Hypnotherapy Case Studies

In general he is a not acutely ill appearing male. His neck veins were elevated to the angle of the jaw. He had no thyromegaly or lymphadenopathy. His lungs were clear to auscultation. His heart was regular rate and rhythm with an S3 and an S4. His PMI was laterally displaced by 1 cm. His abdomen was (full), slightly distended and had a positive fluid wave. He had no pitting edema in the abdominal exterior wall. His rectal exam was heme-negative. His extremities showed 4+ pitting edema up to his knees and in his feet

BH reports that he takes his medications as prescribed and reports he has tried to adjust his diet in order to decrease his glucose, triglycerides, and cholesterol. He continues to consume

“The patient is Adam Rudd, a 78 y/o white male with a history of hypertension. He has been diagnosed with hypertension past 15 years and is on anti-hypertensive medications and aspirin. He is very weak and short of breath. He is accompanied with his longtime friend Jennifer, who reports that Rudd was looking very weak and was complaining of severe headache and blurred vision before coming to the hospital. He is 5’9” and weighs 270 lb. Vital signs recorded were: oral temperature 98.20 F, BP 224/120 mm Hg with a heart rate of 102 beats/minute and respiration of 24 breaths per minute. The pulse oximetry reading was 94% on room air. He is complaining of severe headache and blurred vision. Rudd said that he did not take his antihypertensive medication or aspirin since he ran out of pills. He has not been taking his medication for past 15 days. He reports no known allergies to any medications or other substances.”

Mr. Bishop is here for routine followup of his chronic illness. He is treated with Alvesco 160 mcg two puffs twice daily, Atrovent two puffs three times daily and Ventolin as needed for his COPD. He reports good compliance and uses these inhalers as prescribed. He generally uses his Ventolin with exercise. He reports that he is running 1-2 miles a day and also doing a step tape daily and reports good exercise tolerance. He does not wake at night coughing or feeling short of breath. For his hypertension, he takes hydrochlorothiazide 25 mg, and amlodipine 5 mg, and simvastatin 20 mg for his hyperlipidemia. He takes these as prescribed and denies any side effects. He denies

Mr. Jones is a 68 year-old-man with a history of impaired glucose tolerance. His only other medical problem is hypertension treated with a small dose of angiotensin-converting enzyme inhibitor. He quit smoking 20 years ago. He has no dyslipidemia and has had stress electrocardiograms every 2 years with normal results. He does not use alcohol. Approximately 3 months ago, he noticed some burning and tingling in his feet. He admitted that he had not felt well as usual and that his walking was becoming more of a chore. He denied chest pain or shortness of breath. He denies any other symptoms had no fever, or chills, cough, blood stools, or hematuria. When seen in the office, he had gained 5 lbs.

Data gathered tonight includes electrocardiogram is unchanged from previous showing slightly low voltage, left anterior fascicular block. No definite ischemic changes. White count of 6.2, hemoglobin 11.00, platelets 117, glucose 90, BUN 43, creatinine 2.56, sodium of 138, potassium of 3.4, chloride 106, CO2 of 24.8, calcium of 8.2, bilirubin 0.92, alkaline phosphatase 307, ALT of 23, AST of 21, magnesium of 1.8, a troponin is 0.06, BNP is 2650. Labs done almost 24 hours ago had a lower BUN at 41, and a lower creatinine 2.23, a higher potassium at 3.7, BNP that was higher earlier at 3350, and a troponin that was slightly less at 0.04. Chest x-ray may have more congestion now than previous. Frontal view this morning was obtained the radiologist says the findings are concerning for minimal congestion versus atelectasis in lung bases and a stable mild to moderate cardiac

