Patient: A 20 year old, 7.7# (3.5 kg), intact female Rock Hyrax “Tusky”. She was brought to the attention of the Animal Health Care staff of the Kansas City Zoo by her keepers when they noticed Tusky had be isolating herself from the others and not eating as well as she had in the past. “Tusky” presented with behavioral abnormalities and a persistent weight loss since the beginning of March 2015, by June, she had lost 600 grams.
Upon the initial look at the Hyrax, she did not seem to care if we were there. Contrary to the normal Hyrax behavior, “Tusky” made no efforts to runs away and hide, and allowed the keepers to catch her up and restrain her for her exam. Once caught up, she was given an exam and nothing seemed physically out of place. Fluids and antibiotics were given and blood was drawn for a glucose reading because these animals are prone to diabetes because of the fruit and vegetables they are given. Blood was also to be sent out to Antech for a complete blood count (CBC), and blood chemistry.
The tests came back and nothing seemed to stick out. Her glucose level was slightly elevated but not enough to cause the lethargia and inappetence she was exhibiting. Dr. Brian Stockinger told the keepers to keep an eye on her and watch for developing signs or signs of improvement. A few days later, the keepers had noted in the reports that she has
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Her recovery began at 1:00 pm. She was extubated, and was placed in a crate with a heating pad underneath the crate to keep her warm. She began to move around and vocalize within 15 minutes. She was given 0.14 ml SQ Meloxicam (5 mg/mL 0.2 mg/Kg) for pain control, and 0.25 mL SQ Combi-Pen as an antibiotic, because the body cavity and intestines were exposed and opened. She was to be given 0.2 ml BO-SE, which is an injectable combination of vitamin E and selenium, and ivermectin if she did not go well or if the blockage was a mass of
During the investigation, The Department discovered Mrs. Lawson's health had declined both mentally and physically over the past year and a half. She now had diagnoses of anxiety disorder, COPD, reflux disease, acute respiratory failure with hypercapnia, hypoxia, Acute hyponatremia, B-12 deficiency, hyperthyroidism, depression, coronary artery disease, acute tubular necrosis, chronic obstructive pulmonary disease with acute exacerbation, and hypokalemia.
What new signs and symptoms does Suzie exhibit that would concern you if you were the doctor? She has low nutrient levels!!!! And is extremely malnourished and looks unhealthy too.
Objective She is currently on sliding scale insulin, 1200 Kcal diet, and Captopril 50 mg orally twice daily. She has high random blood glucose of 325 mg/dL. Her vital signs are generally normal except for BP (150/97mmhg). Physical exam revealed dry nasal and throat mucus membranes and mild cool leg edema. She is overweight with a BMI of 31kg/m2.
My animals name is Foxzilla and it was discovered by Enmanuel Aponte. The animal was named after Godzilla. When first discovered scientist weren’t sure what it was. According to the scientist at the time the animal had a similar body of gazelle, similar legs of wolf, and a similar head of a fox. When they saw that they know it was a mutation. They found the Foxzilla in a cave taking sheltered because at the time it was raining. The scientist know that foxes were friendly to humans, but weren't sure if the animal would react if they moved on it to take photos. The scientist need a plan to take the Foxzilla into the lab to exam it before releasing it to press and the world. Luckily at that time the scientist had a big cage to capture the Foxzilla and they did so.
Mrs. Jameson was diagnosed with type 2 diabetes one year ago, and has been on treatment since then. She manages her own medication, and has a case manager who regularly checks up on her to ensure that her medications are up to date, as well as her physical exercise regime. However, the admission into the emergency room a week ago is an indication that she has not taken enough water and observing her diet, which has resulted in the observed symptoms. Her diagnosis is: Hypernatremia related to excessive loss of water and elevated sodium
Mrs. J. was diagnosed with type2 diabetes one year ago, and has been on treatment since then. She manages her own medication, and has a case manager who regularly checks up on her to ensure that her medications are up to date, as well as her physical exercise regime. However, the admission into the emergency room a week ago is an indication that she has not been taking enough water and observing her diet, which has resulted into the observed symptoms. Her diagnosis is: Hypernatremia related to excessive loss of water and elevated sodium consumption as
History of present illness: 50 year old African American female presents to the clinic today to follow up on her Diabetes. Patient diagnosed with Diabetes in 2000. Last Diabetes checkup three months ago. Patient reports that she takes all of her medications as prescribed. Patient is currently on metformin and Lipitor. Patient denies any episodes of hypoglycemia. Patient denies experiencing symptoms of polyuria, polydipsia, and polyphagia. Patient reports that she has been checking her
“British Troops liberating Bergan-Belsen found that the Nazi’s had experimented using human skin for lampshades.” During the Holocaust over ⅓ of the population of Jews died (factretriever.com). The Devil’s Arithmetic novel was adapted into a movie that has many differences and similarities. It also has two important themes, know your heritage and perseverance. There is four similarities between the book and the movie.
A (assessment): Ms. O’Reilly’s vital signs are temperature of 37.5 C, pulse of 112, blood pressure of 102/52, and respirations of 24. Her respirations are still deep but have a regular rhythm. She has a CBS of 8.1 and regular insulin running as per orders. The lab work shows uncompensated metabolic acidosis with no hypoxia. Ms. O’Reilly’s neurological status has improved with a GSC of 13. Her dehydration is being treated with NS containing 40mEQ KCL/L running at 200ml/hr and potassium levels maintained at 4.
General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): She currently weighs 110lbs. No weight loss. She is well developed and nourished. No distress. States she has always been healthy, other than occasional constipation.
Risk for infection is the next nursing diagnosis priority for A.C. This patient has an altered mental status, she is allowed nothing by mouth, has a history of diabetes and obesity, and her glucose is 95, but gets up to 222. She has an increased temperature of
M. H. states that she is generally in good overall health. No cardiac, respiratory, endocrine, vascular, musculoskeletal, urinary, hematologic, neurologic, genitourinary, or gastrointestinal problems.
On Aril 25, 2012, L.M. was found to be increasingly fatigued, somnolent, and had shortness of breath accompanied with tachycardia as witnessed by the staff at the SNF.
Moreover, chronically use of minocycline has a good safety record. Long-term treatment with minocycline at dosages of up to 200 mg/day, is the highest dosage recommended by the United States Food and Drug Administration ( FDA), is generally safe and well-tolerated in humans. Minocycline’s known and most common side effects, including nausea and mild dizziness. However, according to the British National Formulary, for treatments continued for more than 6 months, it is recommended to monitor every 3 months for hepatotoxicity, pigmentation and systemic lupus erythematosus, been advised that treatment should be discontinued if these develop or if pre-existing systemic lupus erythematosus worsens. The antibiotic properties of minocycline was
Cleopatra’s family ruled over Egypt for more than 100 years before she was born in 69 B.C. Myths and stories involving Cleopatra’s life inspired many movies, plays, and books, including “Antony and Cleopatra” by Shakespeare. She has become on of the most popular ancient Egyptian queens. (Biography.com, ??)