Case Study Cesar

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

He admits to a 25 pound weight gain over the last few months. The patient was

1. In 1825, Philadelphians began debating whether to build a multi-million dollar canal through the Allegheny Mountains to connect the city to the markets in the Ohio River Valley. Who was Matthew Carey, and why did he push so hard for the canal?

PHYSICAL EXAMINATION: HEENT: Tympanic membranes and external auditory canals are within normal limits. Throat is clear with no gingival lesions. He is ______________. No obvious proliferate retinopoathy. NECK: No carotid bruit. No thyroid enlargement. LUNGS: Clear to auscultation. HEART: No S3, S4 or murmurs. ABDOMEN: Soft with no organomegaly. Normal bowel sounds. FEET: Good dorsalis and posterior tibial pulses bilaterally. Left foot has no abrasions, lesions, sores or ulcers. Right foot shows obvious deformity from previous break. He has an area located between his second and third metatarsal head that has clearly been an abscess that has broken through. He also has an obvious foot ulcer located over the instep of his right foot, full thickness. There is tracking to the broken foot, to which the ulcer area is connected and there is a question of osteomyelitis in this area.

On March 31, 1927, César Chávez was born in Yuma, Arizona as an American farm worker with 4 other siblings, Richard, Librado, Rita and Vicki. His parents were Juana Estrada and Librado Chávez. They owned a ranch and a grocery store but during the Great Depression, they lost it all. Chávez’s family became migrant farm workers in California after their house was stolen for them because of a contract being broken. In 1942, Chávez dropped out of seventh grade to take on the job his mother had as a worker in the fields because he thought that she shouldn’t have to be put under that much stress. Two years later he joined the United States Navy for two years. When he returned home, he married Helen Fabela Chávez and had 8 children together. In 1952,

Jose Rodriguez is the Director of Parent and Community Engagement at UnidosUS, and oversees UnidosUS’s Padres Comprometidos parent engagement program that is implemented across twenty-four states. The goal of Padres Comprometidos is to ensure that the Latino families can navigate the US public school system to support their children's academic success. With over thirty years of experience as a K -12 teacher, coordinator, and consultant, Jose has assisted school districts in the areas of English language acquisition and parent engagement. A fifth generation American, Jose grew up in a rural community in South Texas, where the home language and culture were nurtured and maintained. Upon entering school Jose was immersed in an English only environment

On Exam:  BP today was 140/86. Head and neck exam was all clear. She had no oral or nasal ulcers. She had no lymphadenopathy or bruits. Heart sounds were normal and the chest seemed clear, as did the abdominal exam. Musculoskeletal exam disclosed widespread Heberden's and Bouchard's nodes. She had no swelling or stress pain at the MCPs. She was not tender at the CMC joints. She had no swelling in the wrist, elbows or shoulders. She had no soft tissue tender points. She has bilateral knee crepitus but only slight instability and no effusions. She had actually good range of movement of both hips. She was tender in the lumber spine and has a scar at the lower lumbar spine from her previous operations. Her feet are somewhat flat with tenderness across the

Share three historical events which shaped the racialization of Latino immigrants and placed them as workers within the existing class hierarchy.

The Flyers selected Anthony Stolarz in the 2rd round 45th overall in 2012. Stolarz was born in Edison New Jersey which is only hour away from the Wells Fargo Centre after being draft by the flyers Stolarz attended the University of Nebraska-Omaha but left after only playing 8 games for the Mavericks. Stolarz would find he’s way to London Ontario where Stolarz would play 20 games for the Knights and post a 2.29 GAA and a .920 SVS. Stolarz and the London Knights would go on to the J. Ross Robertson Cup (OHL champions). Stolarz posted a 2.53 GAA and a .923 SVS in 18 playoff games. Stolarz hit a rough patch in the Memorial cup in 4 games Stolarz had a 4.50 GAA and a .872 SVS.

Overall, I believe that the police have acted lawfully in their treatment of Tony. The police mainly have followed the rules set in PACE 1984 and COP and reasonable suspicion is present. The police have grounds to question him because police constables Denman and Brooks believed that there were enough grounds for suspicion as they found a carrier bag with money that also had a till receipt inside it under his bed.

Upon annual dental consult 4BWXs were completed, Dr. Jackson indicated that he will required dental treatment under general anesthesia due to lack of cooperation. Annual vison with no acute findings but dry eye syndrome which requires the use of artificial tears. Annual hearing test revealed normal hearing, cerumen was removed at the office.

Electrodiagnostic consultation report dated 10/02/15 revealed normal study of both upper limbs and cervical paraspinals. No evidence of cervical radiculopathy. No median or ulnar neuropathy.

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,

Head and Neck: Patient skull is of normocephalic, atraumatic and without masses. The patient 's facial expression and facial contours are normal. The parotid glands are normal. The sinuses are non-tender. Palpation of the temporal and masseter muscles reveals normal strength of muscle contraction. There is symmetry of the nasolabial folds. There is no facial droop noted. Trachea midline. Thyroid is smooth, no goiter or

is an 40 y/o male with pancreatic mass with mets. A review of his medical records indicates that he was admitted with a complaint of abdominal pain, that started last year and weight loss of 23lbs. Diagnostic CAT scan of abd/pelvis revealed pancreatic mass with metastatic to the liver, portacaval and periaortic pericaval adenopathy. There is also abnormal thickening of the ileum cecum and ascending colon.He was schedule today to have port placement for planned chemotheraphy , which was held due to an elevated temperature. He suffers from co-morbidities of hypertension which is chronic, Dm which is chronic and poorly controlled and GERD which is