Epistaxis

DISCUSSION Rhinoplasty is a surgical procedure to reshape the nose. It’s a surgical challenge for the operating surgeon, because every patient has different nasal anatomy and there is no one ideal nose for every face. Along with that every patient has a different indication for surgery. Moreover, there are varieties of techniques in this procedure and presence of difficulty in foreseeing the long term outcomes of the procedure. Outcome assessment is an important part of any surgical intervention…

years the peculiar cases interest me better than the classic ones. I remember a case presented by a classmate, of a young man who was admitted with nephrotic syndrome. Instead of having hypercoaguable state he was reported to bleed massively from epistaxis and hematoschezia. His hemoglobin level went from 10 mg/dL to 6 mg/dL in 1 episode. He was transfused with PRC to Hb of 8 mg/dL and the bleeding stopped. The presentation rose a discussion of several issues. However, there was no mention as to…

Other symptoms that commonly occur are; drowsiness, discomfort, apprehension, no appetite, lots of muscle pain, the eyes cannot see the light, the heart begins to beat fast (as if the person is having a cardiac arrest), the patient begins to have epistaxis, the skin turns into a yellowish color, and many more symptoms occur with this disease. Possible…

intolerance, and no appetite or weight changes. Head normal. Eyes- above info, denies visual loss diplopia, redness or drainage. Ears- denies hearing changes, tinnitus, vertigo, drainage, or pain. Nose- denies discharge, inflammation, obstruction, or epistaxis. Mouth- denies sores, bleeding, and toothaches. Throat- denies sore throat, voice changes, and hoarseness. Neck- denies stiffness, swelling, or pain. Respiratory- denies SOB, cough, wheezing, pain. Cardiovascular- denies CP or tightness,…

1. What are the hormones detected in the early stages of pregnancy that we measure for a pregnancy test. How long do they stay elevated? Human chorionic gonadotropin (hCG) or a beta subunit (β-hCG) of hCG are the hormones which are detected in early stages of pregnancy. β-hCG production can begin as early as the day of implantation and can be detected in as early as 7-10 days after conception. “The level of hCG increases until it peaks at about 60-70 days of gestation and then declines until…

1. How will you respond to Mr. Sebelius’ statement? Antibiotics will not help a viral infection, in fact they may increase antibiotic-resistant bacteria. 2. What antiviral agents are prescribed for influenza A? Neuroaminidase inhibitors (zanamivir, oseltamivir and permivir) as well as the adamantanes (amantadine and rimantadine) are all affective against influenza A although adamantanes will not be prescribed in the United States unless under very special circumstances (Zachary, 2015).…

changes or blurry vision; Gastrointestinal: Denies abdominal pain, nausea, vomiting, diarrhea, constipation, or loss of appetite; Ears: Denies ear pain, hearing loss, fluid, or ringing in ears; Nose/Mouth/Throat: Denies sinus problems, dysphagia, epistaxis, or discharge; Breast: Denies lumps, bumps, or changes in her breasts. Occasionally performs monthly self-breast exam; Genitourinary/Gynecological: Complains of a white creamy vaginal discharge with odor. Denies urgency, frequency,…

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…

According to the United States Centers for Disease Control and Prevention, the number of adults that are classified as obese has risen to an all time high rate. With the increase of obese people this has become a national health concern. Obesity is a leading cause of preventable deaths as well as high healthcare costs. Obesity is now recognized as a chronic disease, which has, physical and mental changes. People that are severely obese are more likely to have obesity-related comorbidities such…

The focus assessment is detailed nursing assessment of specific body systems that relate to the presenting problem of patient and can also involve one or more body systems (RCHM, 2014). In this assessment it concentrates on a specific system of the body that presents problem. This may involve one or more body system. Assessment done to determine the progress towards achieving a desired outcome is also focused assessments. It is used to gather information on a specific health problem. A…