complications develop. The most specific characteristic manifestation of gallstone disease is pain or biliary cholic which is caused b the spasm of the biliary ducts as they try to dislodge the stones (Black & Hawks 2008). They begin with acute abdominal pain in the right upper quadrant that may radiate to the back‚ between the shoulders‚ or to the front of the chest; the pain may be so severe that the patient seeks emergency department care. Other features may include recurring fat intolerance‚
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Adult health history Running Head Adult Health History Adult Health History and Examination Michelle Pierson‚ RN Grand Canyon University Health Assessment NRS 434-V Lisa Zamudio September 29‚ 2012 Health History and Examination |Michelle Pierson |9/26/2012 | |Client/Patient Initials: JP |Sex:F |Age:
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pressure of the fetal head pressing against other sacrum Fetal malpresentation 1. Asynctilism vertex malpresentation Fetal head presenting at a different angle than expected 2. Brow presentation Rare Occurs in multiparty Woman with relaxed abdominal muscles Results in obstructed labor CS is necessary Infant can have extreme ecchymotic bruising in the face Reassure parents that child is well after birth. 3. Face presentation Rare Occurs‚ the head diameter the fetus presents to the pelvis
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Caucasian female who was referred to the office by a local physician for endometrial cancer. Her mother is here with her at the visit. The patient was seen by another physician on 9/8/15 as a new patient referred by the local ER for epigastric abdominal pain and endometrial thickening. She had an ultrasound done
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Adult Health History and Examination ND Health Assessment and Screening NRS 434-V Health History and Examination LH Client/Patient Initials: LH Sex: F Age: 47 Occupation: Registered Nurse Health History/Review of Systems Neurological System headaches‚ head injuries‚ dizziness‚ convulsions‚ tremors‚ weakness‚ numbness‚ tingling‚ difficulty speaking‚ and difficulty swallowing etc.‚ medication): Neurologically JP is intact. Alert ox3 clear speech with no hesitations‚ c/o headaches and dizziness
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Patient Initials: MD Date: July 14‚ 2013 Biographical Data: MD is a 32 year old white female currently living in blank. She is a stay-at-home mom with 2 living children and has been married for 8 years. She is 26 6/7 weeks pregnant. History of Present Illness: MD has been hospitalized for preterm labor. This is her third hospitalization during this pregnancy for preterm labor. She has a MacDonald cerclage in place since 12 weeks gestation. She is experiencing irregular uterine contractions with
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HEALTH ASSESSMENT 1. In an interview‚ the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse’s observation of the patient’s nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient‚ resulting in an increased comfort level. D) Note-taking allows
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APPENDICITIS Appendicitis is a medical emergency that requires prompt surgery to remove the appendix. Left untreated‚ an inflamed appendix will eventually burst‚ or perforate‚ spilling infectious materials into the abdominal cavity. This can lead to peritonitis‚ a serious inflammation of the abdominal cavity’s lining (the peritoneum) that can be fatal unless it is treated quickly with strong antibiotics. Investigators analyzed data from 331 pediatric patients with suspected appendicitis‚ 2 years before
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Student Name: Alanna Cooper | Date: 06-28-2013 | * Client/Patient Initials: F.F | Sex: F | Age: 83 | Occupation of Client/Patient: Retired Homemaker | Health History/Review of Systems(Complete and systematic review of systems) | Neurological System (headaches‚ head injuries‚ dizziness‚ convulsions‚ tremors‚ weakness‚ numbness‚ tingling‚ difficulty speaking‚ difficulty swallowing‚ etc medications):Patient c/o occasional headaches which are relieved with Tylenol.Patient
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17 - Fetal Surveillance (11) Acceleration: Reassuring - Description/Appearance: o Rate increase of at least 15 beats/minute that lasts for a minimum of 15 seconds o Rate increases often in response to fetal movement o May accompany contractions - Cause: o Interaction between sympathetic and parasympathetic nervous systems - Nursing Interventions: o None Early Decelerations: Reassuring - Description/Appearance: o Rate decrease during contraction o Often seen in late labor when head
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