Auscultation

Respiratory rate 20 non-labored, producing a white material on the buccal mucosa; which does not wipe off with tongue blade. Other vital signs: temperature: 101.F, pulse: 100 BMP (regular), blood Pressure: 130/72mmHg, pulse oximeter: SAO 98% RA. Auscultation reveals decreased breath sounds, dull to percussion right lower lobe. End expiratory wheeze in right lower lobe, as well as an increased anterior-posterior diameter to chest wall, no rales or rhonchi. Chest X-ray results shows…

NEUROSARCODOSIS PRESENTING AS RAPIDLY PROGRESSIVE DEMENTIA: A CASE REPORT ABSTRACT: We report a case of neurosarcoidosis in a patient presenting with rapidly progressive dementia and intermittent delirium. Sarcoidosis with neurologic involvement is rare, and typically does not manifest with psychiatric or cognitive symptomatology. The most common presentation of neurosarcoidosis is facial neuropathy, followed by meningoencephalitis. This patient exhibited accelerated mental…

1.A 62-year old male presents to the Emergency Department with the chief complaint to the nurse that “I have shortness of breath that started about an hour ago.” The patient informs the nurse that he has a history of asthma and that during today’s attack, his inhaler but it “didn’t seem to help.” A. What information would be most helpful for the nurse to obtain regarding this patient’s health history and history of present illness? “The nurse would utilize the mnemonic OLD CART to formulate…

Community 85007 Description The community description can tell the CHN about the internal functions of the population. For example; gaining knowledge of, age, gender, ethnic groups, educational level, income, prominent illness/disease, life expectancy, health care access, and if the population have health insurance or are without coverage all shape and determine community need and compliance to health promotion. The statistics about community aid the CHN in development and delivery of specific…

rhythm, no extra sounds, clicks, rubs, or murmurs, capillary refill less than 3 seconds. 2+ extremity pulses with no edema noted; Respiratory showed lungs symmetrical to the chest wall. Respirations even, regular and no distress; lungs clear to auscultation; Gastrointestinal: BS x 4 quadrants, active, abdomen soft,…

rhythm, as well as ventricular hypertrophy, in conjunction with continuous cardiac monitoring (Hockenberry, 2014). Daily weights are also used to measure if there has been any fluid retention, which indicates heart failure (Hockenberry, 2014). Auscultation of the indicative murmur can also be used as an initial diagnosis, but not as definitive (Hockenberry, 2014). Echocardiograms can also be used to produce an ultrasound image of the hearts structures (Hockenberry, 2014). Other methods of…

Aspiration is inhalation of foreign material below the vocal cords. In anesthesia practice, the inhalation of gastric content is rare 1 per 2000-3000 cases occurrence, however the consequences of the complication can be detrimental (Raghavendran, Nemzek, Napolitano, Knight, 2011). Presentation of the pulmonary aspiration ranges from silent aspiration, where the patient does not experience any symptoms, to the development of acute lung injury (ALI). The mortality rate after development of ALI…

Introduction: In any clinical setting, medical professionals work together as a team to collaborate, delegate and consult. In order for this team effort to be effective, good communication skills must exist between medical professionals. Many times, messages can be altered and interpreted differently; if the conditions for transmission barriers develop. External barriers and internal barriers, such as confusion and mental status can hinder effective communication. Communication can be both…

Stethoscope You see almost every doctors have a thing wrapped around their neck. It’s a medical invention with the shape of an Y. An invention invented by a french physicians named René Lannec. He named the invention stethoscope. It’s a Y- shaped flexible plastic tube with an earpiece attached on each end. The stethoscope is an acoustic medical device for listening to the heart and lung. The stethoscope is divided into two separate portions or different ways of using it : For listening to…

Julia 14y, female S: SUBJECTIVE Chief Complaint (CC): “Headache” History of present illness (HPI): Julia is a 14-year-old young lady who presents with her mother. Julia states that headaches occur one to two times a week and can last 1 to 2 days—puts hands on temple and describes headache as pulsing. She reports pain as 3 out of 5, and is not relieved with Ibuprofen or Naprosyn. No aura. Sometimes they upset her stomach, but she has never vomited. Sleep helps sometimes. The only thing that seems…