Case Presentation: An otherwise healthy 9-month-old boy was brought to the Emergency Department by respite foster parents with a chief complaint of unusual bruises and marks on his skin. Two days prior to the ER visit, the respite foster parents had noticed some left eye redness and swelling, which by day of presentation had progressed to a large swollen blue-black lesion on his left cheek and new scattered bluish lesions on his thighs. The child had been diagnosed with a viral upper respiratory illness three weeks prior and had some lingering nasal congestion with tactile temperatures for the past week, but was otherwise acting very well, eating normally, and was not fussy. His past medical history is remarkable for a pre-term birth at 31 and 5/7 weeks gestation via vaginal delivery. The biological mother’s pregnancy was complicated by premature prolonged rupture of membranes and polysubstance abuse. He was not on any medications and has no known allergies. On physical examination in the ED, his vital signs are within normal limits for age. He is well-appearing and in no acute distress. Head and neck examinations are within normal limits with a soft and open anterior fontanelle. Cardiovascular, pulmonary and abdominal examinations also yield no abnormalities. Skin findings include an obvious large targetoid ecchymosis with underlying edema on the left cheek, a right posterior auricular ecchymosis, as well as several scattered annular blue-black ecchymoses on the bilateral
Patient is a 9 year old adolescent male, presents with a 2 day history of itching encrusted sores especially around the mouth area. Parent is using OTC antibiotic ointment with no improvement, no recent history of fever. Parent states that pat recently visited a petting zoo
In July of 2016, I received a phone call from my old roommate, Cleveland Coxaum. He stated that was incarcerated for the past year. He failed to disclosed the reason he was incarcerated. After searching his name on the Internet, Mr. Coxaum pleaded guilty to three counts of computer solicitation of a minor under 15 years old in Bedford County Circuit Cout. According to the article, Mr. Coxaum was a day treatment counselor at Bredford Middle school. Mr. Coxaum gave his contact information to a 13 year old female student. He then attempted to make contact with the 13 year old female student.
The working diagnosis is that this patient is suffering from Angioedema as a result of Anaphylaxis and developing Urticaria. Angioedema is the swelling of deep layers of the skin due the accumulation of fluid, symptoms of Angioedema include swelling of the eyes, lips, hands and feet.
On 15 October 2017, at 1757 hours, Deputy Tabor and Deputy Williams were dispatched to 135 South Penalosa Street in Penalosa, Kansas, Kingman County, in response to a disturbance. As Deputy Tabor was en route, he was advised by dispatch over the radio that there were young kids who had threatened to "off" the reporting party.
Gadsden is located in the northeastern corner of Alabama and is the county seat of Etowah County. It is 60 miles
Skin- she has some mild equimosis on her skin and some anathema. She has patches but no obvious skin breakdown. She has no fissuring in the buttocks crease.
Mr. .J. is a 30 year old Caucasian male presented to the Emergency Department with symptoms of myalgia, fever, rash, swollen glands, leukopenia, and thrombocytopenia. Mr. J. reported fever and sore throat started about a week ago and the rash presented today. Mr. J. stated “I thought I had the flu but I am not feeling any better and now I have a rash, that’s why I decided to come to the E.D.”. (Health and Human Services panel, 2013)
Liam is a previously healthy boy who has experienced rhinorrhoea, intermittent cough, and poor feeding for the past four days. His positive result of
Have you ever heard of the Fresh Prince of Bel Air. The show aired in the early and mid 1990s and was very popular. It was a big hit then and is a big hit with me now. I started watching it when i was 8 land liked how funny it was and also liked the storyline.
In the second half of the nineteenth century trade unionism became much more recognized by governments. The government recognized that it is the right of workers to organize. This fundamental common law principle became a freedom of contract or the concept that people should be free to make bargains with each other and that the law should enforce such contracts if necessary. This became legalized in the year 1871 and by the year 1875 picketing also became legal. By the year 1884 these unions became legalized by France’s Third Republic and also in Germany in 1890. These unions became corporations able to own property and to sue and be sued. This enabled these unions
BB’s skin presents as pink, warm and dry. No obvious signs or symptoms of abnormal bruising or lesions present however, the patient states that the skin has of late has
No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,
No known allergies, no sinus, tenderness, no epistaxis, no bleeding gums, patient has partial dentures, one dental carrier noted, tongue is slightly coated, no swelling, lumps or tenderness noted in throat,
The London Public Library is an organization spanning the city of London, delivering services from 16 physical locations. The core services of the library include reference, reader’s advisory and referral; collections and lending; technology services; programming and community outreach. The library is focused on literacy, learning, culture/leisure/recreation, information and community meeting place. The past few years have seen significant resources pegged towards fund raising strategies, resulting in other areas of the organization being neglected and
Religion has and always will be a large impact on the world and the people around it. Polytheistic religions, at least in my opinion, make one of the greatest impacts. The reason they have such an influence on the people is because they put gods into everything, if you believe a divine deity is in something like a chair you are going to respect the chair much more than if it was just a chair. You will sit in it, treat, and enjoy it much differently than thinking of it merely as a means to comfort you. Buddhism is one of the greatest religions that have respect for things around them. Buddhism is about being one with the spirit of the world. Reaching to your highest point, becoming better and better and better versions of yourself.