For DIscussion Topic 2, I chose Castleman’s Disease, which is a lymphatic disease mostly because of it’s unique name. Castleman’s disease is easily misdiagnosed because it lacks any distinct features. There are two types of the disease, localized hyaline vascular and multicentric plasma-cell. Approximately 90% of all cases are hyaline vascular. Both types usually present through a systemic inflammatory response. The most common location of this disease is the thorax and neck areas and are more prevalent in males between 30-50 years of age. However,the three patients on which this study is based are women. All three women had localized hyaline vascular type with masses to their neck regions two were removed successfully with no recurring symptoms
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DESCRIPTION OF PROCEDURE: The patient was prepped and draped in the usual manner. A vertical incision was made along the anterior border of the neck. The patient has a very short neck; therefore, it made the operation much more difficult. Dissection was carried down to the trachea using Bovie cautery. The patient had multiple small vessels in the operative area that had to be either bovied or ligated with interrupted 3-0 silk sutures or stick tied with 3-0 silk sutures. After completion of the
Discussion Questions: Identify one or two medical terms in this report. Deconstruct the components of specific medical terms to identify their meanings. In addition, please pay attention to the spelling and pronunciation of the words.
Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time, she seems slightly short of breath, but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you that she has been complaining of feeling more tired in the evenings & “unable to catch her breath”. While at home, she has been sitting up either in an easy chair or in bed with three pillows. Her daughter states that Mrs. Lee has not had to
It was important to discuss with Lisa during consultation family history that could provide additional support for my final diagnostic conclusion .Going thru such topic area Lisa explain that her husband James dad was suffering with atopic eczema since childhood .This was quite an important piece of information as such conditions like atopic eczema ( dermatitis ) are hereditary conditions often (National Eczema Society ,2011).Atopic dermatitis or eczema is a chronic skin disorder inflammatory with pruritic skin that appears mostly on the face ,neck ,bends of the arms or legs caused by the malfunction in the skin barrier( NICE,2013).
HEENT are basically unrevealing. Temp in the office today is 98.4. The outer area of the mouth extending into the chin reveals macules, vesicles, copious purulent exudate forming honey- colored crust on a erythematous base. Skin on trunk, arms and legs is clear. No other symptomology
The question to be studies related to problems women experience on a regular basis with lymphedema. With this study there were many previously completed qualitative and quantitive studies that were used as the relevant information for the study. After the study was completed, there results conclude that there are many aspects of woman life that are effected by lymphedema, and those from a lower social economic status suffer more chronic symptoms, but with better education and support systems women are able to experience and feel a decrease in their lymphedema symptoms in their daily
J.H. s is a 78 y.o. male with a history of moderately differentiated SCC of the left mandible. This was diagnosed in October 2013. There was some delay on the patient’s behalf on scheduling the surgery. He then had a sync opal episode and was found to have severe bradycardia and junctional bradycardia. He underwent a CABG X4 for 3 vessel disease and pacemaker placement on 11/10/2013. He underwent a left marginal mandibulectomy and left neck dissections of level 1-4 on 01/23/2014. Pathology reported grade 2 moderately differentiated SCC nodes were positive. Patient declined adjuvant therapy. Patient did well until June when he developed an infection in the hardware. He was taken back to surgery 02/10/2014 for removal of hardware and biopsy of the left cheek and mass, which was found to be invasive cancer. He then agreed to radiation and chemotherapy, which has since started. Since he develop issues with dysphagia during therapy, and a peg tube placement was recommended. He underwent a successful placement of a peg tube on 4/05/14.
Of the 278 beneficiaries that received multi-fraction course of treatment, the most common primary diagnosis was lung (n=57; 24.3%), prostate (n=52; 22.1%) and breast (n=48; 20.4%). The mean age was 73.6 years of age and
A 29-year-old male comes from segregation and is shackled. Patient is seen today for concerns about swollen lymph node on left-side of his neck. He said it is painful with turning his neck and with palpation. He denies having pain with swallowing. Has not had chills, fever, change in appetite. Says he has partially been baseline due to his anxiety. He also continues to complain of generalized rash. He states that he has had this rash and swelling for the past four weeks. Rash kind of moves around different spots of his body. Currently, the only spot that the rash is present in is on the tip of his penis. Currently, does not have any swelling but states he has had swelling of joints
On 01/13/2016, he presented with complaints of subdermal "bumps" on each side of his neck, which were about pea-sized. When he tried to "pop them", blood discharge come out. Objective findings revealed 2 subcentimeter cutaneous nodules, bilateral neck. Diagnoses included PFB vs EIC. It was noted that the veteran has been maintained on medications to reduce signs and symptoms from Crohn's disease. Patients treated with these medications are at increased risk of infections and
Head and Neck: Patient skull is of normocephalic, atraumatic and without masses. The patient 's facial expression and facial contours are normal. The parotid glands are normal. The sinuses are non-tender. Palpation of the temporal and masseter muscles reveals normal strength of muscle contraction. There is symmetry of the nasolabial folds. There is no facial droop noted. Trachea midline. Thyroid is smooth, no goiter or
* Prior to performing A.’s physical assessment, I gathered information over her diagnosis tonsillectomy, adenoidectomy, and vitiligo and any passed medical problems to be aware of. I then introduced myself to A. and her family and asked her if she wanted her grandparents to stay in the room during her physical assessment. I then explained the process of starting at her head and working downward to her feet by providing privacy throughout the whole assessment. First I started, by observing her appearance and behavior and how well A. communicated with me, A.’s behavior was calm, cooperative and appropriate for her age. I assessed PERRLA in both eyes, her pupils were a 3, equal, round, reactive to light and accommodated. I assessed her mucus membranes which were pink and moist along with assessing her throat by looking at the back of throat and checking for bleeding , whitish area, and odor. I then asked her if she had any frequent swallowing and trickling of blood in her throat. A. stated she did not have any frequent swallowing or blood in her throat just some soreness and discomfort in her throat. A.’s throat had white areas on both sides where the tonsils were removed with no bleeding. I auscultated her heart and lungs, and heard S1S2 and her
Cardiac: Regular rhythm without murmur, normal S1and S2. One plus edema to bilateral lower extremities. Capillary refills are presents and carotid bruits are absent.