|ANOKA RAMSEY COMMUNITY COLLEGE – MEDICAL PATHOPHYSIOLOGY CARD | | | |Medical Diagnosis‚ Chronic Illnesses: Appendicitis / Appendectomy
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ER ADMMISION‚ HISTORY AND PHYSICAL EXAMINATION Admitting/ Attending Physician: Alex McClure M.D. Patient name: Benjamin Engel Hart Patient ID: 112592 DOB: 10/5 Age: 46 Sex: Male Date of admission: 11/14/---- Emergency room physician: Alex McClure M.D. Admitting diagnosis: Acute appendicitis. History of present illness: This 46 year old gentlemen with past medical history significant only for the generative disease of bi-lateral hips‚ secondary arthritis presents
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Name of Client: David J General Information: 18yo male‚ currently seeking therapy @ community mental health center following a traumatic accident that ended any possibility for a football career Medical / Physical Health Status: family Dr. stated David possibly has depression as a result of the accident; still recovering from injury Employment/Work History and Financial problems and Support Status: HS drop out; parent’s divorces‚ lives with mother‚ received support from siblings
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How is the space allocated? Where are the offices located? In UMD Urgent care‚ the Williamsburg location has five exam rooms‚ one IV room and one x-ray room. The staff members utilize the doctor’s‚ nurses‚ break‚ lab room. The receptionist desk is located in front of the door. The manager’s office is located behind the receptionist desk. How much space is given to whom? Where are people located? Our five exam rooms and IV room are for our patients. The exam rooms are used to triage‚ treat and diagnose
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Signs: BP T P R Gravida Term Preterm Abortions Living Children LMP EDC GA by dates GA by sonogram Received Prenatal Care? Yes No Where? GA at 1st prenatal visit GA when FHTs first heard Blood Type: Hgb/Hct: Urinalysis: Identified risk factors: Contractions: None Begun Date/Time: Frequency Duration Intensity Membranes: Intact Ruptured Date/Time: Nitrazine: Positive Negative N/A Fluid color: Clear Meconium Vaginal
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CHAPTER I INTRODUCTION The appendix is a closed-ended‚ narrow tube that attaches to the cecum (the first part of the colon) like a worm. (The anatomical name for the appendix‚ vermiform appendix‚ means worm-like appendage.) The inner lining of the appendix produces a small amount of mucus that flows through the appendix and into the cecum. The wall of the appendix contains lymphatic tissue that is part of the immune system for making antibodies. Like the rest of the colon‚ the wall of the
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for Admittance: Wife brought him to the hospital after complaints of severe pain in his abdomen. He was feeling nauseous for a few days prior to the pain‚ but started vomiting yesterday. Case Study: Diagnostics • • • • Abdominal CT Scan CBC CMP Urinalysis Diagnostics: Abdominal CT Scan • Results of the CT scan show that the patient has acute diverticulitis with micro-perforation in the colon. Diagnostics: CBC Admission (High/low/wnl) Day of Care (High/low/wnl Reason for abnormality & Nursing
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J.L. SOAP NOTE Subjective J.L. is a 63-year-old white female who presented to the ER with right lower extremity pain and swelling with subsequent changes to the skin‚ including formation of bullous ulcers. She had blistering over the past four days that started to enlarge. The doctor prescribed her Bactrim. Erythema‚ swelling‚ and pain progressively got worse. She denies any fever or chills. PMH: COPD‚ Hypertension‚ Diabetes mellitus‚ Osteoporosis‚ Fibromyalgia‚ Osteoarthritis‚ Morbid obesity
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Trauma-informed care was one concept which agencies can implement into their practices‚ training‚ policies‚ and procedures to help minimize the effects of stigmas towards clients who are presenting with co-occurring mental health and substance use disorders with a presence of trauma. Harris and Fallout (2012) outline a trauma theory to help agencies create a trauma-informed practice which can help agencies provide client-centered substance use treatment. For substance use treatment‚ Harris and Fallout
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HLTEN611B – Apply Principles of Diabetic Nursing Care Assessment 1 – Case Study James is 18 years of age and has just presented (with his parents) to his GP with a 2 week history of extreme fatigue‚ polyuria‚ polydipsia‚ and weight loss. His random BGL is 41mmol/l and his blood ketones show 3.2mmol/l. His GP has diagnosed Type 1 diabetes with DKA and has sent him to the emergency department to see an endocrinologist at your public hospital‚ St Health Skills. The endocrinologist has decided on
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