Jessica Hauge
HS111-10 Medical Terminology
HS111 Unit 9 Assignment Template
DIRECTIONS:
There are 2 parts to this assignment.
PART 1 –Read through the medical report listed below and the follow the directions listed after the report.
PART 2 – Read through the questions and respond using layman’s terminology.
Main Street Hospital and Medical Center
6000 North Tree Street - Branch, Pennsylvania 12345 – (555) 123-4567
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PATIENT NAME: Eldon Drake MEDICAL RECORD: 8888888
DATE OF BIRTH: 12/25/19XX DATE OF ADMISSION: 08/01/2013 PROGRESS NOTE
HISTORY: Eldon Drake is an 85-year-old Caucasian male who was brought to the hospital via an ambulance and subsequently admitted to the hospital on 08/01/2013 for fever and confusion. Mr. Drake was in his usual state of good health until 3 days before admission, when he began to show signs of confusion and disorientation accompanied by a fever of 38.5®C. His fever continued, and he showed a steady decline in cognitive function. He developed expressive aphasia.
OBJECTIVE FINDINGS: On physical examination the patient was conscious and alert but disoriented to time and place. Blood pressure was 160/80 mm Hg. Pulse, 96. Respirations, 20. Temperature 38.8®C. There were no focal neurologic deficits. Chest radiograph, urinalysis, and blood cultures were negative. A neurology consultation was obtained. Magnetic Resonance Imaging of the brain was performed which disclosed encephalitis. An electroencephalogram was markedly normal for his age.
TREATMENT SUMMARY: The patient was given acyclovir by intravenous infusion. On the second hospital day, the patient developed a generalized seizure. He was placed on intravenous Dilantin and Lorazepam. He later lapsed into a semi-comatose state. He responded to tactile and verbal stimuli but was
References: Brooks, M. L., & Brooks, D. L. (2012). Exploring Medical Language A Student-Directed Approach (8th ed.). St. Louis, Missouri: ELSEVIER. O 'Toole, M. T. (2013). Mosby 's Dictionary of Meicine, Nursing & Health Professions (9th ed.). (M. T. O 'Toole, Ed.) St. Louis, Missouri: ELSEVIER.