Achalasia Case Study

Task analysis is the process of obtaining information about a job by determining the duties, tasks, and activities involved and the knowledge, skills, and abilities required in performing each task. There can be broken down into six

Eight-year-old B.J. has had asthma for 2 years since he had acute bronchitis. He was tested for allergies and demonstrated marked responses to a number of animals, pollens, and molds. B.J. also has a history of asthma related to exposure to very cold weather.

In an emergency situation, why is a drug most commonly delivered via injection versus an oral route?

What are the uses of drugs used to treat lower respiratory tract disorders: sympathomimetics, anticholinergics, inhaled steroids, lung surfactants, and mast cell stabilizers?

This is 37 year old white male. Patient reports history of asthma, but unable to get his inhaler because of his current homeless situation. Patient reports his asthma is mild and well controlled at this time, he may use his inhaler 1 -2 time per month as needed. Patient has chronic bilateral knee joint pain, and lumbar neuopath. Patient is a non-tobacco user, denies use of alochol or illicit drug use. Patient denies chest pain, SOB N/V/ D, or fever.

You make an excellent point by mentioning the effects of the exposure on those who have conditions such as respiratory illnesses and asthma. In addition to your thoughts, the National Resources Defense Council states, “Roughly thirty percent of childhood asthma is due to environmental exposures, costing the nation two billion per year” (2014). Additionally, people who have not been diagnosed with asthma are said to develop constricted and swollen airways after environmental exposures. Taking into consideration the case that occurred in Kingston, Tennessee, I would conclude that respiratory illnesses soared directly following the incident. In your opinion, what would be the best intervention to alleviate the consequences of the coal

Achalasia is a rare disease of the muscle of the esophagus (swallowing tube). The term achalasia means "failure to relax" and refers to the inability of the lower esophageal sphincter

Long term goal: Blood gas analysis results will be within normal limits by discharge. 1). Patient

The patient tells me her symptoms started last Thursday. She started with a cough and she is also noticing some congestion and her ears are feeling blocked. That is a newer symptom for her. She has had a sore throat, but she is not sure if it is truly a sore throat or whether it is just from her coughing. She has not checked her temperature, but has felt chilled and achy at times, but is not sure if she has had a fever. She has also been taking Advil. She does not feel short of breath, but the cough is keeping her up at night. She does not have a history of asthma. She does not use inhalers on a regular basis. About a month and a half ago, she had some

Achalasia is a remarkable oesophageal motility issue with a frequency of around 1/200,000 and a predominance of roughly 1/10,000, portrayed by dysphasia and, once in a while, mid-section torment, spewing forth, goal pneumonia and weight reduction The infection can happen at any age however it is generally analyzed somewhere around 30 and 60 years. 11. Vaezi MF, Richter JE. Current therapies for achalasia: comparison and efficacy. J Clin Gastroenterol.1998;27: 21Esophageal achalasia is an uncommon neuromuscular issue described by degenerative changes of mesenteric plexus prompting a particular loss of inhibitory nerve

A 62 years old male who was scheduled for emergency orthotropic liver transplantation because of hepatitis C cirrhosis, hepatocellular carcinoma and end stage liver disease. He had history of remote tonsillar cancer for which he underwent extensive surgical resection including part of his tongue as well as a skin and arterial graft from his left arm to his posterior pharynx. This was followed by radiation therapy which is associated with ongoing hemoptysis. On Examination, he is thin. Examination of his airway was concerning for an extremely limited mouth opening, and very limited neck extension. His thyromental distance also short and his throat was quite woody in that area. He had only 18 mm of inter-incisal mouth opening with muscle spasm.

D-The patient was placed on HOLD to meet with this writer for counseling session. Reports stable on his dose and denies the need for a dose increase when offered. The patient admits to using heroin last night-1 bag by inhalation due to stressors in his life. This writer discussed the stressors in the patient life, referring to his family, transportation issue, and lack of recovery support. Alternatives and suggestions were discussed. This writer addressed with the patient that if he continues with his AWOLs, it will lead to a treatment violation. The patient understood this writer's position and says, " I am trying, but its hard, you know. I hope Logisiticare sends me the metro cards."

I have caught up with Ray around three months since the last appointment. Since that time, Ray believes his cough has increased and is essentially back to how it was prior to commencing inhaled steroids. He continues to produce small amounts of thick clear phlegm in the absence of reflux or sinus symptoms. Again, he is reporting some wheeze which only occurs when there is mucus build-up in his airways. Chest auscultation today is clear.

Much regret that our EAST MALAYSIA exposure has been all along slow and low in performance.

Background: Chronic cough (CC) is not uncommon condition that impacts on patient’s quality of life, physical and psychosocial status. There are various causes of CC i.e., tobacco smoking, air pollution exposure, chronic pulmonary infection, asthma, chronic obstructive pulmonary disease, gastroesophageal reflux disease, postnasal drip syndrome and rhinosinusitis. Interestingly, the recent publication demonstrated that weak peristalsis with large breaks (WPLBs) which is one of the esophageal dysmotility was remarkably found in patients with