Heart murmur

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    congenital heart defect. In transposition of the great arteries, the two main arteries, the aorta and the pulmonary artery, are reversed. These arteries are responsible for carrying blood away from the heart through the left or right ventricle depending on whether the blood has been oxygenized or not. In a normal heart, there is a constant blood flow pattern in which blood is cycled from the body to the heart, the heart to the lungs, where it is oxygenated, then, from the lungs, back to the…

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    frayed nerves, negative thinking and confusion which are “early manifestations of cerebral hypoxia from poor tissue perfusion.” Poor perfusion of oxygen in body systems due to decreased levels lead to further symptoms which include increased heart murmurs, heart rate, low blood pressure, decreased pulse pressure, delayed capillary refill, jaundice, ulcers, Chronic Kidney Disease, and dark yellow or amber colored urine. (Ignatavicius & Workman, 2013). Many of these later symptoms occur…

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    Pulmonary Aspiration

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    history, stated he drinks alcohol occasionally, but did not have alcohol today. Past surgical history included splenectomy. No previous anesthesia complications were reported. Physical examination showed clear lung sounds, Mallampati score II, no heart murmurs, and soft abdomen. Patient was quiet and cooperative. Skin was pale and dry. Immobilization splint was applied to the left lower leg. Patient reported last fluid or food intake 12 hours prior to the…

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    NEUROSARCODOSIS PRESENTING AS RAPIDLY PROGRESSIVE DEMENTIA: A CASE REPORT ABSTRACT: We report a case of neurosarcoidosis in a patient presenting with rapidly progressive dementia and intermittent delirium. Sarcoidosis with neurologic involvement is rare, and typically does not manifest with psychiatric or cognitive symptomatology. The most common presentation of neurosarcoidosis is facial neuropathy, followed by meningoencephalitis. This patient exhibited accelerated mental…

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    CC Mrs. Amazeen is an 86-year-old female here today for a followup. She would like to talk about her visit with Roger Epstein, MD, regarding her abnormal findings on CT of her liver. HPI The patient tells me that she was not exactly happy with her visit with Dr. Epstein. After reviewing her CT dated August 26, 2015, it does show abnormal vascularity within the left lobe of the liver with increase in size when compared to 2011. Dr. Epstein reportedly gave her three options. One was to do…

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    Dilated cardiomyopathy is a disease of the heart muscle that result in weakened construction of an organ and poor blood pumping ability. The disease progresses the heart is getting bigger than a normal, one or more valves may leak. Both the upper and lower heart chambers become enlarged with DCM, but one side is more severely affected. In most case the left-side is exaggerated primarily. The left ventricle is more muscular than right-sided. Moreover, the left ventricle receives freshly…

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    Preoperative Evaluation

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    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…

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    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…

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    In the U.S. alone, there’re approximately 5.7 million Americans who are affected by congestive heart failure and about 550,000 new cases each year . A common misconception among Americans, is that cardiac arrest and heart failure are the same – not exactly. Both conditions can be life-threatening, but heart failure refers to the incapability of the heart to circulate blood throughout the body to meet the body’s needs. Due to the inadequate blood circulation, it results the leaking of fluid from…

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    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…

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