splenic abscess are some of the other metastatic lesions caused by the E. histolytica. Pleuropulmonary amebiasis is one of the abundant complication in the amebic liver abscess. The abscess in right lobe rupture through the diaphragm to cause pleural effusion and atelectasis. Pericardial amebiasis is a complication that causes fever, abdominal pain, chest pain, heart failure, acute perforation with cardiac tamponade and shock. Cerebral amoebiasis can result death within 12-72 hours without…
X-ray An x-ray is the first analytic assess a personal will experience if their doctor opinions their symptoms indicate asbestos. It makes a two-dimensional evaluate out of the engaged position, which shows malignancies and buildups of fluid in the pleural or…
In this case we should note the patients pre-existing hypertension. His blood pressure was taken during physical examination, at 155/88. A chest x-ray was taken and shows a normal-sized heart and clear lung fields with no pleural effusions. Examination showed clear nasal discharge. His current medications include a beta blocker without an angiotensin-converting enzyme (ACE) inhibitor. Auscultation shows clear breath sounds. Assessment The fact that he is experiencing more symptoms…
RL is an 87 year old male who was experiencing increasing numbness and tingling in his left arm and was unable to stand up from his chair. He came into the ED on 10.27 at an external hospital and received a CT scan, which presented a C4 mass. He was then transferred to DHMC on 10.28 for further management. Comorbidities involve Afib with bradycardia at baseline, HTN, arthritis, a recurrent parastomal hernia and a colostomy. RL also had a spinal mass 40 years ago that was removed. It is not clear…
Successful communication in the healthcare field is a vital ingredient in the health of patients. The importance of accurate documentation in nursing cannot be stressed enough. Patients’ health and nursing careers alike have all suffered the consequences of insufficient communication and documentation. To demonstrate appropriate communication skills, I always ensure that I respect confidentiality, share information in a way that patients can understand, give only information people want or need…
A review of his medical record indicates a history of CHF, toxic metabolic encephalopathy, CKD stage 3, bilateral pleural effusion, generalized weakness, HTN, severe debility, impaired gait, functional deficits, actinic keratosis, adjustment disorder with depressed mood, Alzheimer’s dementia disease with late onset with behavioral disturbance, atherosclerotic heart disease of native coronary artery without angina pectoris, lymphedema, not elsewhere classified, mixed hyperlipidemia and muscle…
HGB 17.1 with the normal range of 12.0-16.0. B-type natriuretic peptide (BNP) is used for diagnosing heart failure which K.D.’s levels were 4071.65 at time of admission with the normal range of 0-100. A chest x-ray was done and showed bilateral effusions. A CT scan was done which…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint…
became infected and the wound was surgical debrided and she started on IV antibiotic for osteomyelitis. Other medical history includes obesity, thyroid disease, congenital heart disease, HTN, bilateral PE May 2014, protein losing enteropathy, pleural effusion, , lower extremity cellulitis, Pseudomonas infection, acquired spastic diplegia of lower extremities, pulmonary stenosis, atrial septal defect and tricuspid regurgitation. At today’s visit she is accompanied by her father and private…
Respiratory distress syndrome (RDS) commonly known as hyaline membrane syndrome occurs in many premature births. As the gestational age for a baby decreases subsequently the likelihood of them having this condition will increase because their lungs are severely underdeveloped. The problems that stem from RDS include lack of surfactant, smaller alveolar surface span, elevated compliance of the small airways, and occasionally the ductus arteriosis might be a factor if it doesn’t close shortly…