Scenario R.T. is a 64-year-old man who comes to his primary care provider’s (PCP’s) office for a yearly examination. He initially reports having no new health problems; however‚ on further questioning‚ he admits to having developed some fatigue‚ abdominal bloating‚ and intermittent constipation. His nurse practitioner completes the examination‚ which includes a normal rectal exam with a stool positive for guaiac. Diagnostic studies include a CBC with differential‚ chem 14‚ and carcinoembryonic antigen
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De La Salle University Medical Center Case Protocol: COMPARISON OF THE POSTOPERATIVE ANALGESIC EFFECTS OF INTRATHECAL MORPHINE AND TRAMADOL IN PATIENTS AGED 18-50 YEARS OLD AFTER LOWER ABDOMINAL SURGERY AT DE LA SALLE UNIVERSITY MEDICAL CENTER‚ A RETROSPECTIVE COHORT STUDY Submitted to the Department of Anesthesiology De La Salle University Medical Center In Partial Fulfillment of the Requirements
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The definition of honor is to be highly respected or privileged. To me honor means that you have full respect for someone‚ but if you are the person that is displaying the honor you should have a good attitude‚ a reason for people to want to look up to you‚ and always be accountable. Wilbur and Orville Wright were American inventors and pioneers of aviation. In 1903 the Wright brothers achieved the first powered‚ sustained and controlled airplane flight; they surpassed their own milestone two years
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trachea‚ no LAD‚ no TM‚ no bruits Back: No spinal/CVAT CVS: RRR nl S1/S2 no S3/S4 no murmurs Chest: Lg smooth protruding mass on L chest wall inf-medial to nipple: 3.5cm x 3.0cm x 1.5cm high. Mass is fixed‚ firm‚ smooth‚ nl temp‚ and tender to palpation. There is a faint rose hue inf-med. CTA‚ no dullness Abd: Flat‚ scaphoid‚ nl BS‚ no bruits‚ no HSM‚ no masses‚ nl liver span GU: Nl male‚ nl testes CNS: No focal deficits‚ nl strength-gait Rectal: Nl prostate‚ non tender‚ OB negative. Lymph:
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hypertension and acute abdomen R/O large obstruction secondary malignancy. Surprisingly‚ she was not on any medications‚ therefore‚ my plan for the patient was to obtain vital signs‚ empty urinary bag‚ perform physical assessment but focus mainly on the abdominal area‚ comfort her and document. Feelings Prior to meeting the patient‚ when my preceptor was assigning patients to my group members and I‚ she stated‚ “patient on bed 18 is an interesting case‚” I then replied “okay I’ll take that patient.” I had
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Crespo and Esteve (2001) showed that birds fed tallow presented higher values of SFA‚ mainly mirystic‚ palmitic‚ and stearic acids (C14:0‚ C16:0‚ and C18:0)‚ than those fed olive‚ sunflower‚ or linseed oil. Birds fed with olive oil had a substitution of these SFA (mainly stearic acid) by oleic acid. Thus‚ birds fed olive oil presented the lowest values of stearic acid in all tissues. Birds fed sunflower oil showed higher values of linoleic acid (C18:2 n6) than those fed tallow‚ olive‚ or linseed
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inside the thoracic cavity. 9.)Peritoneum: The membrane located inside the abdominal cavity. 10.)Viscera: The serous membrane that line the organs. 11.) Visceral Pleura: Lines the organs in the thoracic cavity. 12.) Parietal pleura: Lines the walls of the thoracic cavity. 13.) Visceral peritoneum: Covers the surface of the organs in the abdominal cavity. 14.) Parietal peritoneum: Lines the walls of the abdominal cavity. 15.)Pleurisy: A pathological condition characterized by inflammation
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(precipitous or prolonged)‚ Hx of PPH‚ medications (anesthesia‚ recent tocolysis‚ magnesium sulfate‚ induction greater than 15 hours)‚ abruptio placenta‚ placenta previa‚ infection‚ inversion of uterus‚ placenta accrete - increta - percreta * Upon palpation you find that your client’s uterus is above the umbilicus and displaced to the right‚ what is your nursing intervention? ask patient last
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Fears and phobias in general can sometimes rule a person’s life. Something as simple as not drinking out of a pink glass‚ or going on a roller coaster aren’t good examples‚ but a good one is on the T.V. show Fear Factor. For one of the challenges the contestants had to jump off a sixty-foot cliff. For some people who are afraid of heights couldn’t do this task. Their fear of heights would control their decision and cause them to fail in winning the money from the T.V. show. Now a simple competition
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DOI: 10/08/2013. Patient is a 49-year-old female store manager/supervisor who sustained injury to her shoulders and hands when she fell from a ladder. Per OMNI entry‚ she is status post cervical fusion at C5-6 and C6-7 on 05/26/15. MRI of the cervical spine done on 05/15/2014 revealed disc osteophyte disease and C3-C4 through C6-C7. There are varying degrees of spinal canal narrowing and foraminal narrowing. There are also degenerative changes at T2-T3. The patient had C5-C6 interlaminar cervical
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