Ctkc Case Studies

On later reflection I realized I could have though about interstitial cystitis, appendicitis and renal calculi. My multiple hypotheses for this patient are presented in Table 1.

Under-staging occurred in (1) case, which pathologically diagnosed as T3, and we misdiagnosed it as cystitis. This case has previous TUR before reference to our center and the mass could not be visualized among the thickened bladder wall.

Majority of students are confused about what classes to take for their major, and they go to the advisors to seek for help. Each time they go to the advising office they meet different advisors, and they give student different information. This make students feel frustrated and overwhelmed. This is why it would be great if CCBC have knowledgeable advisors to guide and mentor students to the right path for their career.

CM travel to YMCA in Newark to visit Justin this morning. Upon CM arrival Justin had not come in from dropping a youth of with the shelter staff. CM set at a empty table for at least 5-10 minibus before Justin arrived. Justin was very excited to see CM, he even greeted me with a hug. CM expresses to Justin that I notice he appears to be in a great mood. Justin informs CM that he started opening up and talking to the resident’s ad staff at the shelter. He reports that he is no longer scared of the residents at the shelter nor does he want to leave. Justin expresses to CM that since he started talking to staff and the other residents he has been feeling a lot better. Justin reports going on outing with the other residents and staff. He states

Urinary stones, as known as Nephrolithiasis, a common disease that affects 1 in 10 Australians. The most of stones pass spontaneously, but some conditions, particularly ongoing pain, renal impairment and infection, mandate intervention (Macneil & Bariol, 2011). The formation of urinary stone is the calcium and uric get stuck together in the urine and becomes hard crystals. It can be small as the grain of sand or large as a golf ball (Health line, N.D). Patient whom has urinary stone will feel ongoing pain that as known as renal colic, when those stones become big enough. Renal colic is a pain caused by urinary tract stone blockage, it can be anywhere in the urinary tract that including the area from kidneys to the ureters, urinary bladder and urethra.

Nephrolithiasis can be suspected based on the history and physical examination. However, lab works and diagnostic imaging are important to confirm and exclude the diagnosis of nephrolithiasis. Urinalysis is performed to examine the presence of blood, urine pH and crystals to identify the contents of the stone as well as infection. An elevated WBC count or presence of bacteria in the urine is a sign of infection. Identifying the stone composition will help to direct the medical therapy for the patient. A 24 hour urine collection is done to identify dietary and individual risk factors for recurrent nephrolithiasis. Several imaging studies can be performed to rule out nephrolithiasis. If a patient is pregnant or contraindicated for better imaging

The patient chosen for this case study is a 39 year old white female that is postoperative from a left total knee arthroplasty (TKA). At 336 pounds and 5 foot 9 inches tall, the patient is diagnosed as morbidly obese. She lives in a mobile home with her husband and five other family members. Prior to the surgery, she worked as a bakery and deli manager. Until 2011, the patient admitted to using tobacco, social drinking, and smoking. In the previous years, she had trampoline and softball accidents that involved her left knee. The patient also suffers from degenerative joint disease (DJD) in her left knee that has greatly affected her functional independence and quality of life by increased pain. Failed trials of injections and anti-inflammatory

Hai limy Good post, as you mentioned Interstitial Cystitis (IC) is the chronic inflammation of the bladder wall and is most common in women although men and children can suffer from it. Unlike cystitis, IC is not caused by bacteria and cannot be treated with antibiotics as common cystitis. According to the Article by Alicia NI, the latest research suggests that 3 million women have IC and they experience constant discomfort in article he bladder. In order to diagnose IC correctly, urine will firstly be tested for bacteria to rule out a urinary tract infection and then cystoscope used to examine the bladder. A biopsy may be needed to rule out cancer.

There are several reasons why a patient may develop ureteric calculi. These may be as a result of diet, chronic urinary tract infections (UTIs) and irregularities in anatomy, physiology or metabolism. In addition to these, certain drugs and/ or their metabolites may also give rise to ureteric stones. The most important environmental factor, however, is believed to be reduced fluid intake. Ordinarily, this will lead to decreased urinary output and a corresponding urinary increase in the solutes responsible for forming ureteric calculi. In further ureteric stone-related variations, there are differences noted between sex, age, race and

The presence of gallstones in the gallbladder, clinically known as Cholelithiasis, is a very common medical condition affecting most of the world’s population. It is mostly prevalent in the western countries. “In the U.S. alone, gallstones are present in 8-20% of the population by the age of 40” (University of Connecticut Medical Center, n.d.). Stones can come in varies sizes and two main types. This condition can present itself with absolutely no symptoms and completely go unnoticed but is most commonly diagnosed with the patient experiencing biliary colic. Ultrasound is considered most accurate in diagnosing stones. Treatment is completely dependent on the severity of the condition but most commonly

Differentiated thyroid carcinoma (DTC) is the most common cancer of the endocrine system. The survival rate of patients diagnosed with DTC is around 90%. The disease primarily affects young patients. The most common treatment for DTC is thyroid removal, followed by ablation of the remaining tissue with radioactive iodine (RAI) therapy. One concern for these patients is the risk of developing a nonsynchronous second primary malignancy (NSPM) during their lifetime. There have been previous studies that have concluded that approximately 30% to 40% of DTC survivors have a higher risk for developing a NSPM. The article “Risk of secondary primary malignancy in differentiated thyroid carcinoma treated with radioactive iodine therapy” compares

Mel may be suffering from a Major Depressive Episode. Due to his past behavioral health and social functioning history, Mel will probably benefit greatly from Truama-Focused Cognitive Behavior Therapy (TF-CBT). In the vignette it metioned that Mel was sexually assualted by his family members at the age of 15. Mel’s sexual abuse is probably the reason why Mel is experiencing underlying depressive mood symptoms in his daily interaction and behavior. Kaur (2013), states that Trauma-Focused Cognitive Behavioural Therapy(TF-CBT) has been proven to be the best treatment intervention for reducing anxiety sypmtoms in sexually abused victims (Tate, 2015).

In conjunction with the Site C decision, the BC Government issued a background (see Appendix 1) related to private power producers and renewable energy. Much of the information in the backgrounder is misleading and/or incorrect. This note provides a number of responses to the backgrounder.

Computed tomography (CT) as the most frequently used imaging method in identifying pre-PCNL stones, plays a very important role in preoperative evaluations in terms of characterization of stones, renal caliceal anatomy and the identification of anatomic proximity. In addition, it is possible to carry out systematic and quantitative evaluations with the help of Guy's stone scoring system that is acquired based on preoperative CT findings (Thomas et al,

UTI is one of the most common infection to affect people all around the world and putting a huge lot on the health care system. Because this problem is so common and so significant in routine clinical practice, a high level of diagnostic accuracy is essential. Antibiotics should not be prescribed excessively, particularly in view of the increasing prevalence of antibiotic resistance.