Medications are as outlined in EMR.
Drug allergy to PENICILLIN.
OBJECTIVE
Blood pressure 108/72. Pulse _____(62). Temperature 35.5. Weight 131 pounds. Pulse ox went from 97% to 99%. Peak expiratory flow rate was _____(250x3).
The patient is in no
CC Lilly is a 24-year-old female here today with a young child, to discuss not feeling well. HPI The patient tells me she was worried she may have strep throat, but now she is not sure that is what she has. Her symptoms started on Sunday June 14th, where she felt very tired most of the day.…
She is awake, alert; she appears SOB with difficulties verbalizing her self. She is oxygen dependent at 2l/min. She states that she is not doing well but was unable to elaborate due to her SOB. I spoke with the facility nurse who reports that the patient has had multiple hospitalizations for her CHF and COPD. She was last hospitalized on 8/28/16 for SOB.…
The patient's blood pressure was 140/90 mmHg and pulse was 80 BPM. The blood pressure reading was stage one hypertension because the normal range for blood pressure is 120/80 mmHg. The pulse reading was in the normal range which is 60 to 100 BPM. The patient had…
This congestion is the cause of his shortness of breath. His increased blood…
Male Age: 37 Family history: Mother had a heart attack at age 60 Height/weight: 5’9”/165 lbs Blood pressure: 145/80 (optimal is less than 120/80 Smoker: Yes Activity level:…
The 2-D echocardiogram [portable] ordered to rule out any cardiac etiology for respiratory distress. The echo on 3/22/17 showed mild diastolic dysfunction with EF of 58%, small left ventricle chamber and had limited images only. He had repeat labs on 3/30/17, showed normal electrolytes, normal liver enzymes with mildly low albumin [3.1], normal CBC with normal white cell count [9.4] and normal thyroid functions…
Patient Center Presentation Patient Background Information D.D is a 56 years old female she was admitted to the hospital with complain of flue-like symptoms. The patient symptoms started on Monday. On Friday she stated that “I felt weakness all over and I called my cousin to take me to the hospital. In the ER patient presented with productive cough, body aches, runny nose, feeling feverish, and weakness. The patient history is diabetes, gastric bypass in 4/2015, hypertension, asthma and neuropathy.…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Silicos disease form part of the lung disorder known as pneumoconioses and is characterized by nodules and fibrous scar tissue within the lungs. It is often caused by inhaling silica particles from the quartz in rocks, sand and similar other substances. These particles gets entrapped in the alveoli and macrophages that are present in the alveoli consumes the silica particles and died with the resulting inflammation attracting more macrophages, resulting into the formation of nodules and fibrous tissue isolate the reactive site. Shortness of breath with exertion and nonproductive cough are early symptoms which often progressed to persistent shortness of breath and productive cough with blood tinged mucous. Furthermore, silicon disease…
Week # 5 Common symptoms of COPD exacerbation Smoking is the leading cause of COPD and served as a trigger for the disease. Smoking damage the airway and the lining of the lung, which lead to a decrease in lung expansion, which then leads to trouble moving air in and out of the lung causing difficulty with breathing, Irregular breathing, Coughing, discoloration of the skin or nail due to the lack of oxygenated blood. According to case study, Mary had signs of COPD exacerbation which are hash productive cough and SOB, Mary symptoms are caused by the building up of fluid, mucus, and pus in her lung causing tightness of her airway.…
Common cold is my third diagnostic consideration based on the patient’s clinical presentation and subjective data that was obtained. The patient is 70 years old, recent exposure with his granddaughter who had an upper respiratory infection. The patient developed cold previous week, has nasal congestion, and admit to cough. Physical exam elicits small amount of yellow drainage. These consternations of symptoms point to common cold.…
Another symptom is coughing with phlegm and this is caused by the mucus that is in the lungs. Frequent lung infections, bronchitis, wheezing…
The Pittsburgh Sleep Quality Index (PSQI) After preforming The Pittsburgh Sleep Quality Index on my resident. This sleep assessment is a list of questions that the client is asked on how well he falls asleep, what negatively effects his sleep, and how much energy does he current sleep amount give him. I choose this assessment because every morning when I got him up for the day, he would mention that he was tired and did not sleep well. After preforming this assessment, I was able to realized how poor and disturbed his sleep patterns were. He scored a 4 on this assessment, meaning that he is considered to be a poor sleeper.…
1. (8pts) From these data, graph your mean arterial pressure (MAP; see formula) and heart rate (y axes) vs. workload (in METS) on the x-axis (include resting results). Using this information, answer the following questions. Show ALL work. MAP…
Betty Jones is a happily married 54 y/o primary school teacher who presented at our clinic with a 2-day history of intense back pain after moving a heavy pot in the garden and a long-term history of bronchitis. Her back pain is exacerbated by a current episode of bronchitis, which is maintained by smoking 3-5 cigarettes daily. While in the garden two days ago, Betty bent over to move a large ceramic flower pot. Upon lifting, she experienced immediate pain which has remained consistent with an intensity of 7/10. Slight relief was found only by taking nurofen and the application of a heat pack.…