Diagnosis (es): Sacral decubitus ulcer‚ polymicrobic sacral osteomyelitis Past Medical History (including past surgical history): Illnesses include: 1) Renal insufficiency 2) Anemia 3) hyperthyroidism 4) CHF 5) Dementia 6) hypertension 7) Atrial fib 8) MI 9) atherosclerotic heart dysfunction 10) diastolic heart dysfunction 11) remote history of subdural hematoma 12) Hyperlipidemia 13) osteoarthritis 14) Neuropathy Surgeries include‚ but no dates are given via the patient: 1) left hip
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Abstract: Echocardiogram (ECHO) is an essential tool for diagnosis‚ evaluation‚ and management of valvular heart disease (VHD). There is an increasing population with valvular heart disease with the advent of advanced medical therapies. The burden of problem is still secondary to rheumatic and degenerative heart disease. In year 2014‚ the American Heart Association released new guidelines for the management of VHD. They recommend classifying VHD to stages of progression similar to Heart Failure (Table
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The interviewer explained that the purpose of this meeting was to discuss information regarding the extended family for the purpose of constructing a genogram and ecomap. The interviewer explained to the interviewee that a genogram‚ “provides rich data about relationships over time and may also include small amounts of data about health‚ occupation‚ religion‚ ethnicity‚ and migrations (Wright & Leahey‚ 2013‚ pp. 77). The purpose of the ecomap was explained as‚ “to depict the family members’ contact
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Hypertropic Cardiomyopathy In 409 B.C. Pheidippides‚ a Greek soldier and a conditioned runner ran from Marathon to Athens‚ a distance of 26 miles‚ to announce military victory over Persia. After delivering his message he collapsed and died. Pheidippides is the earliest athlete documented to die from sudden cardiac death. Today heart diseases such as‚ hypertrophic cardiomyopathy ‚ idiopathic left ventricular hypertrophy and congenital coronary artery anomalies‚ are the most common diseases that
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Abstract With the advances in technology over the past 10 years‚ medical monitoring has advanced from wired monitors‚ such as with diabetes patients‚ who must manually input their glucose levels into an insulin pump attached to the belt to the wireless NUVANT Mobile Cardiac Telemetry System for patients with cardiac arrhythmia. This device allows the patient to record his heart rhythms and upload them to a wireless transmitter‚ which then send the data to the doctor. Other advances in medical monitoring
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edge‚ a third degree systolic murmur above the lower sternum‚ and a blood pressure of 80/60 mmHg. The electrocardiogram showed signs of right ventricular overload. The patient was known with arterial hypertension form 2009‚ had an episode of atrial fibrillation and deep vein thrombosis of the right calf in 2005 and had a hip replacement
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mEq/kg (ie‚ approximately 3500 mEq in a 70-kg person). Hypokalemia is defined as a potassium level less than 3.5 mEq/L. Moderate hypokalemia is a serum level of 2.5-3 mEq/L. Severe hypokalemia is defined as a level less than 2.5 mEq/L. Pathophysiology Hypokalemia may result from conditions as varied as renal or GI losses‚ inadequate diet‚ transcellular shift (movement of potassium from serum into cells)‚ and medications. Frequency United States As many as 20% of hospitalized patients are
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Obstructive sleep apnea (OSA) is a sleep disorder that if left untreated can result in death. According to a recent journal article‚ “up to 93% of women and 82% of men may have undiagnosed moderate to severe OSA” (Park MD‚ Ramar MD‚ Olson MD‚ 2011‚ p. 549). OSA is characterized by pauses in breathing or shallow breathing during sleep. These are called apneas and hypopneas. A recent journal article published by the Mayo Clinic defined OSA as “a disorder in which a person frequently stops breathing
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PART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department‚ hospital Index Words: heart failure (HF)‚ cardiomyopathy‚ volume overload‚ quality of life X Scenario M.G.‚ a “frequent flier‚” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating‚ “I just had to come to the hospital today because I
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following assignment I will be reviewing the evidence relating to the use of milrinone‚ a phosphodiesterase inhibitor that is commonly used to increase cardiac output in children after cardiac surgery. I will focus on LCOS in children and the pathophysiology surrounding this. I will also examine the biological action of milrinone and how it has been shown to increase cardiac output in children after
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