Chief Complaint Case Study

The patient is a 59-year-old right-handed white female who was admitted in June to Portsmouth Regional Hospital for what was determined to be either transient global amnesia or complicated migraine. I did review those notes. She was seen by Galina Simkin, MD. The symptomatology discussed in the H&P is consistent with transient global amnesia. She was having problems asking questions inappropriately, repeating sentences, repeating questions over and over again, and seeming somewhat confused. There were no other neurological symptoms at that time. No evidence for seizure activity. No evidence for stroke. She was brought to the emergency room, where she underwent a CAT scan, which was

Patient is a 50-year-old-year-old left-handed white male who presents with his wife for evaluation of multiple symptoms that have been present since an MVA in 02/2013. At that time, he was T. boned and his car was totaled. He has amnesia for the event and is unaware whether or not he hit his head. The airbag did deploy. Afterwards, he was confused and noted significant pain in his neck and upper back. Since then, he has had multiple symptoms. He does have involuntary twitching on the right, more than left, both hands, legs, and sometimes feet. He demonstrates one of these twitches and it looks like a focal myoclonic jerk of a limb. These occur on a daily basis. He also has problems with his left thumb and index finger locking up. When he is fatigued, especially when his neck gets tight, he has some problems with word finding, paraphasic errors, and syntax errors. He did see Anthony P. Knox,

On 04/10/2018 I received an informal complaint from you, dated 04/10/2018. The topic of your informal complaint was a missing hobby craft that you claim to have dropped off at the Santa Cruz Unit programs office to COIII Keaton. In your complaint you stated that on March 1st you gave COIII Keaton a painting that you wanted to be included in a Tedx logo contest that was being held on March 2nd. You stated the painting needed to be turned into COIV Contreras, who was not in the programs office when you dropped the painting. You stated that COIII Keaton took possession of your painting, and told you that he would take it to COIV Contreras. You stated that on April 6th, Inmate Mounla #140057 informed you that your painting was lost, and that she confirmed this by asking COIV Contreras, COIV Flores, COIII Keaton, and Deputy Warden Theodore. You stated that inmate Mounla informed you that COIII Keaton stated that he did receive your painting, and that he immediately put it on COIV Contreras desk. Your proposed resolution was for your painting to be located.

She converses appropriately. Blood pressure 92/60 supine. Blood pressure decreased to 72/50 standing. Pulse is 90 and regular. Weight 113 pounds. She has a normal appearance of her face and does not have a masked appearance of her face. She has good strength throughout her face. She has good strength of her extremities. She has only minimal cogwheel rigidity at the left wrist, but no cogwheel rigidity at the right wrist. She has no tremor of her hands. She moves her extremities freely and with normal speed. She is able to rise on her own from a sitting to a standing position, only minimal bradykinesia of standing. She walks fairly freely and there is a normal cadence of her gait. She did not have dyskinetic movements of her extremities. She is able to walk, including turning without losing her balance. She does not shuffle her feet when walking. She does not have en bloc turning. She has good posture stability

Darlene submitted an appeal and grievance complaint to UnitedHealthcare and calls to check status. She is requesting a reimbursement for bills that were paid over the $4,900 limit of out-of-pocket expenses. Stephanie N., a D-SNP agent, needs to research Darlene’s complaint and provide her status. This lesson will guide you through the process.

In your grievance filed at Central Unit, you claim COIII Forman refused to provide you staff assistance to help you gather evidence for your pending disciplinary hearing. You are requesting that COIII Forman receive sanctions and retraining on being a Disciplinary Coordinator.

