HPI: The patient first noticed vaginal bleeding this morning when she woke up at 6:30 am to use the restroom. She noticed bleeding in her clothing and blood clots in the toilet bowl. She reports bleeding 1 cup (~250ml) total this morning. In addition, she has a positive h/o placenta previa with her current pregnancy determined by U/S. She denies any similar episodes in the past with either pregnancy, as well as having pain, cramps, nausea, fever, chills or recent trauma.…
HISTORY OF PRESENT ILLNESS: This 40-year-old black Latin female presents with complaints of low back and right leg pain. She says that she hurt her back in a motor vehicle accident in 2000 and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weight approximately 40 pounds. Around the first of January this year she began to complain of back pain that gradually went into her right leg. The pain is primarily in the sacroiliac region and radiates into the buttock and lateral lower leg as far as the ankle. She has no numbness. Coughing and sneezing exacerbate her pain. She has to move around to get comfortable when lying down but she is more comfortable lying down then in any other position. She is still working full-time but is not doing the heavy lifting at this time. She has been going to a chiropractor for the last 2 months with no pain relief. She is taking Flexeril, Norflex, Tylenol with Codeine, and Darvocet. All of these have failed to improve her symptoms. She had a CT scan done recently.…
Case: A mother presents with her 13 y/o son with a history of frequent falls, difficulty getting up from a lying or sitting position, trouble jumping, large calf muscles and poor grades in school.…
This is called secondary hyperhidrosis. Medical conditions such as acromegaly, cancer, heart disease, hyperthyroidism, menopause and lung disease can cause excessive sweating. The most common symptom people with hyperhidrosis is wetness. There are several test a doctor can perform to test for this. The starch-iodine test consist of an iodine solution being put on the area. After it dries, starch is then put on it and if there is excessive sweat, the area will turn blue. The paper test consist of a special paper being put on the area. The more the paper weighs, the more excessive sweat there is. Finally, a blood test can be ordered. The blood test will also test for any other underlying problems.…
History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen.…
The upper parts of the nasal septum and the side walls of the nasal cavity are formed by the ______ bone(s).…
Chiari Malformation is a condition in which brain tissue protrudes into your spinal canal. This happens when part of your skull is small or misshaped, pressing on your brain and pushing it downward. Chiari Malformation is not common, but throughout time imaging tests have improved, leading to more frequent diagnosis.…
losing to much blood and not eating enough iron. Iron is used in the body…
“It is thus tolerance that is the source of peace, and intolerance that is the source of disorder and squabbling,” said the famous French philosopher Pierre Bayle. In the novel, The Chrysalids by John Wyndham, the characters Sophie, Sally, and Anne worry about tribulation when it comes to being “normal” and tolerated by people. The author demonstrates the intolerance of physical deformities, mental abnormalities, and the inferior treatment of women in the town of Waknuk.…
1.What is the Glasgow Coma Scale? The Glasgow Coma Scale (GCS). The GCS is an objective assessment that defines the level of consciousness by giving it a numeric value…
Mr Johan experiences symptoms of panic attack when he feels self-conscious in front of other people when performing certain tasks. He reported feeling faint and had black out of thoughts during those episodes, whereby he was not able to think of anything. Both his hands would tremble and become numb. He would also be sweating but experienced no symptoms of pounding heart or choking sensations. Those panic symptoms would often last for one to two hours or until he removed himself from the anxiety provoking situation.…
Hyperhidrosis is a disorder characterized by excessive sweating in amount greater than what is physiologically necessary to maintain homeostasis [1-5]. This condition may be primary (idiopathic) or secondary to an underlying disease or medication. Only primary hyperhidrosis (PHH) will be addressed in this work. Primary hyperhidrosis is a dermatological and neurological disorder caused by an abnormal activity of the eccrine sweat glands. A noteworthy portion of patients experiencing excessive sweating do not seek medical attention, despite a significant impairment in their quality of life, both in a social and functional level [1,5]. Any area on the body can be affected, but axillae, palms, and soles are the most frequently targeted sites [1-3,…
Cyclothymic disorder, also known as cyclothymia, is a relatively mild form of bipolar II disorder characterized by mood swings that may appear to be almost within the normal range of emotions. These mood swings range from mild depression, or dysthymia, to mania of low intensity, or hypomania. It is possible for cyclothymia to go undiagnosed, and for individuals with the disorder to be unaware that they have a treatable disease. Individuals with cyclothymia may experience episodes of low-level depression, known as dysthymia; periods of intense energy, creativity, and/or irritability, known as hypomania; or they may alternate between both mood states. Like other bipolar disorders, cyclothymia is a chronic illness characterized by mood swings that can occur as often as every day and last for several days, weeks, months, or as long as two years. Individuals with this disorder are never free of symptoms of either hypomania or mild depression for more than two months at a time (Encyclopedia of Mental Disorders).…
In this assignment I am going to look back at each theory and explain the different psychological approaches to health and social care practice and then think about and describe the strengths and weaknesses of each one.…
Dysexecutive Syndrome occurs when there is a loss of executive brain function. The term was first coined by Alan Baddeley and may result from physical trauma such as a blow to the head, a stroke or other internal trauma. Executive brain function, which includes insight, judgment, planning and initiative, makes it possible for humans to successfully manage the problems of everyday life. These functions allow individuals to carefully navigate day to day activities, make certain decisions, while evaluating the outcome, and plan accordingly. Loss of executive function occurs as a result of brain disease, injury, intellectual disability or psychiatric disorders. The loss of executive function may be permanent as a result of Alzheimer’s disease, dementia, schizophrenia or massive head injury. Temporary loss may result from delirium, physical illness or intoxication. While the syndrome manifests itself in various ways, it is mainly apparent from the “afflicted person’s prior personality, life experiences and intellect”(Royal Hobart Hospital Department of Health and Human Services ). Dysexecutive Syndrome was once thought to be associated with frontal lobe syndrome. However, researchers have come to realize that this syndrome may occur as a result of impairment to other parts of the brain and not just the frontal lobe.…