Preview

Uricula Case Studies

Satisfactory Essays
Open Document
Open Document
251 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Uricula Case Studies
0700 Pt in her room awake, CNA in pt room assisted pt. Pt looked tired and weak this morning.
0900 Pt went back to her room after breakfast with the assistance of CNA. On bed now lying down eyes opened. Focus assessment completed. Alert and oriented x4. Vs T 97.1, P 90, R 18, BP 155/77, O2 96 RA. Pt reported pain on her coccyx to 7 on scale of 0 to 10. Heart sounds regular and even, S1 and S2 auscultated. Lung sounds clear in all lobes, Respiratory even and non-shallow. Bowel sound present and active in all four quadrants. ABD soft and non-tender to palpate. Pt bowel movement this morning (2/11/16) liquid and diarrhea. Call light within her reach, bed in low position. Will continue to monitor
…………………………………………………………………....L.Gotora PNS2/WATC
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Powerful Essays

    Hillcrest Medical Case 1
    • 669 Words
    • 3 Pages

    Hillcrest Medical Case 1

    Review Systems: Patients complains of a lower abdominal pain for the past week that apparently got much worse last night and by this morning wasn’t tolerable. She is also having some nausea and vomiting.…

    • 669 Words
    • 3 Pages
    Powerful Essays
    Read More
  • Satisfactory Essays

    Case Study 6 Discharge
    • 318 Words
    • 2 Pages

    Case Study 6 Discharge

    DISPOSITION: Discharged to home. The patient and her husband were given detailed written instructions as to her activities and limitations. I will follow her in my clinic in 6 weeks’ time and I have advised her to stay off work until that time. No lifting. She was given a prescription for Tylenol with codeine PRN pain. She was advised that if any problems developed i.e. fever, nausea, vomiting, headache or blurred vision she is to come to clinic earlier or report to Hillcrest Emergency Room.…

    • 318 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Gotora Pns2/Watc Case Study
    • 210 Words
    • 1 Page

    Gotora Pns2/Watc Case Study

    0830 Focus assessment. Alert and oriented x 4 and follow commands. VS T 96.7, P 76, R 18, BP 129/67, O2 Sat 94 RA. Pt denied pain at this time. Pain 0 on a scale of 0 to 10 Heart sounds normal, regular and even. S1 and S2 auscultated. Lung sounds normal and clear in all lobes. Non labored and non-shallow. Bowel sounds active and present in all four quadrants. ABD soft, non-tender to palpate. Pt denied ABD pain and constipation. Pt stated last bowel movement two days ago (2/23). Call light with in her reach, all necessary items close by pt………………………..L.Gotora PNS2/WATC…

    • 210 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Powerful Essays

    Benjamin Engelhart
    • 2240 Words
    • 9 Pages

    Benjamin Engelhart

    HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now denies having an appetite. Patient had a very small bowel movement early this morning that was not normal for him. He has not passed gas this morning. He’s voiding well. He denies fevers, chills, or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy.…

    • 2240 Words
    • 9 Pages
    Powerful Essays
    Read More
  • Satisfactory Essays

    Paper
    • 493 Words
    • 3 Pages

    Paper

    RoomPatient DOB M F Diagnosis Procedure Date O2 Neuro I.S. BR Chair AMB Diet TF NGT GT Foley IO Dressing IV 1. 2. 3. 4. PCA CBG q Hr Rslt Uts _____ ______ ___ _____ ______ ___ _____ ______ ___ _____ ______ ___ _____ ______ ___ _____ ______ ___ VS q B/P T P R O2 0800 ___/___ ____ ____ ____ ___ 1000 ___/___ ____ ____ ____ ___ 1200 ___/___ ____ ____ ____ ___ 1400 ___/___ ____ ____ ____ ___ 1600 ___/___ ____ ____ ____ ___ Goal Hx Notes A C T I V I T Y 2000 VS 2100 ADL/Feeding2200 2300 ADL0000 VS 0100 ADL/Feeding Parameters Labs 0200 I/O0300 ADL0400 VS0500 ADL06000700 Pathophysiology Statement Nursing Diagnosis 1…

    • 493 Words
    • 3 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Pancreatitis Medical Report
    • 250 Words
    • 1 Page

    Pancreatitis Medical Report

    Patient has a history of gallstones resulting from her diagnosis of cystic fibrosis 3 years ago. Gallstones were removed through ERCP. During the ERCP the doctor did discover that the patient suffered from a pancreatic pseudocyst. An endoscopy was performed for the removal of the pseudocyst. Patient was diagnosed with pancreas divism the day of birth. Patient is currently taking Furosemide due to her diagnosis of hypertension which was diagnosed at the same time as the cystic fibrosis. Patient has high levels of triglyceride and has been diagnosed with hypertriglyceridemia. Mrs. Smith has also been diagnosed with rheumatoid arthritis 6 years ago and is currently prescribed Azathioprine. Patient also has a history of chronic, acute pancreatitis.…

