Objectives: Retrospective case discussion of a patient who was empirically treated for spinal gout and review of relevant literature. that presented with lower extremity weakness Results: A 77 year old male presented with new onset paraparesis that developed over 3 days. CT and MRI imaging was suggestive of spinal gout but patient refused a spinal biopsy. He was empirically treated with high dose steroids and his lower extremity weakness started improving in 3 days. Conclusion: Although gout is common
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seizure if the child is paying room and board making schools safe school partnerships with criminal and juvenile justice systems searches and seizures in schools Vernonia school district vs Acton random drug testing on athletes –urinalysis Pottawatomie vs Earls drug tests for any extracurricular activities New Jersey vs TLO School officials only need reasonable doubt to search belongings and person Can get dog to sniff exterior of car or look from outside of car
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Health Hazards in the Homeless Community The importance of writing this paper is to bring awareness about the health hazards that the homeless community go through due to them not having the supplies or facilities to accommodate their needs to maintain their health. The homeless people are placed at a risk for diseases and other serious illnesses due to them not having access to a sanitary place or shelter or have many proper meals. In order to educate people on the importance of health risks as
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of the National Confidential Enquiry into Patient Outcomes and Death (2009) whereby AKI affect one in five emergency adult hospital admissions‚ and costing the NHS an estimated £1.02 billion. Gerald was immediately transferred to the renal ward. Urinalysis showed presence of protein and blood‚ which are bio-markers of AKI (Han et al‚ 2014).Electrocardiogram (ECG) showed changes‚ including peaked-T waves‚ indicative of hyperkalemia (Parham et al‚2006) and arterial blood gas analysis showed potassium
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APPENDICITIS INTRODUCTION Appendicitis is an inflammation of the appendix‚ a three and a half inch long tube of tissue that extends from the large intestine. No one is absolutely certain what the function of the appendix is. Appendicitis is a medical emergency that requires prompt surgery to remove the appendix. Left untreated‚ an inflamed appendix will eventually burst or perforate‚ spilling infectious materials into the abdominal cavity. This can lead to peritonitis that can be fatal unless
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Acute Renal Failure Acute kidney failure occurs when your kidneys suddenly become unable to filter waste products from your blood. When your kidneys lose their filtering ability‚ dangerous levels of wastes may accumulate and your blood’s chemical makeup may get out of balance. Acute kidney failure — also called acute renal failure or acute kidney injury — develops rapidly over a few hours or a few days. Acute kidney failure is most common in people‚ who are already hospitalized‚ particularly in
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Kwashiorkor is a disease that is caused by malnutrition when there is not enough protein in the diet. Other names for Kwashiorkor are protein malnutrition‚ protein-calorie malnutrition‚ and malignant malnutrition (Kwashiorkor‚ 2011). Kwashiorkor is most common in areas where there is famine‚ limited food supply‚ and low levels of education. This disease can occur when people do not understand how to eat a proper diet. In very poor countries‚ this disease is more common. Often Kwashiorkor occurs during
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Chapter 6 – Case Study 1 Mr. E.‚ age 53‚ has a history of alcoholism and came to his physician because of recent anorexia‚ nausea‚ and diarrhea‚ as well as heart palpitations and fatigue. He has been taking his diuretic tablet‚ but not his vitamin and mineral supplement. An ECG and blood tests indicate hypokalemia. Discussion Questions 1. Discuss the possible factors contributing to his electrolyte imbalance and the rationale for his signs and symptoms. 2. What are the signs of hypokalemia and
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DISCHARGE SUMMARY Jennifer Summers November 22‚ 2014. PROBLEMS LIST 1. Metastatic ovarian cancer with ascites. 2. Gait disturbance. 3. Status post-thyroidectomy for follicular carcinoma. 4. Depression. 5. Peptic ulcer disease. 6. Degenerative arthritis of cervical lumbar spine. 7. Osteopenia of spine and hip. BRIEF HISTORY A 93-year-old white female was admitted with abdominal swelling and suspected intra-abdominal bleeding. The patient has been followed in my practice. She had underwent a totally
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In 1987‚ a Conrail engineer‚ who had been smoking marijuana‚ caused train collision in which 16 passengers were killed and 176 people were injured. Also‚ in 1989 the Exxon Valdez accident‚ Captain Joseph Hazelwood announced the worst oil spill in US history. There was huge loss of animal life and destruction to economic and social fabric in Alaska. Alcohol was partly responsible for this tragedy. Such accidents caused the Department of Transportation to test employees in safety sensitive transportation
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