Jim Mcmeckan Case Summary

was awakened from her sleep by sharp left sided chest pain. The pain worsened with motion and

A 68 year old male presented to the emergency department at 0800 hours via ambulance after experiencing chest discomfort and intermittent palpitations since 0500 hours. Prior to presentation, the patient stated he

The physical Assessment Findings: The patient’s head, eyes, ears and nose are normal, however there is white patches on the buccal mucosa. The lymph nodes and carotid bruits are absent. Her heart beat at a regular rate and rhythm without murmur. Her lungs sound is diminished to auscultation with end expiratory wheezes, and dull percussion to the right lower lobe. Her anterior-posterior diameter of the chest wall is also increased. Her abdomen is benign. She has strong pedal pulses to all extremities without edema.

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

Another Consultation Report dated 12/06/2016, indicated that the claimant presented with exacerbation of COPD, acute bronchitis, and pseudomonas aeruginosa. The CT scan of the chest revealed bilateral lower lobe atelectatic changes, fibrosis, and a small 1 cm left lower lobe nodular density. A pulmonary consultation was recommended. His blood pressure was 142/79 mmHg. The physical examination revealed bilateral decreased breath sounds and scattered wheezes. His glucose was 189. DuoNeb, IV Solu-Medrol, and IV antibiotics were prescribed.

We present a case of 51-year-old male who presented to emergency room with complaints of typical chest pain.

Jim McBain is the Director of Veterinary Medicine and Brad Andrews is the Vice President of SeaWorld. McBain and Andrews thoroughly flourish an argument towards defending the captivity of orca whales. They claim that the captivity of mammals is normally difficult to justify as animals are naturally “thinking” beings. Animals exert emotions that deliberately correlate to similarities in humans that expose a variety of characteristics. They defend captivity with the ease of educational research on animals, as their readily available to researchers. Additionally, they reinforce the “hierarchy” of humans and whales, as lesser intelligent creatures that solely fulfill human burdens. However, McBain expressed the opportunity of returning an assortment

Last year, Jim Cornelius (Corny to his friends) graduated from a two-year technical training school and got a job as a lathe operator at a nearby manufacturing plant. His salary is now $1,700 per month. He expects to get very small wage increases during the next year or two, but he hopes to be promoted to line inspector in about three years, which will increase his salary by $200 a month.

On Tuesday, November 08, 2016, I, Officer B. McMillon, #135, of the Mansfield ISD Police Department was on assignment at Legacy High School located at 1263 N. Main in Mansfield, Texas 76063. At approximately 12:00 pm I was informed by AP Cousins, Leonard B/M, dob 03/06/1962 in regards to a physical altercation that occurred in the third floor boy’s rest room.

Mr. Steward was pain free until this morning. He initially complained of right-sided chest pain and then complained about pain in his hip and ankle. We recognized this was a new onset of pain that persisted, despite giving him some pain medication. When Mr. Steward was discovered in his room clutching his chest, we recognized this as a non-verbal sign of pain and asked him whether he was having chest pain. Although Mr. Steward doesn 't provide a definitive answer, he displayed non-verbal signs of pain, such as restlessness, frequent shifting in bed, and act of clutching his chest. Recognizing Mr.

Lungs: Clear to auscultation bilaterally. No wheezes, rales, or rhonchi. Symmetric chest expansion. Breathing nonlabored. Diminished breath sounds in all lung fields. Resonant to percussion.

O: A & O X 3, in no acute distress, no edema of left lateral rib cage, some redness to 1 inch below clavicle. Full ROM, bilateral lung sounds clear, full lung expansion, full active and passive ROM of left arm. Able to deep breath and cough with

Jim O’ Brien made an observation that a portion of Hardee’s customers have a higher profit rate than others. Hardee has a history of using discounts and published tariff taxes to establish their prices. Although discounts are attained through freight volume, this may have to change due to the fact that the employees work volume is higher than the freight volume. Based off this information, Jim expects a new service demands for his consumer to be troublesome to cost and price because it will no longer be based on freight volume; the new demands will include but not be limited to merge- in-transit, event management, continuous shipment tracking RFID capability, and dedicated customer service personnel. With all this new found knowledge Jim and the pricing managers for Hardee Transportation, is attempting to find a new pricing method that will benefit their customers and themselves; they must find a pricing method

A farmer from Ealand asked for exemption for his horseman. He claimed, if the man left, he would be too old to take on equine duties. The fact that the farmer was 44 years of age might have tipped the decision in his favour had it not been pointed out that he only had three cows and one horse - hardly sufficient to sway the committee. A Burnham farmer whose lands were far apart and scattered (he owned 64 separate strips of land covering 105 acres) argued that he needed more horses, and consequently more men, for he spent as much time on the roads moving from one strip to another as he did farming the land!

Patient is a 45 yo male; 5’7”, 221 lbs who entered the emergency room at 6:30 am on 9/7/14 with severe chest pain (onset at 6:00 am) radiating to his arm, L arm numbness and nausea and vomiting. Past medical history reported by wife includes peptic ulcer, tobacco use (1-2ppd for 27 years), elevated blood pressure (controlled by lopressor). Wife did not know of any family history but reports patient’s father is deceased, died at 42 in his sleep. Mother alive and with high blood pressure.