West Virginia University at Parkersburg Nursing 131 – Physical Assessment Case Study – Cardiovascular Disease Nancy Riverhawk is a 75-year-old woman who presents to the provider’s office with fatigue. Subjective Data PMH: HTN‚ hyperlipidemia‚ MI 3 years ago Fatigue started about 1 month ago‚ getting worse Relieved with rest‚ exacerbated with activity Denies pain chest Ankles swollen Objective Data Vital signs: T 37‚ P 112‚ R 18‚ BP 110/54 Lungs: bilateral lower lobe crackles
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INTRODUCTION Post-traumatic lung herniation can occur immediately after chest trauma or it may appear months or years after onset. CASE REPORT A seventeen-year-old male patient presented with thoracic blunt trauma secondary to a high-energy bicycle accident. The chest CT showed moderate hemothorax‚ pneumothorax‚ a displaced fracture of the fifth left rib‚ and protusion of pulmonary tissue through the chest wall. The patient presented with chest pain (7/10 on the Visual Analog Scale) and shortness
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HISTORY AND PHYSICAL EXAMINATION or EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Putul Barua Patient ID: 135799 Age: 42 Sex: M Room No.: CCU4 Date of Admission: 01/07/---- Admitting Physician: DR. Simon Williams‚ MD Chief Complaint: Tightness in the chest‚ shortness of breath‚ fast heart rate. ADMITTING DIAGNOSIS 1) Rule out myocardial infarction 2) History of TB 3) Hemoptysis 4) Status post embolectomy HISTORY OF PRESENT ILLNESS: Mr.
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Abesamis‚ Ma. Regina R. March 9‚ 2011 SOCTEC NO2 What is the purpose of medical diagnosis? Are outcomes of diagnosis always accurate/objective? If not‚ what are the possible limitations of diagnosis as a form of knowledge production? Basically‚ the purpose of medical diagnosis is to determine the illness of the patient. It is based on the clinician’s judgment on what is the patient’s condition. A diagnosis is only formed when enough data are required. There are many types of data
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Tuberculosis is an infectious disease that triggers the formation of small swellings on mucous membranes. The disease itself is caused a bacillus called Mycobacterium tuberculosis and mainly affects the lungs‚ however the central nervous system‚ the lymphatic system‚ the circulatory system‚ the genitourinary system‚ bones‚ joints and even the skin also has a chance of being affected. Our body’s immune system responds to this infectious disease by having a group of white blood cells to try to identify
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CONDITION TABLE ASSIGNMENT #3 CONDITION | DEFINITION | SIGNS & SYMPTOMS | DIAGNOSTIC TESTS | 1. Diabetic Retinopathy | A damaged blood vessel of the retina. This is caused by diabetes. | Blurred vision‚ slow vision‚ shadows or missing areas of vision‚ and trouble seeing at night. | Dialation of the pupils with eye drops and then carefully examining the retina. | | 2. Meniere‚s Disease | An inner ear disorder that affects balance and hearing. | Drop in hearing‚ pressure in the ear
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Hospital acquired infections (HAI) are‚ quite simply‚infections that are acquired whilst one is in hospital. In medical literature they are called Nosocomial infections. They are defined as not being present upon admission to the hospital. This topic is important to nurses as it is often the nurses who spread the infection‚ when caring for patients with many different diseases and infections. Therefore nurses should be aware of new developments and research on the topic of reducing hospital acquired
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Anatomy of the lungs: The lungs are in the thoracic cavity on either sides of the heart and are cone shaped. Each lung is divided into superior and inferior lobes. The right lung also has a middle lobe on top of those two. They are spongy air filled organs. The trachea‚ which is also referred to as the windpipe‚ conducts air into the lungs through the bronchi. The bronchi are further divided into smaller branches called bronchioles. Those then end in clusters of microscopic air sacs called alveoli
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HISTORY AND PHYSICAL EXAMINATION or EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Putul Barua Patient ID: 135799 DOB: 1970 Age: 42 Sex: Male Room No.: CCU 4 Date of Admission/Date of Arrival: 01/07/2012 Admitting/Attending Physician: Simon Williams‚ MD Admitting Diagnosis: 1. Rule out myocardial infarction. 2. History of TB 3. Hemoptysis. 4. Status post embolectomy. Chief Complaint: Tightness in the chest‚ shortness of breath‚ fast heart rate. HISTORY OF
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A 62-year old diabetic black man presents in the emergency room with a swollen left leg with areas of blanching and blue mottling. A "foul odor" is coming from a dressed wound. The physicians remove the dressing and a brownish fluid is seeping from a wounded area. The fluid contains what appear to be small bits of the tissue. No pus appears to be present. The wound has a strong "rotten" odor. Five days earlier‚ while at his work as a farmer‚ he caught the leg in his manure spreader‚ sustaining a
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