the enlargement is firm or hard with sharp edges. •Enlarged kidney: Enlarged with hydronephrosis‚ cyst or neoplasm •Aortic aneurysm: >95% are located below the renal arteries and extend to the umbilicus. A focal bulging >5cm is palpable in 80% of cases. You will hear a bruit. Femoral pulses are present but decreased. 1. Select the sequence of techniques used during an examination of the
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Tuesday 14th April 2015 Support Children with Disabilities and SEN Units 215.2.2‚ 215.2.3‚ 215.3.1‚ 215.3.3‚ 215.3.4‚ 215.4.1‚ 215.4.2‚ 215.4.4‚ Implicit 215.4.3 & 215.1.5 Obtain an IEP/EHCP and use it as a case study. You should highlight and annotate certain areas and then complete a reflective account to show how it is used. Give details of: The nature of the particular disability and/or SEN. The special provision required. Where the information comes
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Case control study – A short essay Epidemiologic research encompasses several types of study designs‚ including experimental studies and observational studies. Each type of epidemiologic study design simply represents a different way of gathering and interpreting information. The selection of one design over another depends on the particular research question‚ concerns about validity and efficiency‚ and practical and ethical considerations. Most researchers prefer case control study design over
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Thematic Essay-Supreme Court Cases The outcome of cases that have gone through the United States Supreme Court judicial branch have each had a major impact on how the laws and amendments of the United States Constitution are interpreted. Two cases in particular that expanded constitutional liberties is the case of Engel vs. Vitale (1962) and the case of Tinker vs. Des Moines School District (1969). Not only did both of these cases expand constitutional liberties in general‚ they more specifically
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In my first case‚ I was assigned to call of a suicide involving the husband as the victim and a distraught thirty-five year old wife who was present at the suicide scene. For the purposes of this paper‚ I will refer to her as Lisa. Prior to arriving on scene‚ I conducted a comprehensive background check on Lisa through the local law enforcement agency. I paid particular attention to any drug related arrests‚ crimes involving violence or any mental evaluation holds. This helped me gauge if Lisa
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Tom has been experiencing changes in his sensations due to a recent tumor in the posterior aspect of the spinal cord at C6. Considering that the injury on in the posterior aspect‚ the ascending tract of the dorsal column medial lemniscus (DCML) will be affected. As a result‚ Tom has lost bilateral conscious proprioception‚ vibration‚ discriminative touch‚ and stereognosis‚ which may also lead to sensory ataxia Despite all the sensations that have been affected‚ Tom will have other sensations that
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Anemia is a disease state that is characterized by a reduction of hemoglobin (Hb) or volume of red blood cells (RBC’s). The reduction in Hb or RBC’s leads to diminished oxygen carrying ability of the blood. Many forms of anemia exist – the anemias discussed will be relevant to our patient‚ JJ‚ based on her signs/symptoms and past medical history (PMH). Anemia can be classified based on the appearance or size of the RBC. The size of the RBC can be determined by either calculating the mean corpuscular
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My client Celie is a middle age African American female. She came to therapy because of her history of abuse. She was abused and raped by her Pa‚ who took away her children after they’re born. Eventually‚ Pa married Celie off to a man who is just as abusive as him. Celie’s husband‚ Mr.‚ simply married Celie to take care of his four children‚ look after of his house‚ and work in his fields. Celie’s younger sister Nettie was kicked out the house for not encouraging Mr. sexual advances. Although Nettie
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Jordan was born on November 14‚ 2012 he was born a month early. Being a month early Jordan only weighed 5lbs 12 oz after being born. Even though he was didn’t weigh the weight that the doctors hoped he would he was healthy in all the other aspects of the checkup after birth and released him the next evening. Jordan was a happy baby for the first couple of months he was home when all he did was sleep‚ and eat. Then when it was time for him to start to babble and talk he then started to get upset and
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Study Guide for Exam 1 * What are the risk factors for uterine atony? Loss of uterine tone Overdistention of the uterus (multiple gestation‚ polyhydramnios‚ macrosomia‚ fibroid tumors‚ distention with clots)‚ bladder distention‚ grand multiparity‚ uterine trauma (forceps vacuum‚ c-section‚ cervical biopsy)‚ bottle feeding‚ length of labor (precipitous or prolonged)‚ Hx of PPH‚ medications (anesthesia‚ recent tocolysis‚ magnesium sulfate‚ induction greater than 15 hours)‚ abruptio placenta
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