Subjective • A Female patient in her teens was admitted for bronchiectasis exacerbation. History of present illness of the patient is difficult Patient Medical History (PMHx) includes Common Variable Immunodeficiency (CVID), bronchiectasis, cutaneous T-cell lymphoma, asthma, and interstitial lung disease. Patient presents with 1-week history of subjective fever and worsening cough. Patient was previously admitted due to congestion and cough with fever, discovered to have bronchiectasis…
COMPONENT TYPE: Smith and nephew cemented Synergy, size 11, high-offset stem, a 54-mm reflection acetabular shell, a 28-mm cobalt-chrome head, a 20-degree acetabular liner, posterior-stabilized, a press-fit acetabular shell, minus 3 mm cobalt-chrome femoral head. ANESTHESIA: General endotracheal. COMPLICATIONS: None. ESTIMATED BLOOD LOSS: 250-mL. INDICATIONS: [Name] is a 76-year-old female with a long history of right hip pain, unresponsive to conservative therapy. She was diagnosed with…
Mr. and Mrs. James, I am Nurse Tran and I’m working with Dr. Gupta. Your daughter Ellen James came in barely conscious with complains of excessive vomiting, urination, thirst and complain of double vision, headaches, and tiredness for the past two days. Ellen also complained of rapid weight loss, despite eating uncontrollable. Dr. Gupta suspects it to be diabetic ketoacidosis; which is when your body produces excessive ketones. Diabetic ketoacidosis mostly occurs in people with type 1 diabetes,…
his/her partners arm with a skin cleansing swab (70% isopropyl alcohol) wiping three times over an area of about 3cm square. Wait approximately 30 seconds, sample a 2cm square area within the swabbed area with a sterile swab moistened in sterile saline solution, and spread sample over a blood agar plate as shown in figure 1. Label the plate on the base. Sample also a controlled area of the skin, similar size and not wiped with alcohol. Spread this sample onto a blood agar plate…
Patient Background Di Abetes is a 26-year-old female, who is Type 1 diabetic diagnosed at the age of 12. Di is completely insulin dependent, meaning the beta cells within her pancreas are unable to create insulin due to autoimmune destruction. With type one diabetes the body is unable to recognize these beta cells therefore attacks the cell as if they are virus. Di has the more rare form of diabetes which only effects about 5% of diabetes cases. Di Abetes took a nap earlier in the day, and…
the premise that patients would be told they would receive morphine, saline, or naloxone (or in the terms they put it in a drug that would help with the pain, a something that wouldn’t help or hurt, and a drug that would increase the pain) at 3 hours after the surgery and 4 hours after the surgery and pain would be recorded and compared on the visual scale. Instead, researchers focused strictly on those receiving the placebo saline and naloxone. After the surgery, at 3 hours, the patients were…
It is a process that requires a significant amount of energy and there are at least three ways to separate saline water: thermal, electrical and by pressure. Essentially, all these methods separate saline water into two streams: a fresh water stream that contains a low concentration of dissolved salts, and a concentrate or brine one that contains the remaining salts (Department of Environment Australia,…
Shewanella haliotis is a species of rod shaped, gram negative, mo-tile bacilli that grow aerobically or anaerobically and produce hydrogen sulfide. Members of Shewanella were found in a variety of places, such as activated sludge, seawater, sediment, invertebrates, and fish, but are usually found in marine environments in warm climates. Shewanella can live on land, deep inside Earth, or underwater. As their habitat changes Shewanella changes with it, finding new ways to breath. This bacterium…
Collegeville (Saline County) to farm and study law. In 1842, in obviously desperate straits, he accepted appointment from President John Tyler as U.S. marshal for the district of Arkansas, a position he held throughout Tyler’s term. (No one serious about a political future took a job under Tyler, but it was highly and briefly profitable since Arkansas generated a huge legal business, and marshals were paid by the fee system.) In 1848, he was elected to the Arkansas Senate, representing Perry and…
determining a number of factors such as if it is suitable to give inhalers as a combination, which inhaler can be given with the others and which cannot (Kerem, Conway, Elborn & Heijerman, 2005). Mucolytic Therapies, such as dornase alfa and hypertonic saline, are also used to decrease sputum viscosity and enhance clearance. However,…