Chronic Renal Disease: J.H. and ESRD J. H. is a 55-year-old African American male who presented himself to the Emergency Department with a progressively worsening headache. He had a blood pressure (BP) of 233/134, with complaints of regular abdominal pain with nausea and vomiting and shortness of breath with exertion. Alert and oriented, he stated non-compliance with his BP medications and refusal to do dialysis since his initial diagnosis. Pathophysiology ESRD is the fifth and final stage…
CC: “Nosebleed that won’t stop” HPI: A 66 year old white male, with history of Type II diabetes, gout, hypertension and coronary artery disease status post 3 stent placement most recent 2009. was transferred to UF Health, from a medical center in The Villages, Florida for ENT evaluation of persistent unilateral epistaxis of the right nostril. The three days prior to admission, the patient admitted that while taking a shower he cleared his nose and “red chunks” were seen, he also noted some…
CC: “I feel awful and ache all over” HPI: M.M. is a 19 year old female presenting to the clinic today with complaints of malaise, increased somnolence/fatigue, non-productive cough, fever/chills, headache, and generalized myalgia (7/10). Symptoms began yesterday morning, prior to school, and continued to get worse. Patient drank an energy drink around 7pm yesterday and again this morning to increase her energy but was unsuccessful. She took OTC Tylenol last night for other symptoms with no…
Animal testing has been used in the advancement of medicine, cosmetics and household products since the 19th century. Since that time there have been more than 100 million animal deaths each year and millions more are commonly subjected to force feeding, prolonged periods of physical restraint, neck breaking and decapitation due to animal experimentations (PETA 3). Even after recognition that animal testing seldom provides accurate results in human beings, the torture and speciesism continues.…
2.2. Methods 2.2.1. Preparation of econazole nitrate nanoparticles The econazole nanoparticles were prepared by nano-spray drying technique. Weighed amounts of econazole nitrate, carriers and stabilizers (table 1) were dissolved in ethanol (10 ml) followed by spraying through the Buchi® nano-spray dryer B-90 (Büchi Labortechnik, Switzerland). The nano-spray dryer was operated using inert loop B-295 system (Büchi Labortechnik AG, Flawil, Switzerland) operated using nitrogen gas with flow rate of…
client is able to detect sharp and dull sensations on her forehead, cheek, and chin. Eyes. The client’s vision is 20/30 in her left eye and 20/200 in her right eye with the Snellen chart. Her gaze is steady and fixed without nystagmus. The client’s conjunctiva is moist and pink, and the sclera is white and clear. Her eyes are in parallel alignment with evenly distributed color. The client’s vision field is less than the examiner’s field. Her left pupil is equal, round, and reactive to light and…
Defining healthy sun exposure and sunscreen’s role Most cancer rates are decreasing, whereas skin cancer continues to steadily increase as it has for the past decades (Saraiya et al. 422). The three most common skin cancers are squamous-cell, basal-cell and melanoma carcinomas. Squamous-cell and basal-cell carcinomas are grouped as non-melanoma cancers. Family history and genetic disorders increases the risk of forming cancer; however, estimates place excessive sun exposure as causing as much…
Subjective: Patient I.NR was brought in to the hospital by the parents via personal transportation. Parents of I.NR are first time parents. I.NR is a 6 weeks old female who was presented with BRUE (Brief Resolved Unexpected Event) formerly known as ALTE (Apparent Life-Threatening Event). (ATI, Nursing 2013) Mother states that on 11/06/2016 at 6:45pm, she fed the baby and then after feeding she laid her down right after. After 20-30min, baby fell asleep, and she did not cover the baby with…
A. Clinical Strengths & Needs: • Strengths: Today, was an extremely busy day caring for 3 residents; but I learned a great amount of information. Even though, I was busy, I feel fortunate I got this opportunity to work with three different residents. I learned who needs more assistance than others, which resident want to visit with me, and/or which resident wants their space. I have to respect those wishes of each resident while still completing the necessary task I need to get done. I am…
INTRODUCTION: Pharmaceutical field is the research and development intensive field. The search for safe and effective drugs continues to be major efforts for all the pharmaceutical industries. There are enormous complexities for discovering and testing new drugs because of the many aspects of safety, efficacy and economics which determines the acceptability of a drug. Nose is one of the delicate organs of the human body, as a result of which nasal drug delivery is challenge for formulator.…