Ejection fraction

Data regarding the cardiovascular system of older adults is slightly limited, due to the fact that older people are usually not included in clinical trials. However, enough research has been done to identify common physiological changes in the geriatric cardiovascular system, such as: increased heart weight; decreased number of myocardial cells with enlargement of remaining cells; increased left ventricle wall thickness; increased arterial stiffness; increased elastin levels; increased collagen…

Central pontine myelinolysis (CPM) is often a feared complication of overly aggressive correction of hyponatremia (defined as < 135 mEq/L).1 Current guidelines1,2,3 dictate a slow correction of sodium, generally not exceeding 8-10 mEq/24 hrs to prevent CPM.1 CPM is a non-inflammatory demyelinating disease characterized by the loss of myelin in the base of the pons and carries a poor prognosis, often times resulting in death. We present a case in which an elderly gentleman was admitted for…

Case Study Two: A Complete Physical Assessment Shannon A. Lewis University of Mississippi Medical Center N 610 A 52-year-old female comes to your office today for a physical exam. She states that she enjoys good health and believes she is active for her age. She states she has been feeling well but just decided it was time for a complete check-up. She sees a local health care provider annually at the health department for refills on her prescriptions but has not had a “real”…

Pros and cons towards Improving the Pre Preparation for Exercise Stress Test in Ischemic Heart Disease Patient. Option B: Practice Based Reflective Account. There is pro and cons towards improving the pre preparation for exercise stress test in Ischemic Heart Disease patient whether is necessary for them or not. Pros and cons is an arguments in favour and against certain decision, motion or course of action of the patients examiners. The pros and cons will determine the critical routine before…