Pneumothorax

Sarcoidosis was first mentioned by J. Hurtchinson in early 1869, and was thought to be a dermatological condition based on a patient he had seen. During that summer, he visted Christiania (now Oslo, Norway), and viewed a compilation of pathological drawings, including one of a healthy, Swedish sailor, a patient of C.W. Boeck. The sailor had skin lesions comparable to those of Hutchinson's original patient. However, unlike Hutchinson's original patient, this one did not suffer from gout. In…

Melisa Redmond of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Whitney Kononchuk and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 9/20/16 I met Ms. Kononchuk and her mother at Royal Oak Beaumont hospital. Ms. Kononchuk was in a hospital bed. Ms. Konochuk was alert and oriented. I provided her mother my consent to read and she…

and absent on the left side, oxygen saturation was dropping with a raised jugular venous pressure and audible heart sounds. The bystanders were very anxious about the patient’s condition. As I suspected the patient was in distress from tension pneumothorax. Under the guidance of the senior resident, I immediately inserted a 14-gauge needle into his left second anterior intercostal space along the mid clavicular line. The relief brought on by this act was immediate and extremely gratifying. When…

Life long learning from a rare complication during subclavian venous cannulation Abstract- Placement of central venous cannulation (CVC) is generally a safe procedure but several complications like pneumothorax, arrhythmias, arterial puncture, infection and thrombosis may occur even in the experienced hands. Complications related to guide wire insertion or removal are very rare and mostly relate to expertise and knowledge of operating person. So here we report a rare but completely avoidable…

Acupuncture is one of the routes in traditional Chinese therapy. Used to remove pain and some many diseases. Which insert the needles in specific areas of the body. The Chinese philosophy said the acupuncture affects the life strength of the person and insert the needles in the painful areas in the body. The acupuncture is old Chinese medicine practice develop and improve during thousands of years. In the past used sharp stones where inject in the body then development and start using animal…

Complications of open surgical tracheostomy and their management-our experience Introduction Tracheostomy is the surgical procedure to create an artificial opening in the trachea to bypass the obstructed airway above it. History reveals that it is an oldest surgical procedure dating back 3600 B.C.E. in Egypt(1). It has under gone numerous modifications during the past millennia. The first elective tracheostomy was done in AD 100 by Asclepiad’s of Bithynia and the described by Galen in AD131(2)…

1. Fatigue and dyspnea on exertion are two common symptoms associated with mitral valve dysfunction. Many patients may not even show any signs and symptoms in the initial years except tiredness and fatigue. According to Shipton & Wahba, signs and symptoms of mitral dysfunctions include dyspnea on exertion, palpitations, orthopnea, chest discomfort, paroxysmal nocturnal dyspnea, and eventually leading to signs of right-sided heart failure. Although, mitral dysfunctional may be…

displaced or distorted. In the Percussion it is usual to use the middle finger of the dominant hand to check the chest, clavicle, lobes of the lungs front and back except the middle lobe, the heart, hyper-resonant or dull sounds of hyperinflation or pneumothorax. The rest of the chest is percussed by placing the non-dominant hand on the chest and…

Ehlers- Danlos Syndrome (EDS) is a rare connective tissue disorder. There are six different types of EDS, all with varying degrees of signs and symptoms. The key signs that patients with EDS display are overly hypermobile joints, skin elasticity, and abnormal vasculature, which is seen in some types of the condition. The life of a patient with EDS can be very frustrating because many doctors and physical therapists do not have a good knowledge base to help treat and control the condition. Pain…

Scenario: 70 year old Male, No fixed abode, currently living in a hostel. Complaint: Feeling hot, Productive Cough (Green) for a duration of 5 days. When a patient first presents to any point of care within the healthcare system, a number of key steps must be undertaken. As the patient enters into the GP’s room, one would introduce oneself by name and their role. This brief introduction would allow the patient, to begin to build rapport within the patient doctor relationship, this is vital as…