~Pertinent Medical Hx:
~Medications: Pt states sinus meds type “unknown”
~Plan and Disposition: Schedule the pt in the Cold/ Flu/Allergy Clinic
When doing your assessment the first to do is to make sure there is no imminent danger, if so address that first. Then do a systemic assessment. I start and do head to toe. It is important to do a complete past medical history and know any chronic conditions,…
The patient has also been having multiple episodes of watery, non-bloody diarrhea for the past 3 weeks. He has been previously healthy except for a recent acute otitis media two months ago which was treated with oral Amoxicillin- Clavulonate for 10 days. No recent throat infection or rash. No similar episodes in the past. No recent travel.…
UCC will be relocating The Flu Clinic to Conference Rooms B14-B15. Unfortunately, in the last couple of weeks, during rainy days "water leaked" into the modular building from different areas, which made it unsafe to see patients. Jerry and his team are working on repairing the building to make it safe for next year. For now, we will need to relocate our Flu Clinic to basement area. The Flu Clinic will open Tuesday, January 24, 2017 and will close its operations on March 10, 2017. Operation hours: Monday-Friday 8:30 A.M.-9:00 P.M. Sat-Sunday 9:00 A.M.- 5:00 P.M. The following communication is important to the following departments:…
Assignment: For each scenario that follows, explain how and why you would schedule an appointment or suggest a referral based on the patient’s reported symptoms. Be sure to first review the “Guidelines for Patient-Screening Exercises” found on page iii in the Introduction section of your Workbook.…
PAST HISTORY: Past illnesses include whooping cough as a child. Tonsillectomy in 1947. No known allergies to medication.…
PAST HISTORY: Past illnesses include whooping cough as a child. Tonsillectomy in the past. No known allergies to medications.…
13-year-old female patient initially inpatient treated at a peripheral Children's Hospital with respiratory symptoms since a few days as part of an infection of the upper airways. Rapid respiratory worsening in the clinical course with the need for intubation. Influenza A was positively detected. During the intubation a temporary resuscitation was needed. Continuously increasing of catecholamine and ventilation requirements post intubation (PIP = 40 cmH2O, PEEP = 15 cmH2O, FiO2 = 100%). For an escalation of treatment due to the clinical presentation of fulminant septic shock due to the basis of an influenza infection (CrP 354 mg/l, Procalcitonin 3855 µg/l, Leukocytes 6,600/µl), the patient was taking over to our pediatric intensive care unit.…
A 30-year-old patient presents complaining of flu-like symptoms characterized by an unremitting cough, sinus pain, and thick nasal discharge. An examination reveals bronchitis and sinus infection. The patient is prescribed a 5-day course of Zithromax.…
In my role as a specialist nurse I am involved with caring for patients within a community setting and providing a holistic assessment of their needs. This can involve assessing patients as a result of a supported discharge from secondary care or referral from General Practitioners (GP’s) for issues related primarily to their cardiac condition, their general overall health and any other health related issues. These assessments can take place within the patient’s home or within a clinic setting. These assessments are quite commonly carried out with very little prior knowledge regarding the patient and this is currently an area under review. For the purpose of this case study I will look at a lady who attended a clinic session within a GP’s practice.…
For the Impression/Discussion, indicate the patient diagnosis and what the plan is for his or her. This includes…
In the wake of the 2004-2005 flu vaccine shortage, we are convening a federal task force to develop a strategy plan for addressing the issues presented in this case.…
You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38- year-old woman who is attending graduate school and is very sedentary. She reports overwhelming fatigue that is not relieved by rest. She states that she is so exhausted that she has difficulty walking to class and trouble concentrating when studying. Her face looks puffy, and her skin is dry and pale. She also reports generalized body aches and pains with frequent muscle cramps and constipation. You notice that she is dressed inappropriately warm for the weather. Initial vital signs were 142/84, 52, 12, 96.8®F.…
PAST HISTORY: Past illness includes whooping cough as a child. Tonsillectomoy in the past. No known allergies to medications.…
References: American Academy of Pediatrics and American Academy of Family Physicians. (2004.) Clinical practice guideline: Diagnosis and management of acute otitis media. Retrieved from http://aappolicy.aappublications.org/cgi/content/full/pediatrics;113/5/1451…
The history below was obtained from the patient and physical examination was performed with her stated verbal understanding and consent. She was alert oriented x3 with reasonable thought content she understood questions well and was in no acute distress.…