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…
Explain why this patient’s blood pressure was so low and her heart rate was so high upon arrival at the emergency room.…
You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.…
Vasular dementia is caused by a reduction in blood flow to the brain. Blood carries essential oxygen and nourishment to the brain and, without it, brain cells can die. The network of blood vessels that carries blood around the body is called the vascular system. There are a number of different ways that blood vessels in the brain can become damaged , leading to vascular dementia.…
3) Unexpected change in the patient’s vital signs. The scenario reports there has been a significate rise in blood pressure and heart rate. The confused patient reports no distress but now she has the potential to become symptomatic if the vitals keep trending up. Even though Sara is reluctant to report the error in fear that it may prolong her probation, she needs to report the incident to the immediate supervisor and the provider.…
When I was younger, I thought money ruled everything but in reality it doesn’t. Working hard doesn’t apply anymore in today’s economy. Most of the people who are wealthy have grown into the money or inherited from their ancestor. People hold the wealthy to a higher standard/power therefore they think they are better than the middle/lower class. Even though money is a great asset to have, it can be a liability. As I read the essay about Tim Blixseth, he was an individual who was not impressed or got excited about how much money he and his family had. He wanted to be low key, an average middle class person who worked hard for what he got not just given. In the story “Living It” he tells us how he would wake up in different locations each night.…
A patient presents to the ICU with nausea, vomiting and diarrhea for 3 days. The patient is attached to the cardiac monitor and vital signs obtained as follows-HR-126, respirations 22 bpm, O2 sats 98% on 2 LPM and bp 82/40 map 45. Pt complains of weakness, dizziness and states she feels faint.…
Dementia is an umbrella term used for many conditions including Alzheimer’s, lewy bodys and vascular dementia. It is damage to the brain and its cells, it can progress over time either rapidly or slowly. Medication is used to help slow the process down, or to help with certain effects from the condition such as sleepless nights, agitation.…
Dementia is a progressive disorder that is characterised by the deterioration of memory and one of the other cognitive abilities such as language or skilled movements[1]. Lewy body dementia is a type of dementia that has many similar features to other forms of dementia. However it is characterised by a distinct set of clinical symptoms such as visual hallucinations,neuroleptic sensitivity, sleep disorders and parkinsonism. Lewy body dementia is a common form of dementia that come only second to alzahiemer disease[2]. The pharmacological treatment of LBD depends on the symptoms of the disease and it may include the use of:…
Alzheimers - is a physical disease that affects the brain. There are nore than half a million people in the UK with the disease. Alzheimers is progress when a build up of proteins in the brain lead to a loss of connection between the nerve cells. This itself causes the death of these nerve cells and the loss of brain tissue. People with alzheimers also suffer from a shortage of chemicals in their brain. Thesse chemicals are used to transmit signals around the brain. Where there is a shortage the signals are not transmitted effectively. This causes the person to have confusion over places and time and also issues with thinking and memory loss.…
Fixed cognitive impairments are due to a single event. Traumatic brain injury may cause generalized damage to the white matter of the brain or localized damages. A temporary reduction in the supply of blood and oxygen to the brain may lead to this type of dementia. A stroke or brain infection can also be the cause of dementia. Excessive alcoholic intake results in alcoholic dementia. Use of recreational drugs cause substance induced dementia. Once the over use of these drugs are stopped he impairment persists but may not progress. Dementia which begins gradually and worsens progressively over several years is usually caused by neurodegenerative disease; that is, by conditions affecting only or primarily the neurons of the brain and causing gradual but irreversible loss of function of these cells. Less commonly, a non-degenerative condition may have secondary effects on brain cells, which may or may not be reversible if the condition is treated. The causes of dementia depend on the age at which symptoms begin. In the elderly population, a large majority of cases of dementia are caused by Alzheimer's disease, vascular dementia or both. It is rare to have dementia in young people, Among youngsters also the major dementia observed is Alzheimer's disease. People who are affected by frequent head trauma, like boxers and football players are risk of dementia. Other than alcohol, drugs and psychiatric reasons certain genetic disorders also can cause dementia.…
1.1Dementia is caused by damage to brain cells and in many ways, from alcoholism, brain injury, drug abuse, side effects to medications, depression, age, thyroid function abnormalities, and vitamin B12 deficiency. Alzheimer’s Dementia is caused by a build-up of proteins which the body no longer breaks down and this affects the transmission of signals.…
The term 'dementia' is used to describe the symptoms that occur when the brain is affected by specific diseases and conditions. Symptoms of dementia include loss of memory, confusion and problems with speech and understanding.…
i had a a sudden cognizance of a blasphemous locked way in my skull so uterly INCONGRUOUS that i'd buried the recollection of that PERFIDIOUS, ANOMALOUS PERVERSION my subcochous. the shadow of an unknown thing, curdling the air as it draws inexorably closer the the serfuse of my day time brain.i felt the erudition of dementia i my mind desolved in the THAT HATEFUL, ABYSMAL, PLIABLE acid of the the unknowable THAT PUTRID, PITILESS, LIQUID shadow the carods all mans sanity.…
Dementia is the term used to describe a group of symptoms that occur when the brain is affected by…