1. LOCATION: Inpatient‚ Hospital PATIENT: Margaret Hill ATTENDING PHYSICIAN: Ronald Green‚ MD SURGEON: Gary Sanchez‚ MD PREOPERATIVE DIAGNOSIS: Chronic cholecystitis and cholelithiasis POSTOPERATIVE DIAGNOSIS: Chronic cholecystitis and cholelithiasis PROCEDURE PERFORMED: Laparoscopic cholecystectomy INDICATION: Mrs. Hill has been having RUQ pain with nausea and vomiting and diarrhea. The patient was found to have chronic cholecystitis with cholelithiasis and she was taken to the operating room. PROCEDURE:
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debridement therapy. Thomas S. J Wound Care. 2006 Nov; 15(10):465-9 3. The cost effectiveness of larval therapy in venous ulcers. Wayman J‚ Nirojogi V‚ Walker A‚ Sowinski A‚ Walker MA. J Tissue Viability. 2000 Jul; 10(3):91-4. FIGURE/VIDEO CAPTIONS figures should NOT be embedded in this document Figure 1: The Initial examination of the right leg on admission reveals mixed (venous and arterial) extensive necrotic ulceration with superadded cellulitis. Figure 2: Right leg post-surgical debridement
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at the hospital they discovered the Lipa’s were part of the Romany Society and they had strong ties to the culture. Dr. House handled the testing and case reviews. Dr. House suggested that it was a Venous System low-pressure blood leak. The MRI testing didn’t reveal and leakage in the Venous System. This left the team and Dr. House baffled. As the team was still trying to figure out what was wrong with Stevie he continued having symptoms of
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arteries‚ veins‚ and capillaries. The heart arteries and capillaries in the pulmonary and systemic circuits normally contain30 percent of blood volume like 1.5 liters of whole blood. And the venous system contains the rest 65-70 percent and that’s about 3.5 liters. One third roughly of the blood in the venous system is circulating within the liver‚ bone marrow and skin.
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SCALP Layers:- * (S) Skin:- * Contains hair follicles which makes it hairy. * Has numerous sebaceous glands. * (C) Superficial fascia * Connects skin to the epicranial aponeurosis. * Provides an easy passage for blood vessels. * This layer is fibrous and dense in the middle and thin at the periphery. * Swelling in this part is not profuse but very painful. * Injury to the head till this layer causes profuse bleeding which can be stopped by
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After noting a pulse deficit when assessing a patient who has just arrived in the emergency department‚ the nurse will anticipate that the patient may require A) a. a 2-D echocardiogram. B) b. a cardiac catheterization. C) c. hourly blood pressure (BP) checks. D) d. electrocardiographic (ECG) monitoring. | D electrocardiographic (ECG) monitoring. | When reviewing the 12-lead electrocardiograph (ECG) for a healthy 86-year-old patient who is having an annual physical examination‚ which of the
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H1N1 Medical Report on Swine Flu Table of Contents: Introduction......................................................................Pg.3 Health Risks: Case Study One.................................................................Pg.4
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1 Discuss in general which assessment findings would alert you to the need for immediate intervention. (When you notify a physician immediately‚ or call the rapid response team). You notify the physician or rapid response team in early clinical changes in condition that occur in most patients for up to 48 hours before a code blue. Therefore observe for‚ document‚ and communicate early indicators of patient decline‚ including decreasing blood pressure‚ increasing heart rate‚ decreased respirations
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blood pressure was noted‚ dropping from 110/72 to 90/60‚ as well as a decreased heart rate‚ from 86 to 54 beats per minute. As damage to the spinal nerve tracts occur‚ system vasomotor tone is often loss‚ leading to vasodilation‚ and a decrease in the venous return rate (Hung‚ 2009). These factors decrease cardiac output‚ thus decreasing the blood pressure and heart rate (Young‚ 2010). A drop in the heart rate and blood pressure is known collectively as neurogenic shock (Hung‚ 2009). A decrease in cardiac
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JUGULAR VENOUS PULSE Stethoscope how to listen to heart sounds- use bell (LOW PITCH) DIAPRAGM 1ST !!( HIGH PITCH) Diaghram in a Z PATTERN BASE OF HEART‚ACROSS‚ DOWN‚ APEX. TUNE OUT DISTRACTIONS‚ CLOSE EYES ‚ CONCENTRATE‚‚LISTEN TO 1 SOUND AT A TIME. Area of palpation of apical impulse-midclavicular line‚ 5th intercostal space‚ almost under left nipple. Estimate the Jugular venous pressure-USE ANGEL OF LOUIS(STERNAL ANGLE) AS A REFERENCE POINT‚ AND COMPARE WITH HIGHEST LEVEL OF VENOUS PULSATOIN
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