Patient is a 60-year-old Latin American female, who presents with her husband for evaluation of some spells. She seems to have two different things going on. She did report intermittent episodes of feeling of weakness with blurred vision, diffuse paresthesias and a sensation she is about to pass out or the sensation of before undergoing generalized surgery, feeling like she is being sucked down. There is no loss of consciousness with this. She is unable to give any further history, except these events have been going on for about a month. They are almost daily. She does note they happen after eating, at which point, she will fall asleep easily. Otherwise, she denies any loss of consciousness,

In today’s world, police brutality has become a type of misconduct that American police officers are getting accustomed to utilizing against American citizens. On July 17, 2014, Eric Garner died in Staten Island, New York after ununiformed police officer Daniel Pantaleo placed Garner into a chokehold after Pantaleo had attempted to arrest Garner for selling untaxed cigarettes. After being put into a chokehold for fifteen seconds, Garner became unconscious and suffered a cardiac arrest while being transported to the hospital (Goldstein and Schweber). According to the National Police Misconduct Reporting Project in Figure 1, 23.8% of 6,613 officers were accused of using excessive force among people. In recent years, cases of police brutality

I had not followed-up with the location regarding the latest complaint submitted on 10.19.2016 prior to my response. However, this morning I have reached out to the customer and was unable to reach Russ, a detailed message was left with Brittany requesting a call back. On the complaint from 10.07.2016 Russ was requested and not available, however, Kathy indicated that she is the kitchen manager. At the end of the conversation my contact information was left for Russ to call me back.

After careful review of Scott D. Dooley’s request, the author votes a no decision. The author agrees with Jennifer Seymour decision to deny Scott D. Dooley the exception to walk in December because M. Dooley’s final class will not complete until January 11th; his course completion is after the December 30th deadline. The rationale for the decision to vote came after careful review of Baker’s degree completion, Participation Commencement, and Conferral and diploma policy. In total, the rules cannot waiver because Mr. Dooley desires to graduate with cohorts. Although the moment is memorable, what counts is that Mr. Dooley has met the requirements to graduate. Given Mr. Dooley elected

Signs and symptoms of a TIA are superfluous, and hard to recognize by most doctors. In 1999 The National Institute of Neurological Disorders and Stroke (NINDS) has come to the conclusion that there

Per medical report dated 10/26/15 by Dr. Parsioon, the patient was initially seen on 9/14/15 for evaluation and treatment of cervical pain. At that time, he had neck pain without radiculopathy and bilateral hand tingling. IW stated that physical therapy made his neck pain increase and he wanted to make sure that it is okay to continue this. His chief complaint is pain in his neck radiating to the right shoulder and arm. He states the only time he gets the tingling sensation in the hand is

Ms. Marion is seen today at MCCRC on 03/23/2017 because of an event yesterday. She was sitting in her wheelchair, I am told, when she started yelling. She was able to communicate to the nurses that she needed to go back to bed and by that time, she was much less responsive, trying to talk but unable to do so, and intermittently having a "jerking" that was not similar to a previous seizure she has had. Afterwards she was more difficult to arouse but maintained vital signs, did not become febrile. Today she is interactive back to her baseline mental status but says she does not feel well. Her EKG showed a sinus rhythm and minor T-wave changes, but troponin and repeat troponins in six hours were negative. Other lab studies I am

This is a 62-year-old right-handed white male who states that in November of last year he started noticing some numbness in the soles of his feet. It has progressed to the point where the numbness in the soles of his feet is constant. He also may have some constant numbness and tingling on the dorsum of his feet. He also notes that his legs will fall asleep more easily now, at which point he will have the numbness and tingling up to his knees. This largely resolves when he moves around. He is also having some numbness and tingling in his hands, which is intermittent and positional. He also more recently has been noticing a sense of weakness in his legs and arms. There is no dermatomal pattern

I enjoyed reading your great post. I concur with you that the principal diagnosis for this case is Bell’s palsy. Bell’s palsy is an acute peripheral facial nerve feebleness of unknown trigger on one side of the face that makes semi of the face droop. The start is abrupt and warning sign characteristically peak within few days (Murthy & Saxena, 2011). According to Murthy and Saxena (2011), the disturbed individual develop one sided facial paralysis within one to three days, there is immersion of the forehead and no added neurologic aberrations; this ailment is widespread amid individual with diabetes, however, it can affect an individual of any age range and the upsurge occurrence apexes in the 40’s. Bell’s