Diagnosis should be based on a detailed revision of the patient's medical history, a laboratory tests and physical examination are also important for diagnosis. X rays of the adrenal or pituitary glands can be useful to determine the location of the tumor. (1)…
Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…
The patient’s chronic renal failure worsened steadily, with increasing creatinine and BUN and decreasing CO2. At the request of the family no hemodialysis was done. Her chronic renal failure worsened further, and eventually she died at 4:30 p.m., 3 days after admission.…
PHYSICAL EXAMINATION: Revealed a pleasant but depressed appearing female who is over weight but in no acute distress. She wears a brace on her right wrist. Height is 5 feet 7 inches. Weight 252 pounds. Temperature 98°F. Pulse 80. Respiratory rate 20. Blood pressure 140/80. She has not carotid bruits or meningismus. Cranial nerves 2 through 12 are intact and detailed to include visual fields. Funduscopic exam and pupillary examination. Motor exam reveals 5 out of 5 strength in arms and legs without atrophy or vesiculation. Reflexes are trace over four. Sensory exam is negative and nonfocal.…
FAMILY HISTORY: No hereditary disorders noted. Mother and father are deceased. Two brothers are alive and well. One sister has adult set diabetes mellitus…
FAMILY HISTORY: No hereditary disorders noted. Mother and father are deceased. Two brothers are alive and well. One sister has adult-onset diabetes mellitus.…
* HDL: 32 mg/dL- Decreased levels of HDL indicates metabolic syndrome and increased risk of diabetes mellitus…
When a doctor is examining a patient with a stethoscope, a clicking sound is heard soon after the ventricle begins to contract. This clicking is felt to reflect tightening of the abnormal valve leaflets against the pressure load of the left ventricle. If there is associated leakage of blood through the abnormal valve opening a "whooshing" sound can be heard immediately following the clicking sound. This is a heart murmur. After a doctor believes to have detected mitral valve prolapse the patient is sent for an echocardiograph. An echocardiograph is the most useful test for mitral valve prolapse. Echocardiography can measure the severity of prolapse and the degree of mitral regurgitation. It can also detect areas of infection on the abnormal valves. Valve infection is called endocarditis and is a very rare, but potentially serious complication of mitral valve prolapse. Echocardiography can also evaluate the effect of prolapse and regurgitation on the functioning of the muscles of the ventricles. When a patient is suffering from abnormally rapid or irregular heartbeats they are usually given a 24-hour Holter monitor. This is a device that takes a continuous recording of the patient 's heart rhythm as the patient carries on daily activities. When abnormal rhythms occur during the test period they are captured and analyzed at a later date. If abnormal rhythms do not occur every day, the Holter recording may fail to capture the abnormal rhythms. These patients then can be fitted with a small event recorder to be worn for up to several weeks. When the patient senses a palpitation, an event button can be pressed to record the heart rhythm prior to, during, and after the palpitations. These machines help the doctors to diagnosis the severity of the patient’s heart…
Sometimes called hypercortisolism. Cushing s syndrome is a hormonal disorder caused by prolonged exposure of the body s tissues to high levels of the hormone cortisol.…
You work on behalf of agencies that support the families and carers of individuals with particular physiological disorders and have been asked to produce a poster presentation for two different disorders which will be supported by notes. Also provide a written piece that assesses the possible difficulties with diagnosis for your 2 chosen disorders.…
FAMILY HISTORY: No hereditary disorders noted. Mother and father are deceased. Two brothers are alive and well. One sister has adult-set diabetes mellitus.…
How does this disorder affect the body? Be specific – which parts of the body does it affect, and how.…
• To discuss what are the implications for the nursing care of a person with the condition…
Baller-Gerold Syndrome is a genetic disorder that causes major physical debilitations and can cause development delays, or even at times learning or behavioural problems. It is a disease that is caused by a gene mutation, and at times the environment (NORD, 2006). The gene that is affected RECQL4, in one of the autosomal chromosomes (Genetics Home Reference, N.D). It causes changes to the appearance, of the person who unfortunately inherited the trait, in ways that they have deformed or disfigured body parts. Example of this would be abnormal shape of the skull and, bulging eyes with shallow eye sockets. The disease got its name from the two scientists who were able to describe what the deadly disease actually was (Dorland, 2011).…
In my opinion, the article was very helpful in the sense that it shows how physicians actually think of their nurses. They like that they are older and have a lot of experience. It gave me a good outlook on how they expect the nurses to act and hold themselves. It also gave me a little insight about how important it is to have good communication with your doctor. It will prevent your patients from any harm and it will keep you and your doctor a…