental Finding and Repair of a Morgagni Diaphragmatic Hernia during a Laparoscopic Cholecystectomy Key Words: Morgagni Hernia, Case Report, Laparoscopic Cholecystectomy Abstract Morgagni hernias are a rare finding, but even rarer are those that present asymptomatically in adulthood. This case presentation discusses an asymptomatic Morgagni hernia that was incidentally found in an elderly patient during a laparoscopic cholecystectomy. Our patient complained of right upper…

According to the Center for Disease Control, pneumonia is considered the leading cause of death in children less than five years old. What is pneumonia? Pneumonia is an infection that occurs within the lungs. It is specifically an infection that occurs within the alveoli. The alveoli are part of the lungs where gas exchange occurs. When the alveoli become infected, it makes it much harder for the body to get the proper oxygen it needs (Driver, 2014). However, there is a way to reduce the…

INTRODUCTION: Situs Inversus is a rare congenital recessive autosomal malformation, which is characterized by the viscera’s transposition which may be thoracic, abdominal or both (1, 2). Worldwide prevalence of this anomaly varies from 0.04% to 0.30% (3). Situs inversus is divided into two types: situs inversus partialis, which involves the thoracic organs (dextrocardia) or abdominal viscera, and situs inversus totalis, which involves both the thoracic organs and abdominal viscera (4). Though…

Case Study Two: A Complete Physical Assessment Shannon A. Lewis University of Mississippi Medical Center N 610 A 52-year-old female comes to your office today for a physical exam. She states that she enjoys good health and believes she is active for her age. She states she has been feeling well but just decided it was time for a complete check-up. She sees a local health care provider annually at the health department for refills on her prescriptions but has not had a “real”…

Hypertrophic cardiomyopathy (HCM) is the most common form of feline cardiomyopathies. This disease affects the cardiovascular system. The heart has many important anatomical features. One of these being the ventricle of the heart. The ventricle of the heart is the main heart muscle that pumps blood. When HCM occurs the left ventricle within the heart thickens. When the thickening of the ventricle occurs there will be a decreased ventricular chamber volume, and abnormal ventricular relaxation.…

Medical Surgical Nursing II: Sickle Cell Anemia-Case Study The following case study is about sickle cell anemia. This disease process is more common in those of African-American decent and simplified means that a patient’s blood cells are abnormally shaped which causes different manifestations as well as complications. There is no cure for sickle cell anemia/disease, but it is treatable. A potential complication is acute kidney injury (AKI), as mentioned in this case study as well. AKI is a…

Auscultation using a stethoscope for abnormal sounds, monitoring the blood pressure and the heart rate are the initial simple exam techniques that provide the doctor with clues about the health of the heart. The basic electrocardiogram (also known as EKG or…

having this cough for approximate 3 weeks, and during the coughing periods he simply could not get any air. The patient had sputum that was of thick consistency and of a dark brown color. The respirations were recorded at 24 breaths per minute, upon auscultation expiratory and inspiratory wheezes were noted. The second priority diagnosis for the patient is…

thyromegaly. CARDIAC: Normal S1 and S2. No S3, S4 or murmurs. Rhythm is regular. There is no peripheral edema, cyanosis or pallor. Extremities are warm and well perfused. Capillary refill is less than 2 seconds. No carotid bruits. LUNGS: Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds. ABDOMEN: Positive bowel sounds. Soft, no distended, no tender. No guarding or rebound. No masses. MUSKULOSKELETAL: Adequately aligned spine. ROM intact spine and…