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.
Multiple myeloma Multiple myeloma (also plasma cell myeloma also known as MM, myeloma, plasma cell myeloma, or as Kahler's disease) is a progressive hematologic (blood) disease. It is a cancer of the plasma cell, an important part of the immune system that produces immunoglobulins (antibodies) to help fight infection and disease.
What is cancer? This is an important question that will help people to understand the severity of this affliction. Cancer occurs from abnormal cell growth in the human body. When this happens tumors may form. Tumors are a mass of cells that continue to expand. These tumors may be benign.
Multiple Myeloma Multiple myeloma is a form of cancer that results from the uncontrolled growth of abnormal plasma cells. Plasma cells are a type of white blood cell produced in the soft tissue inside bones (bone marrow). These are cells in your blood that normally help you fight infection. They are part of your body’s defense system (immune system). Plasma cells that become cancerous will grow out of control. As a result, they interfere with normal blood cells and many important functions that normal cells perform in the body. With multiple myeloma, the abnormal plasma cells cause multiple tumors to form.
Multiple myeloma is blood cancer that starts in the plasma cells in bone marrow. Plasma cells are white blood cells that help your body fight infection by producing proteins called antibodies. When plasma cells grow out of control in the bone marrow, they no longer perform their intended function in
Barium swallow Patient clinical details The patient was referred to the Radiologist from his GP, because of ongoing pain and difficulty when swallowing. The patient was 45years old male, consumed alcohol regularly and a heavy smoker. Due to the clinical details the radiologist decided to perform a barium swallow this allows
CASE STUDY #3 CARDIOVASCULAR A 56 year old male arrives in the emergency room after complaints of severe pain to the upper abdomen and jaw. For 7 years he has been seeing a doctor off and on for high blood pressure. He has hyperlipidemia. He smokes ½ packs of cigarettes per day.
A 71-year-old male with known multiple myeloma presents to his physician’s office complaining of progressive back pain and increasing fatigue. He has had no diarrhea or vomiting. The patient was diagnosed with multiple myeloma 3 years ago, at which time he was not considered a good candidate for bone marrow
Name:Myeloproliferative neoplasms Where is occurs: Blood cells and bone marrow Causes: the NCI has no information or evidence of causes for this type of cancer.
• Demographics: 8 year-old male ♂ (Dorian Gray) • Chief Complaint: painful ulcers in oral mucosa and swelling/redness in his right hallux (“big toe”), weight loss, abdominal pain, initially was constipated but now passing stools regularly with no observable blood, elevated temperature, poor appetite, fatigue, skin lesions on right shin, painful sensations
A patient arrived at the emergency room previously healthy 39-year-old who presents with a three-day history of worsening cough and shortness of breath. After symptoms began there was worsening dyspnea and pain with chest tightness, which caused him to go to the ER. The patient has a history of smoking, he smokes almost an entire pack a day. The patient also notes that within these three days he had decreased appetite, poor sleep, chills and a fever. A chest X-ray and a chest CT was Performed on this patient.
The patient is an 80-year-old female who presents to the ED with increased dizziness, vomiting and increased nausea. She denies any other symptoms. She felt as if she was spinning and the room was spinning but other than that she had no loss of consciousness, slurred speech, no inability to speak at any time and no type of weakness. The patient's medical history is significant for rheumatoid arthritis, hypertension, and melanoma in 1981. Medications are Metoprolol, Suldac and aspirin which she has stopped taking them because she does not like them. Laboratory work is essentially unremarkable. CT of he head shows no acute nfarct, no hemorrhage or mass effect no midline shift or bleed. She does have calcification of the internal carotid
At all stages of MM, from diagnosis, remission, relapse to refractory, patients will face a high burden of biopsychosocial impacts. MM is characterised by the formation of tumours as a result of the overproduction and accumulation of malignant plasma cells in the bone marrow and on surfaces of various bones
Recurrent invasive ameloblastoma of the infratemporal fossa is an uncommonly encountered phenomenon in the practice of oral and maxillofacial surgery and presents many surgical challenges for the practitioner. This case report will present a patient who underwent previous resection of a mandibular ameloblastoma with multiple recurrences. The patient was diagnosed with a recurrent ameloblastoma of the infratemporal fossa that was subsequently resected and reconstructed using an anterior lateral thigh (ALT) free tissue transfer. There are only few reported cases of recurrent ameloblastomas in the infratemporal fossa and none that describe surgical resection and reconstruction of such a lesion. Due to the uniqueness of the surgical defect an ALT