A 45-year-old male comes into the emergency department with symptoms of acute dizziness, dyspnea, chest pressure, and palpitations. He states that he feels that his heart is “racing.”. He has a history of hypertension (HTN) and coronary heart disease (CAD) status post one bare metal stent. He is currently on clopidogrel, aspirin, metoprolol, and Llisinopril. His BP blood pressure is 87/60 mmHg, pulse heart rate 160–-170 beats/min, respirations rate 26 breaths/min, oxygen saturation 90% on room air, and afebrile. His physical exam has pertinent positive findings of diminished global breath sounds and rapid sinus heart sounds. He has no jugular venous distention (JVD), abdominal tenderness, nuchal rigidity, lower extremity swelling, or focal

He says every time he eats or drink water he uses the bathroom right away. Denies nausea and has not vomited. Denies loss of appetite, but he doesn’t want to eat because food gives him diarrhea right away. He has lost 25 pound within a month and half. He doesn’t know what is causing diarrhea, but he says about 2 weeks ago he was started on penicillin for a tooth infection which he took it for a few days and stopped taking because it worsened his diarrhea. Lastly, he has history of chest pain and he reports that he has been experiencing intermitted chest pains on a daily basis that is relieved when he takes nitro. He also occasionally experience shortness of breath with exertion. He was sent to the hospital early last month where he had a work up done and was diagnosed with unstable angina. Today he denies chest pain, shortness of breath, difficult breathing, numbness and

O: Mr. P is alert but restless. His vital sign are Temputure-97.3, Pulse-88, resperatin-22, Blood Pressure 155/88, Oxygen Saturation on room air is 96%, Weight-210lbs, and Height 5fl 9in. Normal breathing, lungs clear on auscultation, hyperactive bowel sounds in all four quadrants, and heart sounds are normal on auscultation with regular S1 and S2 rhythm. His abdomen is soft, non-tender, extremities without clubbing, cyanosis or edema. A 12 lead EKG was done and result are pending for lipid panel, CK-MM, CK-BB, chest x-ray, Troponin I and Troponin T, CBC, BMP, and myoglobin levels.

The GP checked the patient’s BP when sitting and standing and noted a small drop. He does have prostate urinary type symptoms and his GP would have prescribed an alpha-blocker however with syncope symptoms, the patient was referred to a Cardiology consultant.

The rest of physical examination including, neurological and cardiovascular, were unremarkable, except for his oral examination that revealed a poor dentition but no signs of gingivitis. Initial hematologic tests, revealed microcytic anemia (Hb 9 g/dl, Hct 27.2%, MCV 93.5 fL) with inadequate bone marrow response (Reticulocyte index 1.4%) and mildly increased Prothrombine Time of 16 seconds (based on our laboratory reference range) accompanied by mild elevation of International Normalized Ratio

___[NAME] is a (52)-year-old female with a history of CVA, hypertension, hyperlipidemia ,hypothyroidism presenting with chest pain. She (was) admitted to the medical telemetry field were troponins were taken which were negative and the patient underwent nuclear stress testing, results of which are noted above, essentially showing an unremarkable nuclear stress test. She also had a D-dimer that was normal ruling out pulmonary embolus as a cause of her chest pain. She remained hemodynamically stable throughout the duration of her hospital course. On the day of admission, she had no complaints of chest pain. No events on telemetry were noted. She was stable for discharge.

Vital signs were as follows: blood pressure 118/80 mm Hg; pulse 84 beats/minute; respirations 16/minute; oxygen saturation 99% on room air, temperature 97.1 F, body mass index 27.45 kg/m2; pain 3/10. The patient was in no acute distress. Lungs were clear to auscultation bilaterally with no use of accessory muscles. Cardiac exam revealed normal rate and rhythm, no murmur, gallops, rub or jugular venous distention. His abdomen was non-distended, non-tender, without masses,

A physical exam revealed a 76 year old male with a blood pressure of 138/85 with an irregular and slightly elevated pulse of 103. Patient also presented elevated cholesterol levels as well as elevated glucose levels. No carotid bruits were present as well as no murmurs in the heart sounds.

His background included history of chronic obstructive airway disease, hypertension, diabetes, Ischaemic heart disease(Coronary stenting 5 years ago) and hypothyroidism.