Blocked Right Ear Case Study

pulse is 110. At this time, her respirations are 26, her SaO2 is 97%, and her

of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The

Pelvis: Good-quality, non- contrasted, actual CT examination of the pelvis with coronal reconstructions. The prostate seminal vesicles and urinary bladder appeared WNL. The bowels seen on the study appeared WNL, except for inflammatory changes of the appendix, and cecum consistent with acute appendicitis. .All the structures of the pelvis appeared intact with evidence of bilateral hip degenerative changes.

Mr. P’s vital signs and diagnostic studies are as follows: Blood glucose level 700mg/dL, Blood Pressure 90/60mm Hg, Heart Rate 128 beats/min, Respiratory Rate 34 breaths/min, Temperature 100.8 F, Serum pH 7.26, Serum HCO3 10 mEq/L, BUN 40 and Creatinine 3.5.

2. If you were the doctors on the scene, what diagnosis would you give this patient? (You may use the internet to help diagnose the patient.)

One assessment I would use for this patient would be the Subjective Global Assessment. This assessment includes the combination of the patients history (medical, physical and weight) along with symptoms, energy level and existing disease (Treas & Wilkinson, 2014). This, I believe would be a good starting point for this client because at this age, when trying to determine if there are things that could be changed/altered

Objective: Vital signs Temputure-97.2, Pulse-77, resperatin-22, Blood Pressure 165/81, Oxygen Saturation on room air is 91%, Weight-156lbs, and Height 5fl 8in.

Health care provider must monitor and measure patients blood pressure, breathing rate, pulse and temperature.

Peter was born after an uneventful pregnancy and weighed 3.1kg. At 3 months, he developed otitis media and an upper respiratory tract infection. At the ages of 5 months and 11 months, he was admitted to hospital with Haemophilus influenzae pneumonia. The infections responded promptly to the appropriate antibiotics on each occasion. He is the fourth child of unrelated parents: his three sisters show no predisposition to infection.

All operations were performed in the laminar flow hood. Skin fibroblasts were obtained from an ear biopsy of regularly slaughtered adult sheep (in lab within 3 hours). The ear was washed with 70% ethanol, cut and put into a sterile tube with collection medium (αMEM, Hepes, Life technologies). The biopsy was placed into a sterile petri dish with 1 ml of sheep heat inactivated serum and cut up in small pieces (1 mm3) with scissors and scalpel. Pieces were seeded in a new 60 mm tissue culture Petri dish and left to adhere in incubator for 30 minutes. Then 5 ml of culturing medium αMEM supplemented with 10% (v/v) fetal bovine serim, (FBS,Life Technologies), 1% glutamine (v/v) (Sigma) and 1% (v/v) penicillin/streptomycin (Sigma, stock 5000 U/ml,

[Name] is 51, he works in a hospital. _____(He comes in today having some pain in his right ear, it has been going on and off, sporadic. Pain in the left ear been going on and off, somewhat sporadic, about the last 3 weeks(see below)). Kind of a throbbing. He is not using any over the counter medications. He is on no prescription medications. No fever, or chills, and there has been no discharge. He does have some associative neck, and shoulder pain. He has had this before, and has seen physical therapy as well.

Michael was born at a local hospital delivered via-cesarean. His birth weight was listed as 3610 grams/ 7lb. 15oz; his length 195in/50 cm; and his head 14 in. His Apgar score at one minute was 9, at five minutes 9. On December 19, 2008, Michael had a hearing screen. He failed the ear exam on his right ear and passed the exam on his left. Michael was also provided the Hepatitis B vaccine on December 19, 2008. Michael was circumcised on December 20, 2008.

REVIEW OF SYSTEMS;;12 point ROS was preformed and is negative except noted in above HIP, PMH and PSH. Careful attention was paid to endocrine, integumentary, pulmonary, renal and neurological exam

Cerumen impaction and infection are the most common problems implicating the outer ear. Ear medications have minimal systemic absorption, treatment modalities for ear disorder includes:

The physical exam will focus on the genitourinary (GU) system. Important findings to look for are any discharge or lesions consistent with sexually transmitted infections. In males, the size of the prostate gland should be noted in the rectal examination. In females, any signs of a cystocele and urinary leakage from the urethra should be noted in the pelvic examination. Neurological examination should test for lower-extremity weakness and loss of sensation.