Stevens reports he has some gait issues and feels he is losing his balance at times when walking. He has headaches but not until the end of the day. He also reported that he takes a nap every afternoon which is very unlike him. He denied any seizures. He has completed the seizure medication. Mr. Stevens has limited range of motion to the left shoulder. When he reaches chest level it becomes very painful. He is in physical therapy for that. The examination done by Dr. Jones showed good strength and reflexes. Dr. Jones reviewed the recent MRI and said there is a collection of fluid on the left side of his head. There is no longer any fluid on the right. They had done burr holes in the skull to release the blood collection from the accident. Dr. Jones said that his age was a good thing since out brain shrinks with ages giving some more room.…
What type of trauma has the patient experienced? What medicine or treatment has been given to the patient?…
Mr. K. was diagnosed as having an acute cerebral vascular accident. This disorder can also be described as a “stroke”. It occurs when there is an interruption of normal blood flow in one or more of the blood vessels that supply the brain. Thrombosis, embolism, and hemorrhage are the primary causes of a CVA. (Sommers and Johnson 2002) The tissues of the brain become ischemic, leading to hypoxia or anoxia with destruction or necrosis of the neurons, glia, and vasculature. Complications of CVA include unstable blood pressure, sensory and motor impairment, infection, pneumonia, contractures, and pulmonary emboli. CVA is the third leading cause of death in the United States and affects more than 500,000 Americans annually. (Sommers and Johnson 2002)…
The CRTC (Canadian Radio-television and Telecommunication Commission) is a public organization for telecommunications and broadcasting whereas CanCon is a regulatory mandate from CRTC which requires Canadian broadcasters to dedicate 50% of content between 6 pm to midnight for Canadian content. The issue is that to what extent should CRTC and specifically, CANCON, should have influence in the global world. This issue focuses on negative impact globalization and foreign transnationals are having on Canadian culture., Canadian content is being played less and less often and is increasingly replaced imported content; as a result, the CRTC enacted CANCON, a legislation which protects Canadian culture and identity. Some people support this, voicing that it supports Canadian content whereas others say it is discriminatory to external content and it even demonstrates that Canadian content simply cannot compete…
A traumatic brain injury (TBI) is an injury to the brain that results from a head…
Another cause would be encephalitis which is inflammation of the brain, caused by infection or an allergic reaction. If the case is very bad…
Following a head injury, a person has ongoing difficulties staying awake. Most likely, the damage occurred to the…
Based on the intake, Benjamin will greatly benefit from attending individual and group therapy to learn cope with the loss and inherent depression. In his case CBT/DBT approach, self-monitoring thought log it is useful to apply as he has difficulty regulating emotion and behavior that primarily manifested in the excessive alcohol use and poor relationship with his daughter. Apparently, Benjamin experienced renewed, intense grief that led him “drinking to feel better” behavior. The CBT approach is effective in the group therapy as well that focuses in changing thoughts and behavior.…
Bennet Omalu discovered Chronic Traumatic Encephalopathy (CTE) in a former NFL player, Mike Webster. CTE is a progressive brain degenerative disease that is caused by repetitive brain trauma. Chronic Traumatic Encephalopathy can affect who has had multiple brain injuries and may be any age. CTE can only be diagnosed through an autopsy but, tests can be done to determine if a person might have it. Some of the symptoms of CTE include cognitive impairment, impulsive behaviors, apathy, short-term memory loss, difficulty planning and carrying out tasks, emotional instability, substance abuse and suicidal thoughts or behavior. (Mayo Clinic) Because Chronic traumatic encephalopathy is only diagnosable through autopsy all of the symptoms are unclear. (Mayo Clinic) Other possible symptoms may include irritability, aggression, speech and language difficulties, dysphagia, motor impairment, vision and focusing problems, olfactory abnormalities, and dementia. These symptoms happen not only because the brain is literally deteriorating but because people with CTE have an abnormal buildup of a protein in their brain called nau. (Boston University) Right now there is not a true treatment or cure for chronic traumatic encephalopathy but doctors suggest that cutting back on physical activities might help reduce symptoms. Prevention for CTE is basically to take concussions very seriously and always take precautions in contact sports. (Mayo…
Chronic Traumatic Encephalopathy, also known as CTE is a progressive degenerative brain disease. It is a lot like alzheimer's and dementia in the sense that both Chronic Traumatic Encephalopathy and alzheimer's/dementia have similar symptoms. Some symptoms of CTE Include memory loss, confusion, impaired judgment, impulse control problems, aggression, depression, anxiety, suicidality, parkinsonism, and eventually, progressive dementia. As you can see in the thermal scan above the brain is progressively getting worse. According to Alzheimer's Association, these symptoms often begin years or even decades after the last brain trauma blow to the brain or the end of active athletic involvement. Chronic Traumatic Encephalopathy can be caused by not just…
The first medical case mentions was a man who a medical student was unable to find a blood pressure in one side. Overnight the patient was in operation room for repair of a tear in the aorta, the vessel that carrier blood out of the heart to the rest of the body. A difference in blood pressure between arms or the loss of blood pressure in one arm is an evidence of this kind of tear, known as a dissecting aortic aneurysm. He dies on the operating table. The next patient’s case was a middle-aged woman who comes to the hospital with a fever and difficulty breathing. When her fever spikes and her white blood cell count soars, the team gets a CT scan of the chest, looking for something in her lungs that would account for a worsening infection, but they find instead is an abscess on her spinal cord. She is rushed to surgery. The veins in her neck are distended and throbbing. The team immediately recognizes these as signs that the woman has bled into the sac around her heart a condition known as tamponade. These are…
Mr. J. is an 84 year old man who was admitted to the hospital for assessment after a fall. His physical assessment indicated multiple contusions to the face and shoulder, an unkept appearance and possible malnourished state. While a CAT scan and x-ray showed no fractures or bleeding, the fact that the patient had head trauma was most alarming. Traumatic injury to the head could lead to a hemorrhagic stroke or cerebrovascular accident, could be life threatening, and would require immediate intervention from the healthcare team. In particular, a thrombus could occur up to several days after head trauma (National Institute of Neurological Disorders and Stroke [NINDS], 2013). Head trauma…
The two portable devices that just about everyone has in their home, purse, briefcase and workplace. A laptop and or a tablet. There are a few things to consider when deciding which device to purchase. Price, memory, battery life, display, connectivity, syncing capabilities are all factors to think about. One of the main factors of course is the price. The typical price range for a laptop is from about $275-$1600. (Noblepcs) The average price for tablets is $337. (pcworld) This is of course an average price range there are tablets priced lower than the amount listed. Memory or RAM is another factor that could sway your decision about purchasing a laptop or tablet.…
AKI develops in approximately 5% of the hospitalized patients and in up to 30% patients admitted to the Intensive Care Unit (ICU) (Sanjeevani et al., 2014). The incidence of AKI in children is not knowledgeable exactly. It sounds the incidence is increasing in hospitalized children. In adults, the incidence is estimated nearing 209 per million populations. Unfortunately, there is no epidemiological review on children, at any case, the occurrence has been presumed as 0.8 for every one hundred of the total populations. In neonates, the incidence rate ranges between 8-24%. This rate is much higher in neonates from developing countries. The occurrence is 3.9 for each 1000 live births and 34.5% are admitted to the newborn units. The incidence ranges…
Cerebral compression: Is a severe blow to the head and can cause bleeding or swelling inside the skull that can press on the brain, this is life-threatening.…
