HPI: 21 year old female with past medical history of glaucoma presents to the ED today for an allergic reaction. Patient has a rash all over her body and states the rash started 3 hours ago. She states she started Amoxicillin a week ago due to acute otitis media infection. She was given a course of Amoxicillin for 7 days, with today being her last day. She was at her PCP’s office later today and received a cortisone injection with Benadryl 30 mins prior to arrival and states she has a burning…
Nursing Diagnosis Lorenzo was not feeding properly, due to impaired swallowing which results in neuromuscular impairment. Interventions Brain MRIs needs to be monitored for children’s every six to twelve months for identify the early signs of disease progression. Make sure that the parents/caregivers providing required health maintenance to Lorenzo’s diet/supplements on schedule. Always keeping Lorenzo happy doing the things which he like reading books or playing music. Confirm…
The claimant has a past medical history significant for a fibromyalgia, cardiomyopathy, migraines, osteoarthritis, endometriosis, recurrent MRSA, and severe exhaustion. A progress note from Henry Echiverri, MD, dated 06/07/2017, indicated that the claimant presented with a possible diagnosis of multiple sclerosis. She stated that bumping into walls had been on for years, but had worsened the past few months. She felt that her vision was off and the pupils just dilate without a cause. She…
Cystic fibrosis SYMPTOMS- there are a couple of major symptoms that include repeated lung infections and the inability to gain weight. Some of symptoms consist of pain areas (in the abdomen), cough ( can be chronic, with blood or with phlegm), gastrointestinal (diarrhoea, heartburn and serve constipation, respiratory (pulmonary hypertension, delayed puberty or slow growth), developmental ( delayed development, delayed puberty or slow growth), whole body ( fatigue or inability to exercise) and…
A century ago, the humankind had no idea about tumor necrosis factor (TNF); however, physician William B Cooley was able to demonstrate the principle of anti-tumoral response in vivo as early as in 1891 (1,2). He escalated the idea of anti-tumoral response based on his observation of remission of lesions in patients injected with a mixture of dead Streptococcus pyogenes and Serratia marcescens bacteria (1, 2). Due to the lack of understanding of mechanism behind this observation, it was not…
Dehydration It Can Happen To Anyone at Anytime Dehydration can sneak up on you and impair your thinking to the point you may not realize you need to take immediate action. Rescuers have at times found lost hikers and others that have succumbed to dehydration with water still in their canteens. People think they should ration their water for when they need it and this can have serious consequences. Once you begin to experience dehydration your mental acuity is affected. You will not be thinking…
Upon examination she had similar symptoms to the first patient presented with several similar tender red lumps with central punctum on her upper leg and vagina. As she was being examined a maggot was discovered on her lower right buttocks. A gynecological meeting was obtained and because…
implies it can be confidently used in different clinical settings, on a wide range of patients by clinicians with different experiences, provided of course that it is used accurately. The predictors are as follows: 1) duration of symptoms less than 16 days; 2) no symptoms distal to the knee; 3) Fear Avoidance Beliefs Questionnaire Work subscale score more 19; 4) hip internal rotation greater than 35 degrees and 5)more than one lumbar segments stiffness with manual assessment. Patients are most…
Have you ever seen someone have a seizure and thought to yourself what causes them? Well I have my daughter has them she started having them about Four years ago. I didn’t know anything about them what caused them or what do I do to help her. We was out of town when she had her first one. I didn’t see how she had it or what happen I was out in the hall talking to some friends and one of the friends’ kids came out of the room and said “something has happened to Veronica and we don’t know what…
Patient was a known case of Crohn’s diagnosed at an outside hospital –the outside hospital was contacted and the information was confirmed. Patient was recently started on infliximab for Crohn’s disease and he reported improvement of his Crohn’s symptoms. Patient admitted cannabis use and smokes around 2-3 joints /day. On presentation patient had stable vitals with no fever. Physical exam was unremarkable with soft abdomen. His labs were significant for hypokalemia and mild elevation of…