IDENTIFICATION DATA Name : X Age : 57 year – old Race : Chinese Gender : Male Occupation : Ex – lorry driver Marital Status : Married Address : Puchong PRESENTING COMPLAINT Mr X‚ 57 years old‚ Chinese gentleman with background history of type 2 diabetes mellitus for 10 years electively admitted on 21st of September from cardio clinic for Coronary artery bypass grafting (CABG) due to severe vessel blockage. HISTORY OF PRESENTING ILLNESS Three years ago‚ he had history
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head: palpate for consistency | Upon palpation patient’s head is hard and smooth without lesions. | Normal | Inspect the face: symmetry‚ features‚ movement‚ expressions and skin condition. | Upon inspection the face is symmetric with an elongated appearance. No abnormal movement. | Normal | Palpate the temporal artery. | Upon palpation the temporal artery is elastic and non tender. | Normal | Palpate the temporomandibular joint. | Upon palpation there is no swelling‚ tenderness or crepitation
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Anterior Superior Iliac Spine‚ or‚ ASIS for short a) b) c) Figure 1. a)Anterior view of the torso with Anterior superior iliac spine of both sides circled in yellow‚ b) torso with location of both sides of ASIS relative to muscles above and tendons below‚ c) location of ASIS identified. a) b)
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Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery Test Bank MULTIPLE CHOICE 1. When teaching seniors at a community recreation center‚ which information will the nurse include about ways to prevent fractures? a. Tack down scatter rugs in the home. b. Most falls happen outside the home. c. Buy shoes that provide good support and are comfortable to wear. d. Range-of-motion exercises should be taught by a physical therapist. ANS: C Comfortable shoes with good support will
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1. What are the components of a physical examination? Describe each component. After listening to the patient’s description of the history of the symptoms‚ a physician will conduct a physical examination‚ which includes: Observing the physical signs of a disease and evaluating‚ the physician will talk to Mr. Smith about what he has been experiences. Ask him what his day-to-day lifestyle is and what medications he is on. Mr. Smith was complaining about being tired all the time and that is a symptom
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 1. What has had the greatest impact on reducing infant mortality in the United States? A) Improvements in perinatal care Feedback: CORRECT The improvements in perinatal care‚ in particular respiratory care and care of the mother-baby dyad before delivery‚ have had the greatest impact. B) Decreased incidence of congenital abnormalities Feedback: INCORRECT There has been a decrease in some congenital anomalies such as spina bifida‚ but this is not the greatest impact. C) Better maternal
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temperature is 36.5 °C and her pulse is irregular at a rate of 140 to 150 beats per minute. On physical examination‚ she looks thin‚ frail‚ and rather anxious. Her palms are sweaty and there are fine tremors on extension of both hands. On neck palpation‚ she has a palpable smooth goitre. Examination of the eyes shows bilateral exophthalmos. ECG shows the following; Which of the following has a strong positive correlation with the same type of heart rhythm that this patient has? A. Digoxin blood
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signs and symptoms of congestion are observed. NECK: patient denies pain or discomfort. CARDIOVASCULAR: denies chest pain and palpitations. PULMONARY: denies congestion or cough. No shortness of breath. GASTROINTESTINAL: complain of slight abdominal pain with nausea and vomiting. GENITOURINARY: Denies urinary frequency‚ urgency‚ hesitancy or dysuria and reports not urinating much in the past few days. MUSCULOSKELETAL: Denies any muscle or joint paint and has no recent trauma. DERMATOLOGIC: Skin
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Pharmacology Case Study #1 Name Mississippi University for Women Nu 501 – Advanced Pharmacology 1/22/2010 CC: Pain in left side of face‚ jaw‚ and head x 1 wk HPI: 60 y/o BM with hx of HTN presents with pain on left side of face‚ jaw‚ and head x 1wk. Pt denies any trauma. Reports left facial pain x 1 wk‚ throbbing‚ starts in jaw area and extends to head‚ “8” on pain scale 0 -10‚ pain worsens when eating and drinking‚ especially cold drinks. PMH: Diagnosed with HTN at age
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Introduction For this case study I have chosen three problems which are (i) airway clearance‚ ineffective (ii) breathing pattern‚ ineffective (iii) and pain. (i) Airway clearance‚ ineffective. intervention | rationale | evaluation | Vital signs monitored and recorded every 15 min for 1 hour and then every half hourly. | This is for baseline comparison. | If there is a major difference between the baseline and the other assessments then the nurse would be able to pick it up and act according
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