Ehlers Danlos Syndrome

On 10/16/2015 I spoke with Kalila Dowden, parent of Kaylee P. at the operation . Ms. Dowden had come to pick her daughter up while I was at operation for the inspection. I spoke with Ms. Dowden in the office. Ms. Dowden stated Shana Myers the teacher of Kaylee had contacted her and stated she believed Kaylee had a seizure on the playground and EMS had been called. Ms. Dowden stated she had told Ms. Myers she was on her way. Ms. Myers stated shortly after arriving at the center EMS had shown up and she had refused care as she believed her daughter did not need to go to the hospital. Ms. Dowden did state she did not take her daughter to the doctor or hospital as her Neurologist is in Dallas and Ms. Dowden states she is aware of what she is suppose

Randy came in today, 11/6/17 with a spiral fracture to his left leg. The nurse practitioner (Shunnia) and doctors (Dr. Stock, and Dr. Rulewitz) are concerned while how Randy’s leg is broke. Mom (Kendal) said Randy and another sibling was playing there was water on the floor from the icemaker. The family moved into the home last week. The child fell. The incident took place today. Reporter stated the child’s leg look like someone twisted it. It is unknown if someone did twist the child’s leg. Mom thought it was the child’s foot. His fracture is on the front of his tibia from his knee to his ankle. Randy went to another unknown clinic and he was sent to North MS Medical center. He is in pain. Reporter informed mom she would have

Stories like that of Josie King are truly sad. I believe the first safety concern occurred when the mother’s worries were ignored. As medical professionals, I think it is important to take into consideration that the parents are with the children every day; they know them and what is normal. If the mother was concerned that her daughter was overly thirsty, I think a deeper look into why should have been taken. Josie was severely burned which would mean she would have a much harder time retaining water, easily leading to dehydration quickly. I have no idea what caused her death in the end but ordering some tests to rule out any possible problems does not seem like to tall of an order. Another safety concern would be when the mother stated that

ALS was also called Lou Gehrig disease. The reason why it was called the Lou Gehrig diseases is because he was a famous MLB baseball player that was diagnosed with ALS and later on died from it. Lou Gehrig was born in New York City, on June 19, 1903. Lou devoted his whole life in Baseball and his family. Later on Lou was having a hard time tying his shoes and had a feeling that this can be his end of his career. In 1939, The doctor had a bad news for him which was that he was diagnosed with ALS.

R/s around November 05, 2014, Calli (8) was severely injured. R/s Calli had extensive bruising to her face, two black eyes, facial swallowing, and bruising to her jaw. R/s also bruises was on the child’s lower back and upper leg. R/s it was reported that Calli could have had skull fracture. R/s the injuries was reported as suspicious nonaccidental trauma. R/s at the time of the incident Calli and her stepmother, Karen were the only two people at home. R/s Calli’s father Patrick was traveling out town for work. R/s on November 06, 2014, Patrick found Calli with the injuries to her face and the child was taken to the ER at Palmetto Health. R/s Karen pretended to the Calli’s mother. R/s according to Karen, Calli had fallen several times the few

Under tax law, the Accounting Standards Codification (ASC) states four possible sources of taxable income. These four sources may realize a tax benefit for deductible temporary differences and carryforwards. The sources as stated directly in ASC 740-10-30-18 are:

Ehlers-Danlos syndrome (EDS), classic type is a connective tissue disorder characterized by skin hyperextensibility, abnormal wound healing, and joint hypermobility. It includes two previously designated subtypes (EDS type I and EDS type II) that are now recognized to form a continuum of clinical findings. The skin is smooth, velvety to the touch, and hyperelastic; i.e., it extends easily and snaps back after release (unlike lax, redundant skin, as in cutis laxa). The skin is fragile, as manifested by splitting of the dermis following relatively minor trauma, especially over pressure points (knees, elbows) and areas prone to trauma (shins, forehead, chin). Wound healing is delayed, and stretching of scars after apparently successful primary

Ehlers-Danlos syndrome is one of several disorders that can affect the body in similar fashion, so doctors need to make a differential diagnosis to ensure that it is not something else, such as Marfan syndrome. Like EDS,

If this scenario happened in an outpatient clinic or urgent care center and there were physicians who were more dedicated to patient safety a report to child protective services may have been made regarding the child’s injuries. This child deserves to have her rights observed and

Ehlers-Danlos Syndrome (EDS) is a collection of heritable connective tissue disorders. Either directly or indirectly, Ehlers-Danlos Syndrome has been known or thought to alter the biology of collagen in the body. There are physical characteristics that are common to all types of Ehlers-Danlos Syndrome, including hypermobile joints (joints that move in greater amounts than expected) and skin involvement, such as any of the following: soft, stretchy, saggy, too thin, easy bruising, easy wounding, poor wound healing and/or atrophic scarring. Each type has very specific and unique features. It is very unlikely to have more than one type of Ehlers-Danlos syndrome, but as they have features and ‘biology’ in common, each type may appear to have

EDS in Parctice (n.d.) reports that diagnosis of EDS is hampered by the fact that symptoms of EDS such as joint hypermobility, can mimic normal pre-adolescent growth. Ehlers-Danlos syndrome hypermobility type, also known as Joint Hypermobility Syndrome (EDS-HT/JHS), is the most common hereditary disorder of the connective tissue (HDCT). It is characterized by tissue fragility, joint hypermobility and a wide range of articular and non-articular manifestations, which often appear in infancy (Baeza-Velascoa, Grahameb, & Bravoc,

The manifestations in EDS continues to be difficult in characterizing and quantifying the prevalence of the many clinical symptoms seen in this syndrome. Study subjects are often diagnosed later in the disease process which causes disproportionate groups with few subjects in the early symptomatic stages. The groups that have been studied demonstrate the following clinical issues. Skin hyper-extensibility is the primary Dermatologic feature seen in EDS. To test the skin doctors find a neutral area with no scarring. The skin is stretched until resistance is noticed and the degree of extension is measured. Skin is considered hyper-extensible if measurements are 1.5cm and beyond (see figure 1) [4,7].

Ehlers-Danlos Syndrome consists of a range of rare diseases that all involve errors in the way the body synthesizes collagen or the agents that interact with it (Levy, 2004). Over the years, researchers have identified ten different syndromes that are classified under Ehlers-Danlos Syndrome, but there are many other types that are both rare and poorly defined in medical literature (Levy, 2004). The six types defined by the Villefranche nomenclature are as follows: Classical Type (further divided in gravis and mitis types, the former being a milder version of the former), Hypermobility Type, Vascular Type, Kyphoscoliosis Type, Arthrochalasia Type, and Dermatosparaxis Type (Ehlers-Danlos syndrome, 2015) . For the former three types, current

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offender sentenced to “punishment by death” after the conviction of a capital crime (Oxford Living Dictionary). The death penalty dates all the way back to biblical times, but has encounter changes in method and reasoning since. In the United States, specifically, the first recorded execution took place in 1608, in the colony of Jamestown, where Captain George Kendall was executed by firing squad due to his spying for the country of Spain (Bohm; 1999). Fast forward to 1972, the United States Supreme Court declared that capital punishment was unconstitutional as it was being exercised at the time in the ruling of Furman v. Georgia (Lambert; 2011). Four years