Medical Case Study Of A Patient: 41-Year-Old African American Male

The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

Shockley’s oral report, Mr. Wood related the occurrence to Dee Showalter, our client Human Resources Director, who in turn reported the matter to Mary Miller, our client’s Chief of Living and Learning. Ms. Showalter also contacted our client’s nurse, Janice Young, and requested that she perform a skin assessment on Allison and also arrange for a physician to examine her per Ms. Miller’s request. (We have requested a copy of Ms. Young’s skin assessment, though the portion of the file that our client provided does not include a skin assessment that was ordered at that time and our client has indicated that it does not have a record of a skin assessment performed on or shortly after September 9, 2013. However, the materials provided include an assessment that our client completed before Allison’s home visit on September 8. That assessment reveals no abnormal findings, but it is not definitive as to whether the condition of Allison’s buttocks or rectum was accessed as part the

I was just two weeks into my internal medicine rotation at Suez Canal University in Egypt, when I encountered a case that I still remember to this day. Ms. Rafat was an elderly diabetic patient that came into our clinic complaining of a persistent wound on the sole of her foot. Upon removing her boots, her complaint turned out to be a foot ulcer with an infection extending to the first and second metatarsal bones .Unfortunately for her, we had to break the news to her and her family that her foot would need amputation. Ms. Rafat was understandably upset but took the news in stride. Following up on her case, I learned that after the surgery, the blood flow to her leg became increasingly poor and she had to return to have a below the knee amputation. Ms. Rafat ended up dying of pulmonary embolism as a complication of her second surgery. This case stayed with me not only because it

M was taking a look at his leg that was injured but seemed to be healing. All was thought to be well until one office visit the doctor went across the hall to check on another patient who seemed to have an infected leg. The doctor left the door open where confidentiality here was obviously not being taking into consideration for the patient he was seeing as well as others who were able to hear them. Since the door was open, his parents noticed that he did not change his gloves while entering that other room and came back to check on their son with no gloves on. Dr. M was concerned about Jacobs leg and told him to come back the following week while treating it with antibiotics. The following week he comes back only to see that he has developed osteomyelitis. This was the same infection that the other patient developed while under the care of his supervision. Jacobs delay in his recover cost him the opportunity to play football and a college scholarship. Jacobs’s parents then resorted to suing Dr. M because of his negligence and lack of medical

Patient is a 60 year old gentleman with PMH significant for CVA with residual left side weakness and speech difficulties, IDDM2, HFrEF (15% in March 2017 per cardiac Cath, and 32% per TTE 3/23/17 ), and CAD/MI s/p DES X 2 to the LAD (Tampa VA in 2012, 3/2017 at Florida Hospital), presenting initially to OVAMC on 5/19/17 with left hip pain after a mechanical fall at home. He had an MI in late March 2017, at which time he had a DES placed in the proximal-mid LAD (LHC also revealed a LV apical thrombus – 1.6 x 1.4 cm). His EF at that time was reportedly 15% per LHC, and it was suggested he get a Life Vest prior to discharge. Patient subsequently left AMA, without a Life Vest and without prescriptions (including the one

You work in a small family practice in rural Virginia, (much better than Texas!). A man in his early 50s comes in with a complaint of intermittent fever (102-103 F) and headache for the past two weeks. The physician examines him and takes a history. The only clinical finding is a wound about the size of a quarter on his right thumb. Axillary lymph nodes are swollen and tender. The man says he cut himself while skinning a rabbit three days ago. On the basis of these observations the physician prescribes streptomycin and asks the man to call if his symptoms don’t improve in three days.

HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Chapman Robert Kinsey Patient ID: 110589 Room No.: 322-B Date of Admission: 23 February ---Admitting Physician: Martha C. Eaton, MD, Geriatrics Chief Complaint: Admitted from Dr. Max Hirsch’s office due to deep ulcer on left toe. Admitting Diagnoses 1. Severe peripheral vascular disease, status post deep ulcer on left toe. Rule out thrombolysis. The patient was admitted to a regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN, which puts patient into anaphylactic shock. 3. Continue with home medications. DETAILS OF PRESENT ILLNESS: Mr. Kinsey is an 87-year-old white gentleman with history of (1) Chronic atrial fibrillation, on Coumadin. (2) Chronic deafness,

PHYSICAL EXAMINATION: HEENT: Tympanic membranes and external auditory canals are within normal limits. Throat is clear with no gingival lesions. He is ______________. No obvious proliferate retinopoathy. NECK: No carotid bruit. No thyroid enlargement. LUNGS: Clear to auscultation. HEART: No S3, S4 or murmurs. ABDOMEN: Soft with no organomegaly. Normal bowel sounds. FEET: Good dorsalis and posterior tibial pulses bilaterally. Left foot has no abrasions, lesions, sores or ulcers. Right foot shows obvious deformity from previous break. He has an area located between his second and third metatarsal head that has clearly been an abscess that has broken through. He also has an obvious foot ulcer located over the instep of his right foot, full thickness. There is tracking to the broken foot, to which the ulcer area is connected and there is a question of osteomyelitis in this area.

skin condition that staph is able to cause is cellulitis. It is more common in people who have a weakened immune system such as people who are immunocompromised, infants, and the elderly. Cellulitis is characterized by a red, warm patch on the skin paired with a fever. “The bacteria that cause cellulitis can spread rapidly, entering lymph nodes and your bloodstream. Recurrent episodes of cellulitis may cause chronic swelling of the affected limb” (Mayo, 2015). Cellulitis is spread extremely easily, and is a big issue within long term care facilities. The infection can be cured by antibiotics. However, there are cases reported stating that cellulitis is becoming resistant to some antibiotics. The doctor can order a culture to send to pathology.

The bacteria spread fast, leaving the leg unsalvageable. The question on all of our minds was why the patient had waited so long to seek treatment. Surely she was in a lot of pain, and that odor... why wait? The answer was purely financial. Money deterred her from seeking treatment which caused a

The resident is an 88-year-old Caucasian male who has been married for 63 years along with a long-term care living arrangement. He has medical diagnoses of generalized muscle weakness, cutaneous abscess of buttocks, and lack of coordination. The resident rated his health status as a score of “7” because he stated that he felt pretty energetic most of the time.

The case arises from the alleged negligence of Dr. George Paltrow the Chief of Surgery of Bright Road Health System. On November 28, 2012, Mrs. Smith, after undergoing surgery was placed in the post-surgery care unit along with four other patients. The plaintiff claims Dr. Paltrow and numerous hospital residents came in and performed routine examinations on all four of patients inside the care unit without changing gloves or washing their hands. This statement is corroborated by the account of Jennifer Brainard one of the nurses on duty during the incident. Ms. Brainard further cites that Dr. Paltrow and other residents performed a dressing change and examination on the patient that was diagnosed with staph infection first before moving on

Gadsden is located in the northeastern corner of Alabama and is the county seat of Etowah County. It is 60 miles

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.

Joanna is an experienced nurse taking care of Mrs. Kelly, who was Joanna’s patient many times in the past for her primary problem which is COPD. This time Mrs. Kelly was admitted with complaints of abdominal pain what was different from her primary diagnoses. Her vital signs were with normal limits and no significant changes from privies results, but for the nurse she looks sick, and Joanna know that something is wrong. She calls the resident doctor, but he tell her to watches and calls back with series changes. Joanna multiple attempts to report that something needs to be done to evaluate the cause of Mrs. Kelly pain was ask to calm down. However nobody took patient symptoms series and the next day patient died.