Pmbl Case Studies

MM is often also characterized usually in the pelvis, spine, ribs, and skull by diffuse osteoporosis.

A 68 year old male presented to the emergency department at 0800 hours via ambulance after experiencing chest discomfort and intermittent palpitations since 0500 hours. Prior to presentation, the patient stated he

According to the provider, the claimant's cough has been improved. His review of systems was positive for fatigue, malaise, sleep difficulty, shortness of breath, wheezes, and a cough. His blood pressure was 115/71 mmHg and his BMI was 30.35 kg/m2. The physical examination revealed wheezes. Clonazepam was prescribed for agitation. Atorvastatin, Nystatin, Citalopram, and a probiotic were prescribed. Continued use of Aspirin and a regular inhaler were suggested. Further, a follow-up visit with Endocrinology, Cardiology, and Pulmonology. As it relates to a spot in his lung, a repeat CT scan was recommended. The bronchial washes were negative for

HPI: Margaret Elliot is a 52-year-old Caucasian female that is presenting with shortness of breath that has recently worsen. Mrs. Elliot states that her problems began 20 years ago when she had bronchitis, which she consistently has 2-3 times a year. She said that her symptoms have been getting worse the last 2.5 month, but have severely worsen over the past three days. She states that it has been restricting her daily activities and has been troubling her while sleeping lying down. She states that her symptoms improve alittle when she takes her medications. She also states that her symptoms worsen when she tries to walk across the room

c. 34 years old male who complained of shortness of breath. He was obese and had a history of COPD. He was on two liters nasal cannula. After admitting at the ER, he was tranfered to med-surge floor for further evaluation.

3. Although lymphomas can originate in any of the lymphoid tissues of the body, most originate in the lymph nodes, and most (80% to 85%) are of B-Cell origin. Hypothesize as to why B-cells are more commonly affected than T-cells.

S: MJ is a 74 year old African-American female who presents to the clinic today with complaints of shortness of breath with exertion and increasing fatigue over the past two to three months. The shortness of breath is increased with exercise or when walking up stairs and has progressively gotten worse. She states that she presented to the emergency room approximately one year ago for shortness of breath and was prescribed an albuterol inhaler. She additionally has a chronic productive cough with clear sputum and denies hemoptysis. She has had no recent upper respiratory infections and denies fever. She denies chest pain or tightness. She also states that she has noticed some ankle edema over that has developed over the past

The first symptom of non hodgkin’s is often a painless swelling of a lymph node in the neck, the groin, or under the arm. “Some people suffering from hodgkin’s disease have more general symptoms such as feeling tired, itching, rash, and loss of appetite” (Freedman 23-24). Night sweats, fever, and weight loss could also be symptoms of lymphoma. One of the signs of hodgkin’s disease in children is a cough that occurs for no apparent reason or shortness of breath. “It may also cause swelling of the thymus in the chest, but since the thymus is larger in children than in adults, the swelling caused by lymphoma may have effects in children not seen in adults” (Freedman

This is 51 year old AAF. Patient is here complaining of several issues as listed. Patietn reports for the past several days she had increased SOB at rest, non-productive cough, adiouble wheezes. Patient denies chest pain, N/V/ D. Patient is a current tobacco user wit 20 pack year hisotyr. Denies use of alcohol or illicit drug use. Denies depressive moods, current pain 3/10.

Chief Complaint: 15 year old, Hispanic male who report sore throat and for 2 days.

Mary Smith, Female, 56 years old, presented to Emergency Department with abnormal Chest Xray, fever, chills and generalized weakness on Friday, 10/31/2014. Per patient, she came to visit her physician after she started feeling abnormally tired at work. After consult, physician ordered Chest Xray that showed bilateral infiltrates in lungs. Given previous lung disease history, and history of COPD, physician suggested a visit to a local Emergency Room, after which Mary Smith was admitted to an outpatient unit for observation. Additional investigation of past medical history revealed that patient has Chronic Pneumonia due to Mycobacterium Avium Complex and Gastroesophageal reflux disease. Admission history revealed that Mary Smith lives with her spouse and work in a local retail store. Patient denied smoking history, alcohol consumption history, drug use history. Psychosocial assessment revealed that patient’s house was burglarized few months ago, otherwise no other stressful factors added. Patient presented with no known allergy history. Current medication assessment showed that patient takes probiotics,

Please review the attachment. This is the vaccine rule that we provide to PMG last year and under the first two lines is the information how we has to charge the patient for the vacciness. Also The flu vaccine for Uninsured childrens is coverage under VFC program so we don't charge for the vaccine.

Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity

A 67-year-old male presents to the emergency department with a 2-day history of fever and productive cough. He feels very unwell. The patient is known to have multiple myeloma, a diagnosis established 1 year ago. He was induced with high-dose chemotherapy and maintained on bortezomib. Vital signs: Temperature 38.8ºC (101.8°F), blood pressure 125/88 mmHg, heart rate 98 beats/min, respiratory rate 20 breaths/min. Crepitations are heard in the right middle chest. Chest x-ray shows areas of consolidation in the right middle and lower lobes. They most recent serum protein electrophoresis is seen in the image. The M-spike has increased from 4.5 to 6.3 gm/dL over the past 4 months. The most likely predisposing cause of the patent’s findings is:

PMI is the world’s leading international tobacco company, with six of the world's top 15 international brands and products sold in more than 180 markets. In addition to the manufacture and sale of cigarettes, PMI is engaged in the development and commercialization of Reduced-Risk Products (“RRPs”). RRP is the term PMI uses to refer to products with the potential to reduce individual risk and population harm in comparison to smoking cigarettes.