Bilirubin

The practice of internal medicine in a conflict zone is a unique challenge. In counter insurgency/ counter terrorism (CI/CT) areas, the hostile environment, austere conditions and limited logistics makes the decision making more difficult. There is enough literature available on the role of surgeon in combat zone both internationally and in Indian armed forces1,2, however there is paucity of literature on the role of internal medicine specialists in combat zone 3, 4. This article is aimed at…

• Sensorineural is related to how the nervous system transmits that sound to the brain. Conductive The outer ear gathers sound waves from the environment and funnels them into the ear canal. At the end of the canal, the waves hit the eardrum, causing it to vibrate. Three tiny bones in the middle ear conduct the vibrations from the eardrum to the cochlea (a spiral-shaped chamber that looks a bit like a snail) in the inner ear. If anything interferes with the transfer of sound waves up to this…

Therapeutic Drug Monitoring of Psychotropic Drugs for Dementia Residents As per World health organization (2015), there are 47.5 million people who has dementia and there are 7.7 million new cases every year. In our dementia care unit, our residents will receive benevolent expert care to prolong and fulfil their quality of life. As a newly appointed operations management team in our dementia care facility, we continuously aim to provide and improve our quality of care to our dementia residents…

Case study Amber W. Hendrix MMTC Author Note Case Study for RT 242 Respiratory Therapy Clinical II Peritoneal Tuberculosis I never got to speak directly to my case study. She was intubated when I first became aware of her case and she failed all attempts at weaning from the vent before she died. There was regrettably also a language barrier with the majority of her family as they spoke Haitian Creole which has roots in Portuguese, Spanish, Taino, and West African languages, which left me limited…

Jack and Kate are both assigned a worksheet with two-hundred math problems. Jack goes into a green room, and Kate goes into an orange room. By the time Jack finishes his problems, Kate has been done for twenty minutes and it was because of the color of the room. Most people take fashion and room design into consideration when painting a room. They should be considering entirely different things that will inevitably come into play. One color can make someone think with more creativity, another…

In our study, intraoperative complications occurred in only 1 (2.7%) patient in the form of liver tear which was managed by compression. On the other hand, in open RYGB Luján et al. (27) reported 3 (6%) cases of splenic injuries that leaded to splenectomies while in open classical D.S, Hess and Hess (13) reported splenic injury and splenectomy in 4 (0.9%) patients In our study, Hematemesis occurred only in 1(2.7%) non compliant patient due to stomal ulceration following administration of…

Abstract Sickle cell disease is an illness in the blood that normally affects people of African American descent, as well as people of Mediterranean and Middle Eastern origin. There are numerous types of sickle cell disease. The three most common are HbSS, HbSC and HbS Beta Thalassemia. There are also rare types such as: HbSD, HbSE, and HbSO. Sickle cell disease is an inherited disease. It is caused by receiving two abnormal genes from both parents, who either have the disease themselves or are…

Analyse Heath Information Define Hypertension and arteriosclerosis. How are they often related? hypertension is defined as elevation of the arterial blood pressure above the normal range expected in a particular age group. In other words, it refers to HIGH BLOOD PRESSURE. On the other hand, arteriosclerosis refers to any of several conditions affecting the arteries. The term is often used interchangeably with atherosclerosis, a disease of the arteries caused by deposition of fatty plaques in…

Case 2 45 y.o. African American male with an intussusception Brandi Weaver, PA-S Bethel University History of Present Illness On 8/3/2015 a 45 year old African American male presented to the ER with a chief compliant of diffuse abdominal pain and trouble having a bowel movement. The patient stated that he was experiencing rectal pain with bloody stools. He also complained of feeling his bowels pulling. The patient stated that he has lost roughly 40 pounds in the past month without trying to…

Use of Whipple Pancreaticoduodenectomy in a 54-Year-Old Male with Pancreatic Cancer Alex McColloster UNTHSC TEXAS COLLEGE OF OSTEOPATHIC MEDICINE CASE REPORT SURGERY CORE CLINICAL CLERKSHIP Introduction Pancreatic cancer remains a highly lethal malignancy due to its clinically silent nature. Patients most often present with jaundice due to compression of the common bile duct, pain that develops insidiously and weight loss. Treatment is accomplished surgically;…