Patient Name: Putul Barua Patient ID: 135799 Room No.: CCU-4 Date of Admission: 01/07/2014 Date of Death: 01/15/2014 at 0041 hours Admitting Physician: Simon Williams‚ MD of pulmonology Consultants: J.k. McClain‚ MD of cardiology Trevor Jordan‚ MD of nephrology This 42 year old gentleman was admitted on January the 7th and expired on January the 15th. He was admitted with progressive tachycardia‚ hemoptysis. Please see his admission history and physical exam for details
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Admission: 06/22/…. Admitting Physician: Leon Medina‚ MD Internal Medicine Admitting Diagnosis: Stomatitis possibly methotrexate related. Chief Complaint: Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately two weeks ago she developed a respiratory infection for which she received antibiotics
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Physical examination Definition A physical examination is the evaluation of a body to determine its state of health. The techniques of inspection include palpation (feeling with the hands and/or fingers)‚ percussion (tapping with the fingers)‚ auscultation (listening)‚ and smell. A complete health assessment also includes gathering information about a person’s medical history and lifestyle‚ conducting laboratory tests‚ and screening for disease. These elements constitute the data on which a diagnosis
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HISTORY AND PHYSICAL EXAMINATION Patient Name: Adela Torres Patient ID: 132463 RM #: 541 Date of Admission: 06/22/---- Admitting Physician: Leon Medina MD‚ Internal Medicine Admitting Diagnosis: Stomatitis‚ possibly methotrexate related CHIEF COMPLAINT: Swelling of lip causing difficulty swallowing HISTORY OF PRESENT ILLNESS: This patient is a 57 yr. old‚ Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient
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HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Chapman Robert Kinsey Patient ID: 110589 Room No.: 322-B Date of Admission: 23 February ---Admitting Physician: Martha C. Eaton‚ MD‚ Geriatrics Chief Complaint: Admitted from Dr. Max Hirsch’s office due to deep ulcer on left toe. Admitting Diagnoses 1. Severe peripheral vascular disease‚ status post deep ulcer on left toe. Rule out thrombolysis. The patient was admitted to a regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN
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HISTORY AND PHYSICAL EXAMIATION OR EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seggerman Patient ID: 903321 Room No.: Date of Admission/ Date of Arrival: 3/27 Admitting/ Attending Physician: Alex McClure‚ MD Admitting Diagnosis: Ectopic Pregnancy Chief Complaint: Lower Abdominal Pain HISTORY OF PRESENT ILLNESS: The patient states that she has been having some vaginal bleeding‚ more like spotting over the past month. She denies the chance of pregnancy although she states
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Essay 9 When might a physical or mental examination be requested? Demonstrate these possibilities in a small fact pattern for each way. (This essay needs to be 2+ pages long) First‚ we all know that physical and mental examinations are often used in personal injury cases. In some cases the physical or mental condition of a party can be very important in establishing the personal liability of the defendant or in determining the extent of the injuries suffered by the plaintiff. I will later provide
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HISTORY AND PHYSICAL Patient Name: Adela Torres Patient ID: 132463 Room No.: 541 Date of Admission: 06/22/---- Admitting Physician: Leon Medina‚ MD Admitting Diagnosis: Stomatitis‚ possibly methotrexate related. CHIEF COMPLAINT: Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many
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still face the fight against the condition due to its underdiagnosis and undertreatment. It is worth noting that with careful physical examination and evaluation of disease history‚ unnecessary diagnostic procedures and the need for expensive equipment can be avoided. Given the rising concern about childhood obesity‚ this paper will discuss several issues. These include the history‚ epidemiology‚ etiology‚ course and prognosis onset‚ and how the disorder is represented in the DSM IV TR with its associated
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Health History and Examination Health Assessment of the Head‚ Neck‚ Eyes‚ Ears‚ Nose‚ Mouth‚ Throat‚ Neurological System‚ and the 12 Cranial Nerves Skin‚ Hair‚ Nails‚ Breasts‚ Peripheral Vascular System‚ Lymphatics‚ Thorax‚ Heart‚ Lungs‚ Musculoskeletal‚ Gastrointestinal‚ and Genitourinary Systems Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include relevant data for your client. Student Name: Date: Client/Patient Initials:
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