Patient History : My Patient

2024 Words Aug 5th, 2016 9 Pages
Patient History: my patient is a 79 y/o female. She weighs 71.7 kg and is 165.1 cm tall. She has a history of colon carcinoma and hypertension. She has had a previous cholecystectomy, appendectomy, and removal of a uterine polyp. She has no history of bleeding disorders. She was a smoker, but quit 30 years ago. She smoked a half pack per day for 10 years; rare alcohol use. She is status post right-hemicolectomy. She is allergic to penicillin.
Kidneys
Physical Structure: pair of brownish-red, bean-shaped structures that are located retroperitoneal on the posterior wall of the abdomen. The right kidney is located lower due to the location of the liver. Located between the 12th thoracic vertebrae and 3rd lumbar vertebrae. Protected by the ribs and the muscles of the abdomen, fat deposits internally surround and prevent jarring. Average adult kidney weighs 4.5 oz., and 10 to 12 cm long by 6 cm wide. Each kidney is divided into 2 parts; the cortex and medulla. The cortex approximately 1 cm wide is located farthest from center of kidney, it the functional units of the kidney called the nephrons. (Smeltzer, Bare, Hinkle, & Cheever, 2010) The medulla is the inner most region of the kidney and approximately 5 cm wide, this area contains the Loops of Henle, and the collecting ducts of the juxtamedullary nephrons. These ducts connect to the renal pyramids, of which each kidney has 8 to 18 pyramids, they then drain to the renal pelvis which is the beginning of the…
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