Auscultation

HPI: 21 year old female with past medical history of glaucoma presents to the ED today for an allergic reaction. Patient has a rash all over her body and states the rash started 3 hours ago. She states she started Amoxicillin a week ago due to acute otitis media infection. She was given a course of Amoxicillin for 7 days, with today being her last day. She was at her PCP’s office later today and received a cortisone injection with Benadryl 30 mins prior to arrival and states she has a burning…

consciousness, but he could have lost consciousness and doesn’t remember it. Brief focused medical history – previous trauma, medications, allergies, and preexisting medical conditions. Assess the abdomen comparing left side to right side: Inspection, Auscultation, Percussion, and Palpation. Assess the chest for broken ribs; assess the liver since the damaged tape player is on the right side. Assess the kidneys, comparing the left to the right. Make sure the patient has venous access in case of…

He appears to be in a great deal of pain. Skin/Nails: Warm and dry. Color WNL for the race. Respiratory: Bilaterally clear to auscultation. Cardiovascular: S1 and S2 heard without extra sounds. No bruit. No edema. Abdomen: No distension or pulsation. + Bowel sounds, No bruits. On Percussion, ABD is tympanic. ABD is soft but tender to palpation in the RUQ. Liver span normal. The…

Coma Scale score was 13/15 (E4V4M5), body temperature was 38.3 degrees Celsius (tympanic), respiratory rate was 10 breaths per minute and oxygen saturation by pulse oximetry was 96% while he was put on oxygen through a non-rebreathing mask, chest auscultation was clear, abdominal examination revealed hypoactive bowel sound, pupils were 5 mm with sluggish response to light, palpation of the axillary skin showed it was dry, bedside glucose test was 6.8 mmol/L, electrocardiogram showed sinus…

TERMINOLOGY CLINICAL CLARIFICATION 1 • Life-threatening condition characterized by the inability of the pulmonary system to meet the metabolic demands of the body with respect to oxygenation of the blood and systemic organs and/or CO2 elimination • May be accompanied by ventilatory failure 7 • Develops within minutes or hours as opposed to chronic respiratory failure that develops over several days, weeks or years CLASSIFICATION 2, 1 • Classification is mainly based on arterial blood gas (ABG)…

Patient 1 – Cardiovascular A fifty-six year old male was checked into the ER with severe angina (pain in the chest that makes it difficult to breathe caused by poor blood flow to the myocardium) (the middle and thickest layer of the heart wall, composed of the cardiac muscle) (Miller, 2003). Upon checking his vitals the patient is noted to have an arrhythmia (when the speed or rhythm the heart is beating is not normal), while also suffering from tachycardia (when the heart beats exceeding fast…

Midwifery practice. Working in a hair salon I was able to build a rapport with women very quickly and I’m very enthusiastic on practical learning and attention to detail; my focus on practical learning will help me when learning skills such as auscultation and palpation. I actively listened to clients so I fully understood their needs and ensured they received the best care. I work well as part of a team and I understand this would be important when working within a multidisciplinary team to…

heard at the base of her lungs, cough still persistent. She was not cyanotic, no edema was seen, capillary refill within 2 seconds, mucous membrane pink and moist, blood pressure and pulses within normal range. Overall, besides the crackles on auscultation, I did not find any other abnormalities while doing my assessment on J.K. Nevertheless, even though she’s improving she still needs to be monitored closely, also a biopsy of the mediastinal tumor needs to be done to detect whether the…

Social History: The patient happily lives with both parents and two siblings (one brother and one sister) in a house. The parents do not smoke. They do not have any pets. Patient does not go to day care and there is no one else sick at home Erickson’s Stage: Autonomy vs Shame and Doubt • This stage focuses on the child becoming independence and making their own choice. The patient is successfully completing this stage a s evidence by, patient walking away from mother and father to pick up a toy.…

Beat of Another Drum Mr. Rembert is a 65- year old African American male that was transported by ambulance to this Las Vegas, Nevada long term acute care facility. The patient has a substantial history of cardiopulmonary difficulties with a chronic cough and has been diagnosed with COPD (a grouping of both chronic bronchitis and emphysema); Emphysema is injury to the alveoli which are the tiny sacs in the lungs that permit oxygen and carbon dioxide to interchange between the blood stream. This…