II. HISTORY OF PRESENT ILLNESS Three days prior to admission‚ the patient suffered from fever‚ cough‚ and colds. He didn’t receive any medications or even consulted a physician. One day prior to admission‚ he suffered difficulty of breathing which triggered his parents to bring him to the hospital. They went first in the OPD and he was assessed with (+) head hobbing‚ (+) nasal flaring‚ and (+) rales. He was admitted at the PICU ward for further evaluation. Through the diagnosis
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2.6 hours Continuing Education By Susan Corbridge‚ PhD‚ APN‚ ACNP‚ AE-C‚ and Thomas C. Corbridge‚ MD‚ FCCP ASTHMA in Adolescents and Adults Guideline-based diagnosis and management. A 24-year-old woman presents to an NP‚ reporting a two-year history of episodic cough‚ chest tightness‚ and shortness of breath. (This patient is a composite of several cases we’ve encountered in our practice.) Over the past three months‚ episodes have become slightly more frequent‚ occurring on an average of
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increase in cost to the hospital and patient as well as an increased length in hospital stay and the administration of unnecessary antibiotics. The Center for Medicare Services (CMS) has recently implemented a core measure for Community Acquired Pneumonia (CAP). This new guideline states that blood cultures are to be obtained prior to the administration of antibiotics for all patients suspected of or diagnosed with CAP. Furthermore‚ this requirement states that the first antibiotic is to be administered
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INTRODUCTION : I hereby present to you a case study on pulmonary embolism( PE)‚ in which includes details of the patient ‚ current problems and management taken place while caring for the patient . Present compalints: A 65 year old female with chest pain‚ acute shortness of breath‚ cough and swelling on the surgical limb. Detail history of presenting complaints: Mrs Blue‚ a 65 year old female who presents with chest pain and shortness of breath‚ underwent bilateral total knee replacement
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Main image ©Muratseyit/istockphoto Pathogenesis and diagnosis of bronchiectasis Educational aims To describe the important factors involved in the pathogenesis of bronchiectasis. To define how a diagnosis of bronchiectasis is made. P.T. King1 E. Daviskas2 1 Dept of Respiratory and Sleep Medicine/Dept of Medicine‚ Monash Medical Centre‚ Melbourne‚ and 2Dept of Respiratory and Sleep Medicine‚ Royal Prince Alfred Hospital‚ Sydney‚ Australia. Summary Bronchiectasis is an important
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Nursing Diagnosis: Airway Clearance‚ ineffective May be related to Tracheal bronchial inflammation‚ edema formation‚ increased sputum production Pleuritic pain Decreased energy‚ fatigue Possibly evidenced by Changes in rate‚ depth of respirations Abnormal breath sounds‚ use of accessory muscles Dyspnea‚ cyanosis Cough‚ effective or ineffective; with/without sputum production Desired Outcomes Identify/demonstrate behaviors to achieve airway clearance. Display patent airway with breath sounds clearing;
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MANAGEMENT OF BREATHLESSNESS IN LUNG CANCER Breathlessness is one of the most common symptoms of advanced cancer‚ particularly lung cancer. Reported incidence varies between 30% - 70%(J. Carner).30% of all the patient experience it during some part of their illness and it goes as high 79% with lung cancer. (Mora Kearney). Despite being prevalent it is most of the time not recognised by the health professional‚ when it is really serious. May be due to the fact that patient sometimes do not come
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DEATH SUMMARY Patient Name: Putul Barua Hospital No.: 135799 Room No.: CCU-4 Admitted: 01/07/2010 Deceased: 01/15/2010 at 0041 hours Admitting Physician: Joshua Stephen Gatlin‚ MD This 42-year-old gentleman was admitted on January 7th and died on January 15th. He was admitted with progressive cardiac palpitations‚ hemoptysis‚ and dyspnea. Please see his admission history and physical theme for details. HOSPITAL COURSE: Mr. Barua’s hospital course was characterized by a progressively
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Do you remember when you went to the doctor to get your vaccines? The contents within that big pointy needle is just what your body needs to fight off infections such as influenza‚ or better known as the flu. Influenza is an infection that affects your respiratory systems such as your throat‚ nose‚ and lungs. This infection could cause a mild to severe illness that could kill you. So it is very important to get your flu shots every year. Every year there is always a new flu shot‚ so which year was
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Introduction: Lidocaine hydrochloride a local anaesthetic drug is widely used in skin anaesthesia. Rapid achievement of dermal anaesthesia without discomfort and pain is both disusable and difficult. Also the topical delivery of the drugs reaches the systemic circulation only in sub-therapeutic concentrations due to poor permeation and immiscible nature of the drug at skin pH. These limitations can by overcome by iontophoresis technique. Objective: The aim of the present study is to develop the invitro
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