Maurice Brown's Case Summary

T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips

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.

The patient complained of right lower quadrant pain and of feeling faint. Dr. O'Donnel documented a chief complaint, a brief history of present illness, and a systemic review of the gastrointestinal system and respiratory system. Dr. O'Donnel also documented a complete examination of all body systems, which included all required elements. Medical decision making was of moderate complexity.

Another inaccurate crime case in 2013 was the beaten of Maurice Harris, a 57-year-old man. He had been punched in the head with a metal pipe, because of the severity of the beaten doctors had to “put in a breathing tube: they also diagnosed a spinal cord injury”. A week after Harries died. However, his death was not classified as homicide, but as “natural” according to the pathologist examination. The police report clearly impacted to the number of homicides that were reported for 2013 and, as with previous homicides, Harris’s case was never classified properly and criminals were never detained. The Chicago Magazine makes an extensive and exciting investigation to reveal to the public the reality behind these incidents that are not being included

In a New York City school, there is a young, attractive teacher, who also doubles as the school’s football coach. This high school has the reputation for having one of the best football teams. The teacher/coach, Mr. Nelson, s close with several of the football players on his team. They often seek out his advice for various problems. There is a select “inner circle” who gets invited to Mr. Nelson’s house to watch games socialize. There have been rumors circulating that there is partying and drinking while the students are present. With the previous statement in consideration, these boys are in high school and are not of a legal drinking age. There is another planned and Mr. Nelson’s old football pals are invited, along with the current best

A surprise was given to Idaho Falls, when on August 16,2015 a man was found dead, and was left on a playground in only his boxers. The man, later revealed as Deraek Larson, was stabbed more than 20 times. A pair of soiled pants and shoes were found near the park, but police haven’t positively linked the clothes to Larson. On August 20,2015 18-year-old Brian Mitchell was arrested for the murder of Daraek. Mitchell was officially charged with second-degree murder later in the afternoon. According to Idaho Code, “Second-degree murder is punishable by imprisonment for at least 10 years, and the imprisonment may extend to life.”

Kirk D. Brown has worked with us here at the Veteran Administration Health Care system Long Beach for the past 3 years. He is very enthusiastic and works well with the veteran. The patients respond well to him. His jovial personality is a benefit in a hospital setting because it allows the patient to relax. Kirk’s knowledge in technology is an asset to us because it allows us to fix problems quickly. His ability to assess problematic situation and devise a solution are amazing.

In the Johnson case, Mr. Johnson and his son, Sam went shopping and were falsely accused of stealing. They went to the mall and then directly to Target after the mall. After adding multiple items to the shopping cart, the previous items bought got mixed in with the items to be purchased. Upon leaving Target, Mr. Johnson was approached by a security guard who loudly accused Mr. Johnson of stealing. The security guard was loud enough for others to hear him. He also roughly pulled on Mr. Johnson’s arm telling him to go with the store manager or he would call the police. It took two hours for the store manager to prove Mr. Johnson did not steal the video game and the figurine.

1954 was the year that everyone got fed up with the segregation in schools after their kids were rejected from an all white school just because of their skin color. After Oliver Brown's daughter Linda Brown was rejected from a school he got so angry he decided to challenge the Topeka School Board for equal rights in the Supreme Court. In the end him and a group of NAACP(National Association for the Advancement of Colored People) lawyers won the case which earned their kids an equal chance to go to the same schools as a "normal" white kid. However as time went on the case started to become forgotten and its significance became more and more useless. Now in 2018 schools have a lot of diversity depending on the area you live in. In Hollywood,

On 10/13/16 I met Mr. Westover at the office of Dr. Raymond. Mr. Westover ambulates with a cane. He reports when he is at home he doesn’t use it. Physical therapy continues to work with strength and balance goals. Mr. Westover feels he would benefit with another month of therapy. He has completed speech therapy. The peg tube site on Mr. Westover’s abdomen still has a scab and scant drainage at times. Dr. Raymond would like his to keep putting Neosporin on it. If it doesn’t fully close doctor would like him to follow up with gastrologist who put the tube in. Mr. Westover examination shows weakness still on the left leg, and right arm.

On Wednesday, September 15, 2010 I had the pleasure to assist in taking care of a patient I will refer to as M.B. y patient, M.B. is a widowed, white, female of 72 years old, 5’ 7” tall, and weighs 165.66 lbs. M.B. was admitted via ER on September 10, 2010 for abdominal pain and a poor nutritional intake. M.B.’s admitting diagnosis was abdominal pain, acute pancreatitis, hypokalemia, and diabetes.

Mr. Markham is seen this afternoon at MCCRC on 03/02/2018. Mr. Markham is seen this afternoon after dialysis, which has exhausted him and he says his blood pressure dropped and he felt terrible as if he might pass out. He does not know why they were so aggressive. Other times, he has come back from dialysis with diastolics in the range of 110. His discharge is tentative for next Wednesday. He has had no chest pain. He has had some pain in his left knee but it has neither been warm, hot, or with atypical prednisone effusion that he has with gouty attacks. Mr. Jones has started him on allopurinol 100 mg daily.

Chief Complaint: The patient complains of dysuria and some abdominal pain for the past 3 days

Mr. Armstrong has a history of renal insufficiency and uncontrolled hypertension, along with symptoms of fatigue, pedal edema, and occasional shortness of breath. He does not have a history of trauma or obstruction to his kidneys, but his creatinine and BUN levels are currently at 3.5 mg/dl and 40 mg/dl. Normal creatinine concentration values are 0.7 to 1.2 mg/dl and normal BUN values are 10 to 20 mg/dl; this reveals that Mr. Armstrong’s kidneys are not removing wastes properly (McCance, Huether, Brashers, & Rote, 2014).  Mr. Armstrong’s history of renal insufficiency and uncontrolled hypertension is commonly found in patients diagnosed with intrarenal (intrinsic) acute renal failure. Intrarenal acute renal failure can be categorized as

JH experiences a condition of nephrosis progressing to uremia. He exhibits physical symptoms of lethargy, low urine output, edema and hyperventilation. His laboratory findings and creatinine also show elevated BUN and creatinine levels, hyperkalemia which are signs of uremia. Uremia indicates an accumulation of nitrogenous waste products in the blood stream. Too much of these wastes are toxic to the body. If uremia is not treated right away it can cause damage to the kidney. Treatment may include dialysis which filters the wastes out of the blood while the kidneys recover. His diet has to be modified to low protein diet, restricted sodium and potassium and fluid intakes.