Acute Respiratory Distress Syndrome and Primary Care Physician

HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis, presents to the emergency room after having had three days of abdominal pain. It initially started three days ago and was a generalized vague abdominal complaint. Earlier this morning, the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o. earlier around

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.

We then look at the errors of hazards that occurred in the Mr. B scenario.  Though we can say understaffing may have contributed to Mr. B’s demise, we cannot blame understaffing. This scenario is regrettably connected to inattentive nursing practice. It is clear that respiratory therapist was in the building and

In the article, Acute lung injury and acute respiratory distress syndrome: Two challenging respiratory disorders, I learned about how difficult it is to diagnose a deadly respiratory disorder. Acute lung injury and acute respiratory distress (ARDS) is a secondary illness resulting from a primary disease that has been largely ignored by the veterinary community, but initial early recognition of the disease is paramount to providing a full recovery. This compounding disorder primarily affects the lungs and its associated passages and membranes in the respiratory system which becomes deadlier as it progresses. The three phases of this disease are the exudative phase, the proliferative phase, and the fibrotic phase. In order to suspect this

Acute respiratory distress syndrome (ARDS) is severe injury to the lungs. The alveoli and blood vessels in the lungs have been injured. This causes a decrease in oxygen in the blood and other parts of the body do not get enough oxygen to work accurately (Mancini, 2013). Usually acute respiratory distress syndrome happens after an acute lung injury in individuals who have no lung disease as a result of other conditions like sepsis, burns, pancreatitis, trauma, and transfusion. The mortality rate is around 60% (Ignatavicius, 2016).

1E: Apgar Scale asses a infants' Appearance, Pulse, Grimace, Activity, and Respiration. A rating of 0, 1, 2 on each of the 5 characteristics is made at 1 minute and again at 5 minutes after birth. A combined Apgar score of 7 or higher indicates that the infant is in good physical condition. If the score is between 4-6 the baby needs assistance in establishing breathing and other vitals. A score 3 or below, the baby is not well and emergency medical attention is needed.

Followed the supervising physician manage patients in the Critical Care Unit, including patients on ventilation support. Acquired clinical expertise in the management of critical cases like Cerebrovascular Accident, Pneumonia and para-pneumonic effusion, acute and chronic renal failure, and dialysis, Chronic obstructive pulmonary disease and non invasive positive pressure ventilation, obstructive sleep apnea and use of continuous positive airway pressure. Took patient histories, performed physical examinations under supervision and participated in case discussions. Gained practical experience in the use of EpicCare electronic medical records system and effectively entered assessment and management plans for my supervising physician. This rotation

The patient came to the emergency room complaining that his procedure, which created a new opening in his colon to allow for a damaged section of his colon to be bypassed, failed. The new opening was placed after a tumor caused by colon cancer was removed. Earlier in the day he felt nauseated, however, he denies vomiting blood or the presence of blood in his stool. In addition, he denied having difficulty or pain when swallowing, having pain when he speaks, or spitting up blood. When looking at his musculoskeletal system he denied having joint pain, or inflamed joints. Finally, he denied having pain while urinating or blood in his urine.

Mr. Hartmann discussed the history of decision making. He indicated that Ms. Cardiello chose the pediatrician. He indicated that physician was close to the home and he thought it was convenient, he stated that he did not interview the pediatrician. Mr. Hartmann indicated that there have been no disagreements regarding medical issues. He reported that they have been satisfied with the quality of care being provided by the pediatrician. The father reported that the child’s immunization are up to date. There have been no significant medication issues for the child.

In this paper I will discuss a case study where Ms. Brown visited a high risk breast and ovarian cancer clinic. Ms. Brown is a 37 year old woman who found a mass while performing a self-breast examination. The case study discusses her medical and surgical history. It also discusses the patient’s family history of cancer maternal as well as paternal. This case study also talks about hormone replacement therapy Ms. Brown briefly took to help reduce her risk of cancer. In this paper I will answer the questions asked in this case study.

Mrs R (female), age 79, came to the emergency (ER) on October 6th, 2015 at 17:30 due to burning/aching abdominal pain. Upon her admission, she had no fever, no shortness of breath, no sign of bowel obstruction. In the morning of October 7th, the patient couldn’t tolerate ambulation due to pain, saying that it worsens with movement (bed rest). There is presence of verbal and behavioural indicators of pain such as frowning of the eyebrows, grimacing and a pain level of 8/10. The patient states that, at home, pain was always present but tolerable and started to increase since late August. In the beginning, Tylenol was effective but one or two weeks before being admitted to the ER, she reported a worsening of pain and she decided to come to the

When it comes to veterinary medical emergencies, it is important to know what to look for and how to respond appropriately. Allow for a brief explanation of what happened from the identified client. Verify the patient as well. Locate the proper medical record for any concerns or notes obtaining to the patient that may be important to treatment. These may include allergies or heart murmurs for example. Be sure that examination and treatment authorization forms are signed by the client. Lastly, it is important to know where the crash cart is located with the emergency medical supplies. Common emergency situations include shock, respiratory distress, poisoning, and trauma.

Based on the medical report dated 10/21/15, the patient presents with right shoulder pain. He reports associated weakness.

E.L. is a 36 year old female who has presented with a chief complaint of vomiting, diarrhea, abdominal cramping and sharp adnominal pain rated 7/10. The patient is a geriatric nurse and states that she was in close contact with patients who had similar symptoms. The patient denies taking any medication, denies allergies, reports childhood illnesses gastrointestinal amoebas, and is up to date with vaccinations. Family history indicates that the patient is at increased risk for developing heart disease. The patient denies any previous or current tobacco use and reports drinking alcohol socially. The patient is married with 4 children and denies that immediate family members have or are displaying any similar symptoms.

This is a 70 year-old male who required inpatient hospitalization due shortness of breath likely acute bronchitis vs pneumonia vs CHF exacerbation. Mr. D was brought to the Emergency Department presented with recent flu-like symptoms including productive coughs with increased SOB, subjective fever and chills, and chest pain. He had some mild to moderate, constant, dull, does not radiate to L arm pain in the substernal and epigastric region that worsen with coughing and movements. His medical history was significant for cardiomyopathy, and hypertension.