PHYSICAL EXAMINATION: VITAL SIGNS: Afebrile, blood pressure 155/98, heart rate 69. GENERAL: He is in no acute distress, alert and oriented x4. HEENT: mucous membranes moist no facial asymmetry. Left ear WNL, right ear with profound hearing loss. LUNGS: Clear to oscultation and percussion bilaterally, CV normal, S-1 S-2 without murmurs or rubs. GI: Soft, non-tender, non-distended no HSM. Positive bowel sounds. GENITALIA: deferred. EXTREMETIES: No edema. Has been admitted for left ankle surgery. UROLOGIC: Intact with the exception of cranial nerve ink on the right. LABS: CVC within normal range. Pre-op glucose 239, BUN 8, creatinine 0.5.…
The patient is 67-year-old gentleman who presents to the ER because of recurrent falls. He has a past medical history of the left quadriceps rupture several months ago, repaired at Morristown Medical Center and he was in rehabilitation at the Atrium at Wayne he was discharged from the Atrium rehabilitation center on the 8th. He presented to several EDs on the 9th and also was discharged from and including St. Joseph's emergency room he is complaining of his right leg was collapsing on walk he represented to St. Joe's ED on the 10th and at that time because of a history it was determined that he required acute inpatient admission. His medical history is significant for diabetes mellitus, hypertension, and dyslipidemia. He seen by the cardiologist…
procedure, he did not recover from the complications of sepsis and the patient died on August 11,…
Patient X is a 52-year-old man who lives in Bowen Hills, Brisbane. He is an automotive repair man. However, he has recently lost his job and has stayed idle for one year. Recently, he was playing basketball with his eldest son and suddenly developed a substernal chest pressure. When he thought it was just a typical ‘heartburn’, he continued playing. After another 20 minutes, he had an intolerable sharp, nagging chest pain. His left arm became numb. His son verbalised that he looked pale and was sweating a lot. His son called the paramedics which accordingly arrived after 30 minutes and he was brought to Royal Brisbane and Women’s Hospital.…
DOI: 4/1/2004. The patient is a 70 -year-old male operator who sustained a work-related injury to his right knee, shoulder and head when he fell off a bike at the refinery.…
on the patient. The patient was immediately sent to the operating room where an open repair…
2. If you were the doctors on the scene, what diagnosis would you give this patient? (You may use the internet to help diagnose the patient.)…
The patient was brought to my office by her daughter on the day of admission. She appeared dehydrated and weakened. There were periumbilical ecchymosis and…
The union claimed that the employees lost a benefit when the company changed the use of compensatory time for illness. In light of the fact that the use was permitted if the employee had no sick leave available, how were the employees damaged?…
The patient was transported from home by her daughter-n-law. According to patient daughter-n-law she has been complaining of pains in her right leg approximately one day. Family administered daily pain medications that did not help the condition of her persisting pain. After pain persisted daughter in law later brought the patient in to the emergency room for examination.…
In the late 19th century, Friedrich Trendelenburg (1844-1924) (Fig. 2), a German urologic surgeon, popularized the use of a supine position, with the feet raised higher than the head to facilitate surgical access to the abdominal and pelvic viscera. This position was coined the Trendelenburg position which to this day still bears his name. Years later, during the First World War, the American physiologist Walter B. Cannon adopted this position to displace blood from the lower extremities to enhance venous return in the treatment of hemorrhagic hypovolemic shock. This action was thought to cause an “autotransfusion” to the central circulation, increasing right and left ventricular pre-loads, stroke volume, and cardiac output or cardiac index. Although Cannon changed his opinion on the benefits of the Trendelenburg position, a decade later, its use continued to spread.…
The patient’s chronic renal failure worsened steadily, with increasing creatinine and BUN and decreasing CO2. At the request of the family no hemodialysis was done. Her chronic renal failure worsened further, and eventually she died at 4:30 p.m., 3 days after admission.…
T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips at a fast-food restaurant earlier today. He is not happy to be in the hospital and is grumpy that his…
GROSS DESCRIPTION: The specimen is received in formaling and labeled with patient’s name, patient’s ID number, and appendix. It consists of an appendix measuring 6 x 1.5 x 1.5 cm. There is periappendiceal fat attached to it which measures 6 x 4x 1 cm. The serosal surface is hemorrhagic. Upon opening the appendix there is purulent exudative material. The wall thickness measures 0.3 cm. Representative sections are submitted in 1 cassette. Microscopic description preformed.…
Mrs J was brought to the orthopaedic ward after an elective left hemiarthroplasty. Mrs J was alert on admission to the ward postoperatively. She complained of pain of the operated leg. Baseline observations on admission were recorded as follows: BP: 100/72 mm of Hg, Pulse: 62 beats per minute, Respiration: 16 breaths per minute, Temperature: 36.8°C, SpO2: 97% on room air, thus contributing to National Early Warning Score (NEWS) of…