Congested Heart Failure (adapted from McGraw Hill Case Studies) Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington‚ a 74-year-old woman with a history of rheumatic fever while in her twenties‚ presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she’s had in her ankles for years has started to get worse over the past two months‚ making it especially
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Dengue Hemorrhagic Fever Those cases with gross hemorrhages. A severe illness characterized by abnormal vascular permeability‚ hypovolemia and abnormal blood clotting mechanism Causative Agent * 4 serotype of the dengue virus (1‚2‚3 and 4 Group B Arbovirus) * the 4 viruses are antigenically close to each other however‚ they only give partial cross protection after being infected by any of them Aedes Aegypti Bite of the Female Aedes Aegypti (day biting‚ low flying‚ breeds in stagnant water
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Student- Vu Le SOAPE NOTE (Diabetes Case 2) Subjective: 1. Chief Complaint: CT is a 77 year old African American woman who comes into the clinic for her diabetes. 2. History of Present Illness: CT is coming to clinic today to seek help in controlling her diabetes. Objective: 1. Past Medical History: • Diabetes Mellitus Type 2 for the past 40 years • Hypertension for the past 45 years • Chronic Kidney Disease for the past ten years with neuropathy • Myocardial Infarction in the year 2010 2. Family
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Urinary System: Anatomy Review 1. Name the organs in the urinary system: 1. 2 kidneys 2. 2 ureters 3. bladder 4. uethra 2. The kidneys are retroperitoneal (behind the peritoneum)‚ lying against the dorsal body wall in the upper abdomen. 3. The adrenal gland sits atop the kidneys. Blood vessels enter and leave the kidney at the renal cortex. 4. The functional units of the kidney are the nephrons. They are called renal pyramids if they are located mainly in the cortex. They are called renal
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ASSIGNMENT # 1 1. Adam Smith‚ 77 years of age‚ is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish‚ yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient
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DQ 3 Heart failure is a condition in which the heart does not pump enough blood to meet the needs of the body’s tissues. Heart failure that develops slowly over time is usually a result of other conditions. Conditions such as high blood pressure‚ coronary artery disease‚ serve lung disease‚ diabetes‚ obesity‚ thyroid disorders‚ life style reasons‚ gender and even ethnicity. These types of conditions tend weaken and damage the heart over time Heart Failure can also occur suddenly as the result of
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[31] The table below is a review of five studies and their findings on the clinical uses of loop diuretics and their effects on mortality rates in AKI. All five studies used furosemide‚ but a variety of doses were used‚ with maximal daily doses ranging from under 1g to 3.2g.[31] It shows inappropriate use of loop diuretics may exacerbate renal hypoperfusion through vasodilatation and excessive diuresis resulting in worse outcomes
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coming to ER History & Physical 6. SOB Shortness of Breath Having difficulty breathing History & Physical 7. mg Milligram 1/1000 of a gram Takes 25mg Capoten by mouth 3X’s a day Medications/ History & Physical 8. po Peri/osteum Takes Furosemide 40mg by Mouth daily Medications/ History & Physical 9. tid times interval difference Takes 25mg Capoten by mouth 3X’s a day Medications/ History & Physical 10. qd quantum dot Administer MOM 30cc daily by mouth as needed Medications/ History
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Hydrocephalus is derived from the Greek word –hydro which means water‚ and cephalus meaning head. Hydrocephalus is also known as water head baby‚ which is water on the brain. Hydrocephalus is medical condition that 1 out of 500 babies are born with. The first thing that comes to a parent mind when having a baby is whether it will be healthy or not. Hydrocephalus is a medical condition in which‚ there is an abnormal buildup of cerebrospinal fluid (CSF) in the cavities (ventricles) of
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PART 1 Exam #1 Review Renal Overview: * Renin-angiotensin aldosterone system (RAAS) regulates renal blood flow. * ACUTE RENAL FAILURE -rapid decline in renal function with progressive azotemia. * AZOTEMIA An excess of metabolic waste products in the blood Urea Nitrogen and Creatinine * OLIGURIA Urine Volume less than 400CC/24 hours for a non-trauma‚ non-surgical adult. * ACUTE TUBULAR NECROSIS (ATN) Clinical syndrome of ARF secondary to ischemia or toxic injury
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