With this doctor visit, the doctor will do a complete medical history, physical examination, and laboratory evaluation in order to confirm her diagnosis to start her on a…
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.…
This may help identify symptoms the person is not aware of and clarify the time course of their symptoms. A broad range of data about the patient will not guarantee accurate judgments, but will help to identify the factors surrounding onset of certain symptoms, and with the process of developing hypotheses.…
By adding Hydrochloric acid into solid Magnesium, in Data table #2, when Hydrochloric acid was first been added to solid Magnesium, the ribbon immediately start to bubble and producing fumes at the same time with a burning sound. Magnesium start to turn into a white liquid form. After the bubble start to disappear, more Hydrochloric acid was added, and the reactions repeats. Until none of the shiny silver Magnesium ribbon can be seen, and there is no more bubble, the reaction is over.…
The 52-year-old African American has insufficient personal medical and family history because his father died in an automobile accident when he was a child, and he has not seen a doctor in the last 10 years. I will ask the patient if his mother told him about any concerning health issue regarding his late father, and if any of his uncle on his father side has any health issue and what type. Also, when he had his last routine physical and was there any abnormal findings, again why he decided not continue routine physical in the last 10 years. Although obtaining a correct diagnosis could be challenging, but a thorough history, physical assessment and conducting required test such as urinalysis, serum creatinine, postvoid residue and prostatic…
SUMMARY OF CASE STUDY Bill, a 34 year old male, arrived at the doctor’s office experiencing pain in his right hip. Prior to this, Bill maintains an overall healthy lifestyle which includes exercising and activities such as; swimming, water skiing and scuba diving. Bill reports he has had no trauma to his hip. On this visit an analgesic and muscle relaxant were both prescribed to the patient and he was sent home.…
Cushing syndrome refers to the complex clinical manifestations resulting from chronic exposure to excess cortisol. Cushing disease is overproduction of pituitary ACTH by a pituitary adenoma (McCance, Huether, Brashers, & Rote, 2014, p. 754-755). Cushing’s disease is defined by Adrenocorticotropin hormone (ACTH) hypersecretion, induced by a corticotrophic adenoma, leading to cortisol and androgen hypersecretion. Cushing’s disease may lead to death if untreated; it is responsible for increased morbidity and mortality, due to cardiovascular complications, infections and psychiatric disturbances. Signs and symptoms of hypercortisolism are usually non specific: obesity, signs of protein wasting, increased blood pressure, variable levels of hirsutism,…
There are quite a few special circumstances that phlebotomists need to take into consideration when collecting a specimen because not every specimen is treated the same. Such as the bilirubin test for example; “When obtaining the specimen for this testing, it is important for the phlebotomist to recognize the effect of light on the specimen” (LabCE, 2017, para 1). Light can greatly impact the results of the test and could cause a lower bilirubin level than what is actually present in the patient; so in order to maintain accuracy it is important that you try and keep the specimen away from as much light as possible. Phlebotomists can achieve this by either capturing the specimen in a dark color amber container or wrap the test tube in foil.…
Barbara’s PO2 levels were low which made me to believe she is having a pulmonary, anemia, and or heart related condition although her other tests showed that the heart condition to be nonexistent. Her PCO2 levels were high or elevated indicating a possible blockage or condition within her lungs. Barbara’s low blood pH values showed that she has metabolic acidosis which is when a person have too much acid within the…
I remember the moment very vividly. It was almost 0200. The halls are dark except for one very dim light, flickering. I’m sitting at a computer charting, waiting for my next call. Then what every nurse deep down is dreading to hear on the intercom, came.…
For this experiment, I wanted to make sure that I used a variety of substances so that I would have a range of pH levels as an outcome from the exercise. From this, I was surprised about the outcomes of several household items pH levels. For example, I was surprised about how three of the substances I tested came back with around the same pH level of 4: cranberry cocktail, lemon juice, and soy sauce. One reason I was surprised that these 3 substances had the same pH level was because I was expecting the lemon juice to have a lower pH level, around 2, instead of a 4. This is because in the acid base property notes from class, there is a picture that labels lemon juice at a pH level of 2.…
Hypocalcemia, Infant Hypocalcemia means the calcium level in the blood is low. Calcium is a mineral in the body that is important for the function of: • Heart and muscle. • Cells. • Nerves. • Bone structure.…
I need to perform an assessment on the patient, including vital signs. I also look at labs and testing that was completed. I need to contact the physician with any abnormal vitals, labs, or testing. Recommendations are based on my assessment of the…
To gather a complete medical history requires time and preparation prior to asking the patient any questions. It is important to allow time for the elderly to answer questions and make sure a complete past medical history is obtained. During this visit, we can see the daughter’s concern about her mother’s condition, ask patient about her chronic conditions, is medication helping with pain, ask her if she is taking any over the counter medication, vitamins, herbs, ointments, eye drops or cream. Most the time, patients only consider prescription as medication. With the elder population it is very important to ask if she is sharing medications with friends, this is important to assess patients for medication toxicity or adverse effects.…
Once any treatment plan has been decided the nephrology nurse should be kept up to date. On review of John’s blood results his serum potassium was ≥ 7mmols/l indicating severe hyperkalaemia. Hyperkaleamia is medical condition in which the levels of potassium in the blood have risen to abnormally high levels and without treatment to lower the levels can lead to cardiac arrest (Oxford dictionary of Nursing 2008). Next step in the treatment was for the doctor to repeat the serum potassium and request the nephrology nurse to carry out an electrocardiogram in accordance with GAIN guidelines (2008). John’s ACE inhibitor (ramapril) was with held as this can further increase potassium levels.…