Auscultation

Based on Sherry’s health history, the examiner decided to perform vital signs and focused physical examination of the eyes and its associated systems. Therefore, the examiner performed a physical exam of head, ears, eyes, nose and throat (HEENT). Like other parts of the physical exam, it begins with inspection, and then proceeds to palpation (Bickley & Szilagyi, 2013). After taking Sherry’s health history, her Vital signs were taken in order to find out if there is any change in her baseline,…

Diabetes Mellitus Chanda Boots STC SPN Medical Surgical III Mrs. Misty Stark RN BSN 06/30/2016 Abstract Diabetes Mellitus is a growing global problem with huge social, economic, and health discrepancies. It is a chronic metabolic disorder. 6.4% of the adult population is suffering from this disorder. This is estimated to increase to 430 million in the absence of better control or cure. (Eckhard. M, et al (2009) Infections in Diabetes; 935-941) The two main reasons for the increase include the…

Staying healthy in America is becoming a serious challenge to most people; cutting down on some fat and going for a weekly physical activities to the gym could make a substantial difference in one’s life. Dieting is so important, considering the amount of carbs and calories the average American consumes each day. In fact, about 1/3 of American adults are overweight or obese, not because they don’t have what they need, but the simple fact that healthy food 10 miles away is less appealing compared…

TERMINOLOGY CLINICAL CLARIFICATION • Acute respiratory distress syndrome {ARDS) is a condition of dysfunctional gas exchange {i.e., pulmonary interstitial and alveolar edema progressing to advanced fibrosis) that is characterized by acute onset, bilateral pulmonary infiltrates, severe hypoxia, the absence of evidence of left atrial hypertension, and a significant risk of mortality.25 DIAGNOSIS CLINICAL PRESENTATION • History o The patient may be in present with complaints of acute dyspnea and…

Biographical Data FRP is a 68-year-old single male born on March 7, 1947 in Marshfield, Wisconsin. He currently has Medicare part A and B as well as Medicaid and his code status is Do Not Resuscitate (DNR) and Do Not Intubate (DNI). FRP’s parents are both German immigrants, but FRP does not speak the language. He stated he speaks English and learned to speak a small amount of Filipino while stationed in the Philippines as a Columban priest. He taught sign language to deaf children and was a…

The Chinese have been practicing medicine for nearly five thousand. Although the first written evidence dates back to the 2nd century BC, references in these documents and archeological finds prove that the Chinese have been refining the practice for thousands of years. An important aspect of Chinese culture and medicine is philosophy. As a major contributor and stop along the Silk Route they were exposed to the cultural and religious beliefs of the people of India, Africa, Egypt, Greece, and…

Skin test technique: • Skin prick tests are usually performed on the inner forearm. Any number of allergens can be tested, as few as 3 or 4 or up to about 25 allergens. The tested allergens in our study were sodium benzoate and potassium sorbate. • The arm is cleaned with soap and water or alcohol • The forearm is coded with a skin marker pen corresponding to the number of allergens being tested. Marks should be at least 2cm apart. • A drop of allergen solution is placed beside each mark A…

History and Physical Notes Date of Admission August 6, 2014 Patient Initials B.K. Age/Gender 74/Female Date of Birth 11/29/ 1940 Chief Complaint Swollen and painful legs and feet; shortness of breath. Symptoms Unable to be on her feet for very long; cannot walk long distances; hard time climbing stairs. History of Present Illness Mrs. B.K is a 73 year old Caucasian female presented with edema to both legs and feet, which she’s had for the past 12 years. Patient stated the pain is…

Jones. Mr. Jones appeared to be in distressed. He is now using his accessory muscles to breathe, crackles are heard on auscultation and there is decreased air entry in the left and right bases. Chest X ray revealed consolidation on the left lower lobe and atelectasis in the right lower lobe. After a series of investigation in the emergency department, Mr. Jones was commenced on Normal Saline at 125 mls/hr and he was given oxygen via non rebreather mask at 10L/min. He was then transferred…

Heart failure is when the heart is too weak to pump blood efficiently, and cannot provide proper cardiac output that the body needs to maintain the body’s metabolic needs. Also, heart failure is when the heart muscle has become damaged and cannot contract and pump blood up and through the valves and out through both sides of the heart or the heart muscle has become too stiff. This process mainly relates to the heart muscles of the ventricle chambers. The ventricles are the main problem within…