Ospedali Riuniti Di Gamo Case Studies

July 10 1943, Stefan Moise still living with a family of three hiding from the SS officers, his calf had been purple for two weeks so he made an appointment with a nurse to get his calf checked out, Moise was told he had an infection that they think they made a medicine to cure but they hadn’t tested it to see if it is efficient or not.

shortness of breath. Pain improved with sublingual Nitroglycerine and Aspirin given by EMS. On arrival to ED his blood pressure was 154/94, HR 70 bpm, RR 19 and SpO2 98% in room air. Heart, lung, abdominal and neurological examinations were unremarkable.

overcome with fever, unable to keep food down and delirious from pain. Strangest of all, they

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.

Dr. R. Michael Benitez was participating in a clinical pathologic conference where doctors are given patients, along with a list of symptoms, and instructed to diagnose and compare with other doctors as well as the written record. The symptoms of the anonymous patient E.P., "a writer from Richmond" were clear: E.P. had succumbed to rabies (Geiling).

Patient is a 9 year old adolescent male, presents with a 2 day history of itching encrusted sores especially around the mouth area. Parent is using OTC antibiotic ointment with no improvement, no recent history of fever. Parent states that pat recently visited a petting zoo

Acting on a hunch, he called for a second opinion who also believed it was a severe case of cellulitis, but ordered a biopsy of her leg tissue to prove Gawande’s hunch wrong. To their surprise, his past experience with a patient and seeing a flesh-eating virus up front paid off, Bratton did indeed have necrotizing facscitis and because of Gawande, her case was caught early enough that her life as well as her leg were

After extubation, the patient endured acute delirium. The attempt to control agitation using ativan, haldol, and thorazine was not successful. Consequentially, dexmedetomidine was used to sedate the patient. Seroquel was started and dexmedetomidine was in the process of weaning off when he developed a fever to 102.7 degree Fahrenheit (°F), worsening acute kidney injury (AKI), leukosytosis, hypotension on post-operative day (POD) five. He underwent CTA chest and Computed tomography (CT) of the abdomen and pelvis with and without contrast which revealed cecal and ascending colon pneumatosis. IC was suspected. Since Mr. S was sedated, assessing for symptoms of IC were not possible. However, he had three bowel movements (BM) on POD four and one BM on POD five without melena or hematochezia.

The vulnerable people of Philadelphia were surrounded by endurable humidity and heat, during the terrible epidemic in the summer of 1793. Philadelphia had faced, many fever infected mosquitoes, and dry weather causing the historical event from the book Fever 1793. When reading this book, I learned many devastating and almost unreal historical facts about the yellow fever outbreak in 1793 which include the statistics, life during fever and symptoms, and lastly, cures for the fever. These serious and unpleasant facts are unbelievably real and they should be shared.

It is also important to evaluate for possible sources of immunosuppression or neutropenia such as diabetes mellitus, human immunodeficiency virus, chronic steroid use, malignany, the use of any immunosuppressants, and past history of organ transplant (Bailey & Kroshinsky, 2011). Obtaining this information will provide clues to the underlying diagnosis, as well as guide therapeutic decision making. When obtaining health history, one should determine if systemic symptoms are present such as fever, chill, or malaise as this will warrant higher level of care. Inquiring about possible exposure to tick bites such as a recent camping trip or frequent gardening can include or exclude differential diagnosis. When caring for patient with cellulitis, it is important to consider psychosocial, behavioral, cultural, economic, and

In the emergency room, Rudd was connected to the cardiac monitor, labs were drawn and a 20-guage peripheral IV was started in the right arm. An IV infusion of nitroprusside was started and vital signs were recorded periodically. The Pain was assessed using a PQRST pain assessment method and Rudd rates throbbing pain bilaterally in the head with a pain score of 8 that aggravates with moving and does not radiate to elsewhere other than the head. The orthostatic BP shows no changes. The E.D physician decides to admit Rudd in CCU to further monitor his blood pressure and watch for any signs of organ damage. The E.D physician writes an order for pain management and transfer to CCU. The ER nurse

The man left Liberia on the 19th of September and arrived in America on the 20th without any symptoms. But four days later, the symptom of the disease appeared and began to develop. On the 26th, he initially sought medical

An individual slowly, painfully, and agonizingly wanders into the emergency room. They complain of having a fever, vomiting profusely, and are experiencing a severe headache. The physician notices in the patient history that this individual recently went on an excursion to the Democratic Republic of Congo in Africa. The physician inquires with the patient about their recent trip and the patient excitedly, but wearily, tells the doctor all about the African safari. The individual also informed the doctor that they arrived home just a few days ago and recalled coming across several dead fruit bats and even a large dead gorilla; in which he got close enough to take a picture with, similar to as if he was claiming it for a prize. With this information, the physician immediately sends the patient to the laboratory to have their blood drawn, mentioning in the order to handle the patient and the specimen with utmost care and caution. It is crucial for healthcare workers, especially phlebotomists, to practice proper standard precautions to prevent the spread of contagions and blood borne pathogens. The patient mentioned above would be a prime example for why such measures are taken and why the Center for Disease Control and Prevention has implemented particular protections. Every day phlebotomists are exposed to various infections, therefore, it is crucial that their daily practice concerning universal precautions does not fail; the consequences could be deadly

A woman who resides in Delaware had no record of any tick bites or travel history outside Delaware. She was 43 years old and her past medical history included transfusion dependent Diamond-Blackfan syndrome, hepatitis C, pulmonary hypertension, and a splenectomy performed 20 years before this admission. Diamond- Blackfan syndrome or “Diamond Black-Fan anemia”, is a problem that stems from the bone marrow. As we know, the bone marrow is responsible for producing the body’s supply of erythrocytes which supply oxygen to the body’s vital organs and tissues. Many problems can occur in the body as a result of this anemia. This patient had been undergoing some treatment for her hepatitis C for the 40 weeks

he patient recruitment was done appropriately. Patients could not be enrolled in the study if they had fever for linger than 12 hours in the ICU was appropriate to be able to measure the outcome of early administration of acetaminophen. Recruitment of only patients admitted into the ICU and not transferred in the ICU would have eliminated the chance of the results being skewed due to previous hospital exposure. Usually hospital acquired diseases are harder to eradicate than community acquired diseases