Ejection fraction

The claimant has a past medical history significant for a fibromyalgia, cardiomyopathy, migraines, osteoarthritis, endometriosis, recurrent MRSA, and severe exhaustion. A progress note from Henry Echiverri, MD, dated 06/07/2017, indicated that the claimant presented with a possible diagnosis of multiple sclerosis. She stated that bumping into walls had been on for years, but had worsened the past few months. She felt that her vision was off and the pupils just dilate without a cause. She…

REASON CHIEF COMPLAINT: Heart failure. Coronary artery disease. Atrial flutter. BLANKLINE This patient had an acute MI _____ and underwent three vessel coronary artery bypass grafting at that time. He states he had a cardiac catheterization elsewhere about four years ago and they did not perform any intervention at that time. He has had a transthoracic echocardiography and stress nuclear imaging test that has shown EF of 40%. His last nuclear imaging test showed only mild inferior…

This disease is often found when a person is going to the doctor for a routine checkup; their labs usually show an increased amount of blood cells of all types. The patient’s hemoglobin the day of clinical was 8.8; his platelets were 641. Ultrasonography is a type of diagnostic tool used to screen for any type of tumors that may have precipitated the illness. The most common types that cause polycythemia are kidney and liver tumors. The kidneys produce erythropoietin; these are what generates…

the heart from contracting as forcefully and pumping blood as efficiently as it should. This is the squeezing phase of the blood up through the heart. The stroke volume divided by the end diastolic volume, and multiplied by 100 gives you the ejection fraction, which should be fifty to seventy percent when normal, forty to fifty percent would be considered borderline, and anything that is forty percent or less would indicate systolic heart failure because the heart would only be squeezing out a…

You never know how much you want something until it's almost taken away from you. During my CA-1 year I was involved in an incident where there was a mishandling of narcotics. My residency was on the line, and even after I was cleared of all wrongdoing, I still felt like I had something to prove. I had to show this program and myself that I belonged. Unfortunately, I've been in this situation before, as the underdog, time and time again. While in elementary school, I was considered hyperactive…

AGS is an autosomal-dominant condition affecting several body systems and characterized by neonatal jaundice along with a paucity of intrahepatic bile ducts on liver histology. It is also known as Alagille-Watson syndrome or arterio-hepatic dysplasia, and is caused by defects in the Notch signaling pathway. The disease affects the liver, heart, skeleton, eyes, kidneys, central nervous system, and is associated with characteristic facial features. (1, 2) The syndrome was first described by…

electrocardiogram was done and resulted in atrial fibrillation with fast ventricular response and a left bundle branch block. Once this was treated and under control the patient went for an echocardiogram and the results from this were: left ventricle ejection fraction of 62%, left ventricular hypertrophy, mitral valve…

Acute Kidney Injury (AKI) occurs when there is a sudden loss of renal function resulting in the bodies inability to maintain homeostasis. AKI is common in clients who are in the hospital, in intensive care units, and especially in older adults (“Acute Kidney Injury” (AKI), 2017). The following is an evolving case study regarding a client who presented to the emergency department after experiencing nausea, vomiting and diarrhea for the past week. This evolving case study will evaluate the…

Capecitabine, an oral 5-fluorouracil (5-FU) analogue, is a commonly used chemotherapeutic agent (antimetabolite) of the pyrimidine analogue family. It is a basic cytostatic agent used in therapy of solid gastrointestinal cancers (as adjuvant therapy as well as in treatment of metastatic disease); besides, it is also widely used in therapy of metastatic breast cancer. Myocardial infarction is a rare adverse effect related to capecitabine therapy. We present case report of a female patient with no…

Preoperative evaluation Cardiac surgery, including coronary artery bypass grafting and surgery for valvular disease, represents one of the most common classes of surgical procedures performed worldwide. Advances in the percutaneous management of coronary artery disease as well as in cardiac surgical techniques have led to improved outcomes with consequent longer life expectancy for patients. Greater numbers of patients with depressed left ventricular function, multiple comorbidities, failed…