    • 250 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Good Essays

    Case Study 43 Choledocholithiasis
    • 1681 Words
    • 7 Pages

    Case Study 43 Choledocholithiasis

    daughter insisted on taking him to the ED for evaluation. After orienting him to the room, call light, bed controls, and lights, you perform your physical assessment. The findings are as follows: he is awake, alert, and oriented (AAO) \3, and he moves all extremities well (MAEW). He is restless, is constantly shifting his position, and complains of (C/O) fatigue. Breath sounds are clear to auscultation (CTA). Heart sounds are clear and crisp, with no murmur or rub noted and with a regular rate and rhythm (RRR). Abdomen is flat, slightly rigid, and very tender to palpation throughout, especially in the RUQ; bowel sounds are present. A sharp inspiratory arrest and exclamation of pain occur with deep palpation of the costal margin in the RUQ (positive Murphy’s sign). He reports light-colored stools for 1 week. The patient voids dark amber urine but denies dysuria. Skin and sclera are jaundiced. Admission vital signs (VS) are 164/100, 132, 26, 36° C, SaO2 96% on 2 L of oxygen by nasal cannula (O2/NC).…

    • 1681 Words
    • 7 Pages
    Good Essays
    Read More
  • Satisfactory Essays

    proofreading
    • 372 Words
    • 2 Pages

    proofreading

    PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. VITAL SIGNS: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.HEENT: Head normal, no lesions. Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directs. INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mL in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowl sounds. Liver, kidneys, and spleen are normal to palpitation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above…

    • 372 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Good Essays

    Colonic Ischemia Case Study Essay
    • 465 Words
    • 2 Pages

    Colonic Ischemia Case Study Essay

    She had shortness of breath, chest pain and palpitations and light headedness and reduced exercise tolerance. She had previous admission for the same problem and CTA abdomen was suspicious for ischemia of hepatic flexure. Vitals were stable on admission. Rectal examination revealed brown stool, guaiac was positive. Hemoglobin was 6.7 and coagulation panel was within normal limits on admission and she received blood transfusions. CTA abdomen showed a focus of thick…

    • 465 Words
    • 2 Pages
    Good Essays
    Read More
  • Good Essays

    The Urinary System & Common Pathologies
    • 471 Words
    • 2 Pages

    The Urinary System & Common Pathologies

    The urinary system helps maintain homeostasis by regulating water balance and by removing harmful substances from the blood. The blood is filtered by two kidneys, which produce urine, a fluid containing toxic substances and waste products. From each kidney, the urine flows through a tube, the ureter, to the urinary bladder, where it is stored until it is expelled from the body through another tube, the urethra.…

    • 471 Words
    • 2 Pages
    Good Essays
    Read More
  • Satisfactory Essays

    Pancreatitis Medical Report
    • 442 Words
    • 2 Pages

    Pancreatitis Medical Report

    Symptoms: Patient came to the ER complaining that she was having pain in the upper left portion of her abdomen. She stated that the pain seems to travel around to her back at times. The pain worsens when she eats a meal. She also has other symptoms nausea, chills, fevers, some confusion, and trouble concentrating.…

    • 442 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Good Essays

    Ureterocele Research Paper
    • 1191 Words
    • 5 Pages

    Ureterocele Research Paper

    The clinical rate of ureteroceles has been found to be approximately 1 in 4000 pediatric admissions…

    • 1191 Words
    • 5 Pages
    Good Essays
    Read More
  • Good Essays

    Stool Case Studies
    • 138 Words
    • 1 Page

    Stool Case Studies

    Per patient’s mother, patient was in his usual state of good health until he started complaining of intermittent stomach pain for 1 week. Per mother, pt states “belly hurts” but he does not cries. Mother reports bowel movements about every three days and his usual bowel pattern is once a day. Stool is reported as hard and small, last bowel movement was two days ago. His symptoms were associated with straining, squatting, pain when passing the stool, and loss of appetite for 3 days. His symptoms are aggravated only when he is having a bowel movement. Symptoms are mild relieved after a bowel movement. Mother is giving the child prune juice and water to help alleviate the symptoms. Pt is negative for bloody stool, diarrhea, fever, chills, and…

    • 138 Words
    • 1 Page
    Good Essays
    Read More
  • Good Essays

    Urinary Tract Infection Research Paper
    • 680 Words
    • 3 Pages

    Urinary Tract Infection Research Paper

    Mostly everyone in the world has experienced a urinary tract infection. Urinary tract infection is also known as a (UTI). A urinary tract infection is a condition that can affect the urinary system where the kidneys, ureters, bladder, and urethra can become infected. In most cases urinary tract infections are caused by bacteria that come at the opening of the urethra and travels to the bladder. It may often spread to the kidneys from the bloodstream.…

    • 680 Words
    • 3 Pages
    Good Essays
    Read More
  • Good Essays

    Urology Report
    • 614 Words
    • 3 Pages

    Urology Report

    Conditions and defects pertaining to the reproductive system in men are treated by the urology department. Genitourinary diseases are handled by specialists known as urologists (a physician whose medical specialty deals with the urinary tract). The division of medical practice that oversees kidney diseases, electrolyte imbalance, renal transplantation, and dialysis therapy would be referred to as nephrology; accordingly the associated medical professionals are named nephrologists (the doctors who manage the kidneys). The most frequently seen kidney disease is a kidney infection, also referred to as nephritis (acute or chronic inflammation of the kidneys) (American Heritage, 2007). Nephralgia (kidney pain), dysuria (difficulty or…

    • 614 Words
    • 3 Pages
    Good Essays
    Read More

Related Topics