The patient is a 81-year-old female who presented to the ED after a fall several days ago. The patient when she fell was found by the daughter on the floor and was taken to the emergency room at St. Joe's, evaluated and then sent home and since that time the daughter has found that the mother is needing more assistance with dressing and ambulation and other simple chores. There is a definite change in her ability although prior to that she was somewhat limited. Her past medical history calls for a number of allergies, hypertension, dyslipidemia, and some anxiety disorder. The only things on the physical is that she very pleasant but confused. She is in no apparent distress. She is tachycardic, blood pressure is stable. There is no major…
A 47 year old woman presents to the clinic. She has been menopausal but can 't deal with the hot flashes anymore. Recently she started to have pain during intercourse. She is Caucasian, 5 '6", and weighs 152 pounds. She is a gravida 2, para 2, NSVD x 2, no complications. You learn in her history that she had breast cancer and had a successful lumpectomy 7 years ago. Her vitals today are 148/82, 76, 22, 97.9…
Furthermore, with the site of no one worthy enough attending her late husband’s funeral, her stepdaughter being accused of theft, her lack of health, and her whole family being evicted, that is when Katerina Ivanovna loses her mind. This just proves a massive point that every single person is one horrific day of becoming insane. Nevertheless, before these set of events occurred she was a very hopeful human being with a vision of owning a school with her stepdaughters help. I think her lack of health correlated with each negative event that impacted her, as each event occurred her health kept decreasing.…
The premotor area of Annette’s brain is not functioning properly and thus is producing these symptoms.…
I thought of diagnosing Ellen with Dysthymic disorder due to her long history of mild depressive symptoms. The reason I had this is mind was because Ellen was very tired all the time and most time have difficulties sleeping at night. She also reports that she was always unhappy.…
For my pathology project i chose to interview a woman suffering with the condition of stomatch cancer. My interviewe is a 61 year old woman who was diagnosted when she was 60, this past december. Before client A was diagnost there where a few events leading up to this condition. Client A was having alot of gallbladder problems, as well as having a hernia on her right abdomin side. After seeing the doctor she had to have her gallbladder removed in the 90s due to gain green, which is an infection. She did also have a mesh done on her hernia, which led to surgery but has not gone away. she still deals with the hernia which is still protruding again. Because of having two surgreys done it has effected her kidneys and now one kidney has shriveld up and is being looked at to eventually be removed. Before actually being diagnost with stomatch cancer, she wasnt feeling well, her skin started to take on a yellowish pale color. she started noticing she was having a much difficultier time breathing. She was having such a hardb time breathing that it got to the point where she could hardly stand or even walk two feet without feeling the sensation of passing out. She started to notice she was always feeling exhausted, she never had any evergy, and was loosing weight significantly. she felt she was exhausted beyond belief from not doing any activity. Finally she decided to go to the doctors because she was getting worried. The doctors found that she was very anemic and had been suffering from a significant amou nt of blood loss with no open wounds. The doctor decided to infuse her with bags of bloood to the the anemia under control. the doctor felt it was best to do a MRI first and secondly a pet scan to find out what was causeing such a significant amout of blood loss. After the testing the doctor noticeds that there was a grey shadow in the pet scan in her abdomin area. They continued to do more testing and found that it was cancer of the stomatch.…
Patient reports stress headaches once a week in the last 3 months. During birth of her daughter 45 years age patient reports she had convulsions. Head was pounding pink, purple, and blue lights. Once on the elevator hand started shaking she remembers nothing else.…
Her vital signs are normal. Weight is 170 pounds. The HEENT exam shows her fundi are benign. Pupils and EOMS are intact. She has a fairly large linear…
* History of infectious mononucleosis or infection with Epstein-Barr virus, a causative agent of mono…
Amy is suffering from Generalized Anxiety Disorder (GAD). As it says in the case study that she is restless, irritable and has difficulty concentrating all of these signs supports the symptoms of generalized anxiety disorder described in Oltmanns and Emery(2014) p. 150. With Generalized Anxiety Disorder the patient finds difficult to control their worries which can also lead to significant distress or impairment in work-related or social functioning. Therefore Amy can’t stop worrying is a primary symptom of Generalized anxiety disorder. She is not able to focus on anything else and she can’t resist if her husband and children don’t call her regularly to reassure her that they are okay which is making her worry more. I don’t think it could…
She presents with a chief complaint of increased frequency of “nervous episodes”. Additionally, Barbara has experienced shortness of breath and chest pain for which her primary care physician has been unable to identify a medical reason for her symptoms. Barbara has proven to be diagnostically difficult. Barbara has been experiencing the nervous episodes over an extended period of time and disclosed that when she is left at home alone, she becomes increasingly anxious to the point of ruminating about having an episode and possibly passing out while no one is around to help her. The episodes have interfered with her everyday life as she has stopped driving due to the fear of having an episode while driving. Barbara now has to rely on her mother or others to drive her to work. . According to the American Psychiatric Association (2013), Barbara’s symptoms are consistent with one of the criteria for separation anxiety disorder- “persistently and excessively fearful or reluctant to be alone or without major attachment figures at home or without significant adult in other settings”…
A 50 year old housewife complains of progressive weight gain of 20 pounds in 1 year, fatigue, slight memory loss, slow speech, dry skin, constipation, and cold intolerance. In terms of hormonal imbalalnce what do you think is wrong with her?…
For the larger part of her life she has been fighting depression, suicide thoughts, 2 attempts of suicide, self mutilation period…
She has been treated for bipolar, anxiety and OCD. She has history of attending marriage counseling with her husband. M. has a history of chronic back pain that caused her to take leave from her job as a librarian. She has been unemployed for two years. Her pain was initially treated with opiod painkillers, which she later became addicted to. She attended rehab in 2008 and completed detox from opioid painkillers. She attributes her recent exacerbation of anxiety to an increase in her back pain. The current episode of paranoia and…
SM who is 33, living in a large house with her husband, her daughter who is preschool age, and three others. She had a long medical history which includes two bouts of cancer and side effects from that treatment, including hepatitis C from a blood transfusion as child and a history of surgeries, including bone biopsy, tumour removal, tendon surgeries, and laparoscopic surgeries for acid reflux.…